Misconceptions in the prevention and treatment of cerebrovascular disease

  Cerebrovascular disease is one of the major health hazards today, with a prevalence rate of 1.788%, and is the second cause of death in our population.  Myth 1: Wait and see, lost a good opportunity Countermeasures: early medical treatment, for the best treatment time Stroke is mostly acute onset, the main manifestation is sudden unconsciousness, limb numbness u, and even coma. Research shows that the first 6 hours after the onset of cerebral ischemia is the best time for treatment. When the nerve cells in the brain are ischemic for more than 6 hours, it is impossible to recover completely, and even reperfusion injury may occur, which is one of the important reasons why strokes cannot be fully recovered. If the patient receives timely and proper treatment within 6 hours, he or she may recover completely. Therefore, the concept of “time is brain” should be established.  Myth 2: Irrational medication leads to medically induced diseases Countermeasures: Individualized treatment and rational medication There are many drugs for cerebrovascular disease, and some people use strong thrombolytic drugs without any examination, and do not monitor during medication. The correct method is to go to a hospital specializing in the treatment of cerebrovascular disease in a timely manner. Timely perform cranial CT, find out the cause and choose the best treatment plan according to the results of blood pressure, platelet function, fibrinogen, vascular ultrasound, etc. To prevent misdiagnosis and mistreatment.  It is worth mentioning that many patients with coronary artery disease have cerebral thrombosis when using vasodilators and antihypertensive drugs, which is because the patient has long-term hypertension, cerebral blood vessels have been sclerotic and resistance is relatively high. Even if the blood pressure is still in the normal range (e.g. 100/70mmHg), cerebral blood supply may be insufficient. When medicating such patients, attention should be paid to the presence of headache, dizziness and changes in blood pressure.  Myth 3: Drugs are more important than rehabilitation Countermeasures: Early rehabilitation treatment Most stroke patients currently rely on drug therapy, infusion, intramuscular injection plus oral, multiple drugs at the same time, one course of treatment after another. However, many patients are still left with sequelae. The main symptoms are joint stiffness, restricted movement, upper limb flexion contracture, lower limb stiffness, and walking in circles. The reason for this is the lack of proper rehabilitation training during the rehabilitation process of stroke. The National “Ninth Five-Year Plan” major research project “Research on early rehabilitation of cerebrovascular disease” showed that early rehabilitation of cerebrovascular disease can prevent the emergence of pathological movement patterns, restore normal motor function, and improve the cure rate and quality of life. As soon as the vital signs of stroke patients are stable, rehabilitation can be started.  Myth 4: Treatment is more important than prevention Countermeasure: Prevention is the main focus, the earlier the better The formation of cerebrovascular disease is a slow process with many risk factors, such as hypertension, diabetes, hyperlipidemia, obesity, coronary heart disease, and smoking. Research results show that early detection and control of the above risk factors can reduce the incidence of cerebrovascular disease. So far, there is no medicine that can normalize severe cerebral atherosclerosis and revive the necrotic nerve cells. However, early atherosclerosis, early hypertension, hyperlipidemia, and obesity are treatable.