Dietary management of cerebral infarction in the elderly

The most common type of cerebral infarction is atherosclerotic cerebral infarction, which refers to ischemic and hypoxic necrosis of local brain tissues caused by narrowing, occlusion or thrombosis of the lumen of the blood vessel on the basis of lesions of the vessel wall caused by atherosclerosis and other reasons. The main clinical manifestation is hemiplegia. It mostly occurs after the age of 50, and is slightly more common in men than in women. Years of clinical experience, so that more and more patients came to my clinic, including many elderly patients with cerebral infarction, this article for the daily diet of such patients have certain significance of guidance, or directly and my phone consultation, specific communication about cerebral infarction related treatment and daily protection. For the prevention and treatment of cerebral infarction, in addition to the importance of drugs, dietary modification is also very important, plays an active role in prevention and treatment. Attention should be paid to the quality and reasonable combination of diet, emphasize on cooking, and make full use of the complementary effect of diet to improve its nutritional value. The main nutrients needed by the human body are protein, fat, sugar, trace elements, vitamins and water. Patients with cerebral infarction are mostly middle-aged and old people, and their calorie requirement is about 2,000 kilocalories per person per day. The reasonable distribution of three meals is 20%~30% for breakfast; 20%~30% for Chinese food; and 20%~30% for dinner. Most of these calories come from protein, fat and sugar. The ratio of the three to protein accounted for 15% to 25%. Fat 20%~25%, sugar 50%~55% is good. 1, protein: elderly cerebral infarction patients with low absorption and digestion ability, coupled with our habits to vegetarian diet, so cerebral infarction patients can occur protein deficiency, which is extremely unfavorable to the disease recovery or sequelae of improvement. Modern researches show that there are many reasons for the prolongation of human life span, but good nutrition and sufficient protein intake is one of the important factors. Excellent meat, eggs, dairy products and other foods contain essential amino acids, easy to digest and absorb, as long as the quantity is sufficient, the proportion is appropriate, is very suitable for patients with cerebral infarction. China’s middle-aged and elderly people’s protein needs are generally 1~1.5g per kilogram of body weight per person per day. Eat more high-quality proteins, such as milk, chickens and ducks (preferably wild woodchucks), fish, eggs (egg yolks should be eaten sparingly), soybean products, and eat less pork, beef and mutton, and lean meat is good. Eat less or not eat animal fat and animal offal, such as fat meat, fat intestines, belly, because these foods contain high cholesterol and saturated fatty acids, easy to aggravate atherosclerosis. Obese patients should limit the intake of staple foods to reduce their weight to normal or close to standard weight. Generally control the amount of staple food at about 300 grams per day. If the patient is not enough to eat available vegetables, soy products to supplement, try to develop the habit of eating 80% full. 2. Fat: Fat mainly comes from animal fats and vegetable oils. From the point of view of preventing cerebral atherosclerosis, animal fats should be controlled, because cholesterol only exists in animal food, high cholesterol will be deposited in the arterial blood vessel wall, prompting and aggravating atherosclerosis. However, fish and fish oil are basically harmless to the human body because almost all of the unsaturated fatty acids in fish oil can reduce the amount of cholesterol and prevent cholesterol from being deposited in the bloodstream, which is conducive to alleviating or delaying atherosclerosis. Fat in food supplies essential fatty acids, promotes the absorption of fat-soluble vitamins, and also makes meals tasty and enhances appetite. Cerebral thrombosis patients should not have too much fat in their diet, but do not restrict it too much, generally 0.8~1g per kilogram of body weight per day is appropriate for the middle-aged and elderly. Limit fat intake. The total amount of fat in the daily diet should be reduced, polyunsaturated fatty acids should be increased, and animal fats should be reduced so that the p/s ratio reaches above 1.8 to reduce the synthesis of endogenous cholesterol by the liver. Cooking without animal oil, but with vegetable oil, such as soybean oil, peanut oil, corn oil, etc., the amount of 25 grams per person per day, within 750 grams per month is appropriate. 3, sugar foods: with the increase in age, activity decreases, the elderly need for sugar has been reduced, appropriate control of sugar intake is beneficial. The ratio of protein, fat and sugar in the diet should be 1:0.8:3, which is more suitable for the elderly. Sugar mainly comes from food such as rice, noodles, grains and sugar. Limit the intake of refined sugar and sugary sweets, including snacks, candies and drinks. After excessive consumption of sugary beverages, the sugar in the body will be converted into fat and accumulated in the body, which will still increase body weight, blood sugar, blood lipid and blood viscosity, which is extremely unfavorable to the recovery of cerebral thrombosis, so the application of beverages should also be controlled. If the patient with cerebral infarction suffers from diabetes mellitus at the same time and produces hypoglycemia by applying hypoglycemic drugs, he/she can drink beverages appropriately in order to prevent the blood glucose from continuing to fall, and when the transient hypoglycemia is relieved, he/she should not drink sweet beverages again. 4, water: patients with cerebral thrombosis should pay attention to frequent supplementation of water, especially in the early morning and evening, which helps to dilute the blood and prevent the formation of thrombus. Generally speaking, the elderly should drink 4~5 glasses of water (1000~2000 ml) every day, and it is best to keep the urine output above 1500 ml a day. 5, vitamins and trace elements: the elderly should ensure that the daily supply of vitamins and trace elements, especially pay attention to vitamins A, C, D. Eat more vitamin-rich foods, such as vitamin C-rich fresh fruits, tomatoes, hawthorn, etc.; vitamin B6-rich soybean products, dairy, eggs; vitamin E-rich leafy greens, beans and so on. Eat more food with more fiber, such as celery, coarse grains, etc., to increase gastrointestinal motility and avoid dry stools. Patients with constipation should drink more water, which can promote defecation, but also due to the increase in urine, to prevent urinary tract infections. Some patients, due to mobility, fear of urination and do not drink water, is very unfavorable.