Bilateral multiple lacunar cerebral infarction is mainly caused by occlusion of deep arteries with small penetrating branches in the brain, which needs to be improved by antiplatelet therapy, anticoagulant therapy, fiber-lowering therapy and neuroprotective therapy.
1. Antiplatelet therapy: commonly used therapeutic drugs include aspirin and clopidogrel, which can effectively reduce platelets.
2. Anticoagulation therapy: sodium heparin and warfarin can be used for anticoagulation therapy, and the coagulation function should be closely monitored during the period of medication, and anticoagulant drugs are prohibited within 24 hours of thrombolysis.
3. Fibrin-lowering treatment: it is suitable for patients with hyperproteinemia and those who are not suitable for thrombolysis, and commonly used drugs include bacitracin and fibrin-lowering enzyme.
4. Neuroprotective therapy: commonly used drugs include cytarabine sodium, edaravone, etc., which have the effect of nutritional protection of nerves.
These drugs can have gastrointestinal irritation, bleeding and other adverse reactions, and need to be used under the guidance of a doctor, in addition to pay attention to the control of blood pressure, blood lipids, blood sugar and other risk factors.