I. Overview
Cerebrovascular disease is a general term for brain diseases caused by lesions of cerebral blood vessels due to various factors. The common cause is atherosclerosis, followed by arterial lesions associated with hypertension, heart disease, blood disease, cerebral aneurysm, arteriovenous malformation, trauma and various cerebral arteritis. Acute is most common and is collectively referred to as cerebrovascular accident, stroke or stroke, including hemorrhagic cerebral hemorrhage and subarachnoid hemorrhage; ischemic atherosclerotic thrombotic cerebral infarction, cerebral embolism, lacunar cerebral infarction and transient ischemic attack. Chronic cerebrovascular disease has an insidious onset and progressive nature, such as vascular dementia.
Stroke, also known as cerebrovascular disease, is called stroke in Chinese medicine. It is like the unpredictable winds of nature, with rapid onset, rapid changes and various symptoms. The clinical symptoms are often sudden fainting, unconsciousness, or even death, or in mild cases, paraplegia, slurred speech, or aphasia. It can disable or kill a healthy person within seconds, minutes, or hours, and is a common and frequent disease that endangers human health. All strokes must have the four major clinical symptoms. Stroke = cerebrovascular disease – stroke
Second, several conditions differ.
1. Stroke-like: vertebrobasilar artery thrombosis or hemorrhage (cerebellum, occipital lobe, brainstem)
2, subarachnoid hemorrhage: Stroke-like, true headache
3.Facial nerve palsy: true stroke, facial prickly heat, mouth paralysis
III. Current research status.
1.Trend of morbidity
At present, there are two major trends: the trend of rejuvenation and conus basalis arteriosus
Youthfulness: the incidence of young and middle-aged people, pre-geriatric is increasing
Mild disease: patients with atypical clinical symptoms, or numbness, or weakness, or dizziness, imaging shows lacunar cerebral infarction or normal, patients are easy to ignore, treatment missed opportunities.
Trend of vertebrobasilarization: due to specific blood supply area, special function, lack of specificity of clinical symptoms.
Symptoms: dizziness or vertigo, nausea or vomiting, tinnitus or deafness, head swelling and stuffiness or insomnia, unstable walking or tilting voice low or hoarse, swallowing and choking or choking cough
Characteristics: High misdiagnosis rate, head CT cannot make diagnosis, only head MRI can reveal the image.
Causes: poor lifestyle habits – sedentary, elderly retired playing cards, chess, etc. in one position for too long
Occupation: Office workers, computer and microcomputer operators, accountants
Chinese medicine believes that sedentary injury, sedentary and do not pay attention to appropriate activities, neck and back muscle tension strain, coupled with age 40 years or older cervical degenerative changes, osteophytes, turning the neck or activities too violent, so that the vertebral artery twisting pressure, is the main predisposing factor of thrombosis of the vertebral artery system.
2.Change of concept
Previous attitudes: disinterested attitude-no special and special effect therapy, poor recovery after neuronal damage, and helpless in clinical treatment.
Nihilistic attitude – not determined to correct harmful habits and hobbies, such as tobacco and alcohol addiction. Lack of urgency in the prevention and treatment of stroke. Due to the lack of effective emergency treatment for stroke, people still adopt a nihilistic attitude towards stroke. This is typically reflected in the lack of determination to correct harmful habits and hobbies, the lack of attention to the prevention and treatment of cerebrovascular disease risk factors, and the lack of active emergency treatment for stroke. For example, some studies have shown that only 42% of patients arrive at the hospital within 24 hours of stroke onset, which undeservedly leads to more brain cell death and more and more disabled stroke victims. It is unfortunate and unwarranted that the view that stroke should be considered the “acute of acute illnesses” has not yet gained consensus and attention.
According to the close observation of many research centers, the early implementation of systematic and formal rehabilitation treatment can better promote the further recovery of neurological function and improve the quality of life of some stroke patients. Unfortunately, this work has not yet received the attention and attention it deserves in some countries and regions (especially in economically and medically disadvantaged areas), and there are still few effective studies on rehabilitation techniques. More international assistance and support is needed to change this landscape.
Lack of attention to the prevention and treatment of risk factors for cerebrovascular disease, such as the incorrect idea of not taking medication if you have a disease and not letting your mouth suffer. Leave it to chance attitude – Medical personnel do not have a positive attitude toward emergency treatment of stroke, believing that patients with cerebral infarction are disabled if they do not die. For example, studies have shown that only 42% of patients arrive at the hospital within 24 hours of stroke onset, which undeservedly leads to more brain cell deaths and more important stroke disabilities. It is unfortunate that the notion that stroke should be considered the “emergency of emergencies” has not been taken seriously. Rehabilitation for stroke has not received the attention it deserves. Studies have observed that early implementation of systematic and formal rehabilitation treatment can better facilitate further recovery of neurological function and improve the quality of life for some stroke patients.