I. Why is the patient fine at the onset of the stroke but sometimes worsens after being sent to the hospital? Stroke is divided into ischemic and hemorrhagic. Stroke can be aggravated by worsening neurological deficits within a few hours or days after stroke, which can be manifested by increased level of consciousness, decreased muscle strength in the limbs and increased speech impairment. The incidence of ischemic stroke progression is approximately 26%-43%. Progression generally occurs in 59% of cases within 24 hours, 28% within 24-48 hours, 5% within 48-72 hours, and 8% within 72-96 hours. The causes are related to older age, early admission, high or unstable blood pressure, arterial stenosis of 50% or more, and higher blood glucose at admission. In addition, patients with large cerebral infarction and cerebral hemorrhage may experience peak cerebral edema, metabolic disorders, infection or fever within 3-7 days, which can also be manifested as aggravation of the disease. This is an inevitable part of the stroke process, and the doctor will try to take appropriate measures to stop the aggravation and reduce the degree of aggravation as much as possible, so that the patient can get through it. Second, how to care for stroke patients? After the onset of stroke, in addition to timely treatment in the hospital, care is also very important: 1, to create a comfortable, restful rehabilitation environment. Temperature and humidity should be appropriate: 18-24 ℃. 2, frequent indoor ventilation: to maintain the oxygen content of the air, reduce the density of carbon dioxide and microorganisms. Generally each ventilation for about 30 minutes. 3, sufficient light: especially in winter, sufficient sunlight can make the patient warm and comfortable. But note that the sunlight should not shine directly into the patient’s eyes, so as not to cause dizziness. 4, quiet: a quiet environment is conducive to patient recuperation, reduce irritability and promote recovery from disease. 5, actively help the patient’s vision to overcome the confidence of the disease. 6, to pay attention to changing the position (generally every 2-4 hours to turn once), to prevent complications such as bedsores, pneumonia. , 7, to carry out language training and passive limb activities. 8.Closely observe the change of condition. When you find that the patient’s consciousness, language and symptoms of the affected limbs gradually worsen or there are sudden changes, notify the doctor or go to the hospital for examination and treatment in time to prevent delays in resuscitation.