Prognostic self-management of stroke patients

Stroke is the “first killer

” endangering the health of Chinese residents.

At present, there are 13 million stroke patients in China, and the prevalence of stroke is on the rise, with one stroke every six seconds. In 2015, the total cost of hospitalization for cerebral infarction was as high as 52.43 billion yuan

. One person dies from a stroke

every 21 seconds.

Once stroke occurs, they should seek medical treatment immediately and receive standard

treatment.

· Seek immediate medical attention

in the event of a stroke Common treatment methods for

stroke include intravenous thrombolysis, interventional therapy, and drug therapy: intravenous thrombolysis; interventional therapy; and drug therapy (throughout all treatments).

The cure and discharge of

stroke patients does not mean end of treatment! Why discharge ≠ end of treatment?

Stroke patients remain at long-term risk

of recurrence after discharge

Relapse is a nightmare for stroke patients: being at risk

of recurrence for a long time

Stroke recurrence is extremely harmful: “paralysis”-higher disability rate; “death”-higher mortality rate; “economic burden”-more expensive

treatment. What can be done to reduce the risk of recurrent stroke after

discharge?

How to self-manage the prognosis of

stroke patients?

· Long-term specification

· Medication

· Lifestyle

· Stroke

prevention

· Vulnerable moments

· Regular review

Long-term standardized drug treatment, away from the risk

of recurrence of stroke

Reduce blood lipids and stabilize atherosclerotic plaques. For stroke, “bad” cholesterol is one

of the main culprits of atherosclerotic cardiovascular disease.

Atherosclerosis is an important pathological mechanism of ischemic stroke, and the elevation of “bad” cholesterol (low-density lipoprotein cholesterol, LDL-C) in blood lipids is one

of the main risk factors for atherosclerosis.

Long-term standardized drug therapy significantly reduces the risk

of recurrent stroke

Studies have shown that in patients with ischemic stroke, taking statins for 5 years significantly reduces the risk

of recurrent stroke. 23% reduction in recurrent

ischemic stroke/TIA; 43% reduction in fatal stroke; 49%

reduction in nonfatal MI A

healthy lifestyle is indispensable

.

Healthy lifestyle includes low-salt and low-fat diet, smoking and drinking cessation, adequate sleep, proper exercise, psychological balance and weight

control.

Prevent the time

when stroke is easy to occur

· Excessive enthusiasm for sports games, excessive excitement, temperature difference from warm room to cold toilet will increase blood pressure, exertion when going to the toilet, stress or overwork in the workplace, bathing in winter, hot summer, sports, etc. Will cause a lot of sweat

.

Timely detection of sudden symptoms, please seek medical advice

immediately. Some sudden signs and symptoms of stroke can be detected as early as possible

by using the FAST assessment method. If one of the three items of facial paralysis/mouth deviation, limb weakness and slurred speech occurs, please call the emergency telephone number 120 immediately.

Stroke patients need regular review

· Regular follow-up after discharge is essential

, regardless of in stable condition. After

discharge, through regular review, doctors can understand their medication and condition changes, and give more targeted and individualized guidance and suggestions

.

Regular review and consultation, in order to better rational drug use under the guidance of professional doctors, and effectively prevent disease recurrence

. How to review after

discharge?

Stroke patients should be reviewed regularly, every 3-6 months. Close monitoring of blood lipids

is required in stroke patients taking statins.

1. First use of lipid-lowering drugs (statins)

· Blood lipids, transaminases, and creatine kinase

should be reviewed within 6 weeks of treatment.

2. After

taking lipid-lowering drugs (statins)

· If the blood lipid can reach the target value and there is no adverse drug reaction, gradually change to recheck once every 6 to 12 months √ If the blood lipid is not up to the standard and there is no adverse drug reaction, monitor once

every 3 months After 3 to 6 months of

treatment, if the blood lipid still does not reach the target value, the dosage or type of lipid-lowering drugs should be adjusted, or lipid-lowering drugs with different mechanisms of action should be combined for treatment

.

The body should be checked regularly.

Health needs management!