After the hospitalization treatment gradually stabilizes, some patients may become anxious, "I have been treated for 2 weeks, why is it not good?" If you have this idea, you may not know enough about stroke. Stroke is the first factor in death and disability in my country. Stroke

hospitalization treatment gradually stabilized, some patients may become anxious, "I have been treated for 2 weeks, why is it not good?" If you also have this idea, you may not know enough about stroke .

Stroke is the first factor in death and disability in my country. Stroke can be said to be "fighting with the god of death, either death or injury"! About 70% to 80% of stroke survivors have different degrees of functional impairment1.

Although stroke occurs in a moment, the formation of stroke does not happen overnight. Similarly, recovery after stroke also requires a process. It usually takes a week to get a cut on your hands. Now the damaged part is the brain. The "headquarters" of our human body will naturally recover longer than other diseases, months or even years.

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So, how can we recover faster?

There are two key points to recover after stroke - time and method.

The first is time, and we must grasp the "golden period" of recovery.

Research shows that 2, the speed of recovery of physical function and activity in the weeks after stroke is the fastest. As time goes by, the recovery speed gradually slows down, just like the speed of riding on different means of transportation (aircraft - car - bicycle - walking).

Three months after stroke is the "golden period" for body function recovery. During this period, the fastest recovery speed of the body is , just like taking a plane.

If rehabilitation treatment is performed for more than 1 year, the efficiency of various functions will be reduced, just like walking.

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The second is the method, you must follow the doctor's instructions and carry out standardized drug treatment, speech training, psychological treatment, rehabilitation exercise, etc.

Drug treatment: Follow the doctor's instructions and standardize taking medication

The main purpose of taking medication after stroke is to prevent recurrence and reduce disability . We know that the disability rate of stroke is very high, and the disability rate after stroke is 75%3, which means "three of the 4 partners in the same ward with you will suffer from disability." Some drugs in have the effect of improving brain circulation and promoting the recovery of nerve function, such as phthalide 4,5. These drugs can promote blood vessel regeneration to the greatest extent. Vascular regeneration is like repairing the "headquarters" path, ensuring sufficient blood supply to the ischemic area and promoting functional recovery.

And the recurrence of stroke will be a second blow to the "headquarters". The old injuries have not been healed, and new injuries have been added! Its damage to the brain can be imagined. Therefore, drugs such as aspirin or clopidogrel , hypoglycemia and antihypertensive drugs that control the risk factors for stroke recurrence generally require lifelong treatment.

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Rehabilitation exercise

Rehabilitation exercise after stroke is very important. 's fundamental purpose is to minimize obstacles and improve functions , especially for hemiplegia after stroke, which must rely on standardized rehabilitation treatment 6.

now advocates starting rehabilitation exercise in the early stage 6. During hospitalization, we should actively cooperate with doctors to carry out rehabilitation training. If you can go to a regular hospital after discharge, it is best to go to a regular hospital and do it under the guidance of a rehabilitation doctor; if you cannot go to the hospital, you can also do home rehabilitation exercise under the guidance of a doctor.

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So, which patients are suitable for family rehabilitation training?

• First, The whole body is in good condition :

• In a quiet state, the pulse is <120> systolic blood pressure <195mmHg,> diastolic blood pressure <120>
• has no palpitations, shortness of breath, purple lips, swelling of lower limbs, and heart pain.

• Secondly, there is no cognitive impairment , can understand what the family members say and can follow the family members' guidance.

• Have the desire to recover , and can control your emotions.

What issues should be paid attention to in family rehabilitation training?

• The earlier you start to recover, the better . Generally speaking, as long as the condition is stable, rehabilitation training can be carried out.
• If other diseases are concurrent with , such as myocardial infarction, upper gastrointestinal bleeding , lung infection , renal insufficiency, etc., then should be trained under the guidance of medical staff .
• exercise volume should not be too large , and the training intensity should be from small to large, so that the patient has an adaptive process.
• ensures training frequency, at least 2-3 times a week, preferably 1 to 2 times a day, for about 30 minutes each time.

• If the vein is quiet, the systolic blood pressure is >180mmHg. If you have angina pectoris or severe arrhythmia or cold, you should suspend training .

• If the patient has been trained for a day, and his pulse rate is still higher than the usual level, it means that the exercise volume is too large, and should be reduced .

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In addition, patients can conduct training in combination with daily life.

• encourages patients to reduce their dependence on their families, improves their independent living ability, such as dressing, washing, eating, etc.
• Pay attention to daily health care . Take medicine on time, live regularly, maintain a peaceful mood and an open mind.
• eat more high-cellulose food , keeps stool smooth .
• avoid fatigue.
• does not wear clothes that are too tight, so as not to affect blood circulation and limb activities.
• After exercise, be sure not to perform hot water bath , so as not to cause blood to further concentrate on the peripheral area, causing blood pressure to suddenly drop, please have arrhythmia, etc.

In short, stroke recovery is not urgent! Patients and their families should not be too impatient, and should not believe in some so-called "folk remedies". Every patient is like an army, the headquarters is damaged, but the army is still there and the faith must be there.With the guidance of a doctor, the company of his family and personal efforts, he will definitely overcome the difficulties and get better and better!

References:

1. Expert consensus on the acute phase of cerebral infarction in China. Chinese Journal of Physics and Medicine and Kangfu. 2016. 38(1): 1-6.

2.Langhorne P, et al. Lancet 2011,377: 1693–702.

3. Summary of China's stroke prevention and treatment report 2019. Chinese Journal of Cerebrovascular Disease, 2020, 17(5)272-281.

4. Gao Xiangyu, et al. Shandong Medicine. 2020. 60(21): 96-99.

5. Guidelines for the diagnosis and treatment of acute ischemic stroke in China 2018[J]. Chinese Journal of Neurology, 2018, 51(9)666-682.

6. Miao Zhongrong. Comic stroke (2nd edition). Beijing: People's Health Publishing House, 2016.

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