Older people with sudden onset of unclear speech should immediately seek medical attention, further improve the head CT examination, head CT without bleeding foci considered to be cerebral thrombosis, should be immediately hospitalized to improve the circulation, scavenging of free radicals and antiplatelet drugs static treatment, and at the same time, should be regular oral antiplatelet aggregation and statin secondary preventive therapy. The most common cause of cerebrovascular disease in the elderly is insufficient cerebral perfusion, and the patient should be asked whether there are triggers such as diarrhea, poor feeding, and a large number of oral antihypertensive drugs, and the triggers should be removed and actively treated, and the speech impediment may be accompanied by choking on drinking water, dysphagia, and other symptoms, so do not delay the condition.