I. Drugs
1.Adhere to long-term oral administration of 1 tablet (100mg) of BAY aspirin (aspirin enteric-coated tablets) once daily and 1 tablet (75mg) of Polivyx once daily (orally for more than six months); or at least one of BAY aspirin (aspirin enteric-coated tablets) and Polivyx.
2. Some patients may experience varying degrees of digestive discomfort when taking BAY aspirin (aspirin enteric-coated tablets) orally, so swallowing the drug with food at the end of lunch or dinner each day can eliminate digestive discomfort or significantly reduce symptoms. If you still have discomfort, you can switch to taking Bolivar alone.
3, during the period of taking the two drugs should closely observe the whole body skin mucous membrane and organs for bleeding: must pay attention to observe the gums, oral cavity and nasal mucosa for bleeding; observe the color of urine for change (such as red indicates that there may be bleeding); observe the color of stool for change, the color of stool is tar-like when the digestive tract bleeding (black and shiny, smells bloody, if not sure, can take appropriate amount of stool and stir with water, if there is (bleeding, the stirred water will turn red). If you find bleeding phenomenon, you should stop taking BAY aspirin (aspirin enteric soluble tablets) or warfarin sodium immediately, and go to hospital for corresponding examination and treatment.
4. If the degree of atherosclerosis is severe, you should add Lipitor 1 tablet (20mg) once a day for lipid-lowering and plaque stabilization treatment, but you should pay attention to monitoring liver function.
5.If you need to take other drugs in combination, especially antiplatelet and anticoagulant drugs, such as warfarin sodium, please make sure to consult your doctor whether to reduce the dosage or reduce a drug.
6, control the three highs, namely “high blood pressure, high blood lipid, high blood sugar”, to delay the progress of the disease, improve the efficacy and reduce the recurrence of the disease is very helpful. Please be sure to take all kinds of medications as needed and consult your primary care physician regularly.
II. Diet
1. A low-salt, low-fat diet is the mainstay, and diabetic patients need to further control their diet. At the same time, eat less spicy and irritating food, and keep your bowels and stools open.
2.Smoking and alcohol can aggravate vascular lesions, especially for patients with combined heart disease and diabetes, they should strictly quit smoking and alcohol.
Three, exercise
1, vascular lesion patients can not do not move, should not move more, after discharge from the hospital because they have just received treatment and a long time in bed, should start from a small number of activities, slowly increase the amount of exercise, do not be too hasty.
2, the best exercise program to walk, speed and time should be adjusted according to personal physical condition, a maximum of 1 hour, in order to activities after the heart rate increased by 10% – 20%, slight sweating and lower limbs do not feel soreness prevail.
3, the activity time should not choose early in the morning, because the morning temperature is low, the body is not open, easy to stimulate vascular spasm accidents, especially not for the elderly. The best time is after 09:00 am and after 04:00 pm.
IV. Review
1. Two weeks, one month, three months, six months, one year and every year after discharge, please bring your medical records to our outpatient clinic or ward for follow-up consultation to observe your condition and adjust your medication.
2. Review CT and, if necessary, imaging at 3 months or 6 months after discharge to assess the efficacy of treatment and detect other lesions at an early stage.
Attachment: Arterial ischemia manifestation
1. Chronic ischemia: pain and/or soreness after walking, which can be relieved after rest, and when the symptoms are aggravated, the walking distance without pain is gradually shortened, or even pain when quiet. Also accompanied by limb or foot coldness and weakness.
2. Acute ischemia: sudden onset of severe pain in the limb, which can be gradually aggravated; skin temperature is significantly lower than that of the opposite limb; skin color is pale at first, which can rapidly turn into cyanosis when the condition is aggravated; accompanied by sensory numbness or even sensory impairment, as well as activity impairment.