Treatment of cerebral artery blood supply deficiency

In chronic cerebral insufficiency, early intervention is important to prevent the occurrence of ischemic stroke and vascular dementia. Active search for the cause of cerebral insufficiency is the key to the treatment of cerebral insufficiency. I. Acute treatment: Acute cerebral insufficiency is mostly caused by thrombosis or embolism, and the treatment includes drug thrombolysis, cerebrovascular stenting surgery, etc. This part can be referred to the treatment of acute ischemic stroke. Second, general treatment: actively search for and treat the original cause of cerebral insufficiency, and actively treat the cause, such as vertebral artery cervical spondylosis, which leads to cerebral insufficiency, and actively treat cervical spondylosis, which leads to heart failure, which leads to cerebral insufficiency, and actively improve heart failure. Improve life and dietary habits: quit smoking, quit drinking, lose weight, eat more dietary fiber, eat more high-quality protein foods such as fish and meat, and eat less red meat, etc. Control related risk factors: actively treat primary diseases such as diabetes, hypertension, hyperlipidemia, avoid sedentary, etc. Third, drug treatment: due to the large individual differences, there is no absolute best, fastest and most effective medication, in addition to commonly used over-the-counter drugs, should be fully combined with personal circumstances under the guidance of a doctor to choose the most appropriate drugs. Anti-platelet or hang coagulation drugs: Anti-platelet and anti-coagulation drugs can prevent cerebrovascular thrombosis, commonly used drugs include aspirin, clopidogrel, warfarin, dabigatran, rivaroxaban, etc. The use of anticoagulant drugs such as warfarin requires regular monitoring of coagulation-related indicators in strict compliance with medical advice to avoid adverse bleeding events, and aspirin needs to be taken in accordance with medical advice, and patients with gastric ulcers need to be careful about gastric bleeding when taking them. Treatment drugs for related chronic diseases: adhere to the long-term rational use of blood lipid-lowering, blood sugar-lowering and blood pressure control drugs. Surgical treatment: Some chronic cerebral insufficiency is caused by blood vessel stenosis. If the severity of cerebral artery stenosis is found to reach 70% or more, interventional surgery such as carotid endarterectomy or stent placement can be considered. Chinese medicine treatment: Chinese medicine believes that cerebral insufficiency of blood supply is due to deficiency of liver and kidney, deficiency of qi and blood, deficiency of kneeling sea as the basis, magic turbidity and stagnation as the standard, essence loss and marrow injury, loss of nourishment of clear orifices as the key to its pathogenesis. Treatment methods include tonifying the kidney, pacifying the liver, activating blood circulation and resolving blood stasis, etc. Traditional Chinese medicine techniques such as acupuncture and massage may have some effect on the symptoms related to cerebral blood supply deficiency. However, since most Chinese medicines have not been proven safe in large-scale clinical trials, Chinese medicine treatment should be carried out under the guidance of a Chinese medicine practitioner or Chinese pharmacist, and should not be self-administered.