Recurrence of stroke and recurrence prevention

  Medical workers have found through extensive clinical practice that 25-40% of stroke patients have a recurrence of stroke within 2-5 years after the first onset. In the case of recurrence, the nature of the stroke can be the same as the first one, both being cerebral hemorrhage or cerebral infarction; or it can be different, such as cerebral hemorrhage in one case and cerebral infarction in another. Different types of stroke have different chances of recurrence, from most to least, transient ischemic attack, subarachnoid hemorrhage, cerebral hemorrhage, cerebral embolism, and cerebral thrombosis. The recurrence interval varies among different types of stroke, such as transient ischemic attack, half of which recur in the first year, and subarachnoid hemorrhage, which has a recurrence rate of 18%-38% and mostly recurs within 6 weeks. The number of recurrences can be one or several, with one recurrence being the majority. The greater the number of recurrences, the more serious the consequences. Therefore, for stroke patients and their families, the risk factors for stroke prevention and control should not be relaxed even after recovery.  Prevention of stroke recurrence can be done from the following aspects: 1. Patients and family members should acquire some basic knowledge about prevention and treatment of cerebrovascular diseases, understand the risk factors and triggering factors of stroke so that they can pay attention to them in their daily life; understand the use of some related drugs, learn the methods of rehabilitation and care of stroke sequelae, etc.  2, reduce anxiety, strengthen the rehabilitation of limbs functional exercise: due to the stroke more or less left a certain degree of sequelae, coupled with the fear of stroke recurrence, patients often have a pessimistic and disappointing mood about the future. We should let the patient understand that the recurrence of stroke can be prevented, encourage the patient to take action, establish good habits, strengthen functional exercise and engage in some work within their ability.  3.Regular physical checkups to control the risk factors of stroke, such as hypertension, hyperlipidemia, diabetes and heart disease.  4, long-term adherence to the blood circulation, improve microcirculation and improve brain function for the purpose of drug treatment and physical therapy. If stroke patients can adhere to the above points, they can effectively reduce the recurrence of stroke.