Forward to clarify 10 misunderstandings of stroke

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10 misunderstandings of strokeWang Yongjun: Vice President of Beijing Tiantan Hospital, director of Neurology, director of the center for th

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10 misunderstandings of stroke

Wang Yongjun: Vice President of Beijing Tiantan Hospital, director of Neurology, director of the center for the treatment of cerebrovascular disease in Beijing, director of China Center for stroke training. Chief physician, postdoctoral, doctoral, master's tutor. Beijing branch of the Chinese Medical Association neurology Committee; director of Beijing Academy of Neurology; Beijing Academy of Neurology salon chairman; "World Medical Journal" executive editor.

Do you know about stroke? No disease can be like a stroke, the moment may make people lose the dignity of life: mouth askew, numbness of limbs, and even paralyzed in bed...... October 29th, Beijing Tiantan Hospital affiliated to Capital Medical University professor Wang Yongjun after attending to "focus on stroke, immediate action" as the theme of "World Stroke Day" propaganda week series launch event (see the contents of the second edition of this newspaper), and gave people a vivid lesson for prevention of stroke, especially points out and clarify your existence in the prevention of stroke in.

Myth: I won't get a stroke.

Many people think that stroke is a disease of the elderly in my youth, ancestors and no such disease, my blood pressure is not high, life is that an annual physical examination, so I will not stroke. In fact, there are 6 people in the world, there will be a total of 1 people in the life of this stroke, every one second, a person with a stroke, every 6 seconds, there are 1 people died of stroke, every 6 seconds, there are 1 people permanently disabled due to stroke.

At any age, there is a stroke, regardless of sex and age. The average age of stroke in China is 66 years, compared with the United States white people as early as 10 years. Among them, less than 45 years old patients were close to all patients with the 1 / 5. Moreover, the majority of patients with stroke before the onset of symptoms, less than 1 / 3 of patients with a history of transient ischemic attack.

Myth two: carotid artery screening = stroke screening.

Often heard in the outpatient clinic, said the carotid artery examination is equal to the screening of stroke, carotid plaque will occur in stroke.

Stroke screening is an integrated process. In this process, cerebral vascular and carotid artery examination is just one part, it depends on whether the incidence does not have risk factors, one is the behavioral factors, the greatest danger is smoking, the second is the mental pressure, third is reduced, this is the three most dangerous. Disease factors include high blood pressure, diabetes, heart disease, of course, including dyslipidemia and other. So even if you have carotid plaques, don't be nervous.

Error three: normal cerebral vascular examination, will not suffer from cerebrovascular disease.

Vascular factor is one of the causes of cerebrovascular disease. For example, there are statistics show that 1/5 cerebrovascular disease actually comes from the heart, first atrial fibrillation, and blood vessels do not matter. Therefore, the normal screening of blood vessels, does not mean that you will not suffer from cerebrovascular disease.

Misunderstanding four: some foods or action is a ready-made panacea to prevent stroke.

People often said to me, he has a disease prevention trick, eat special food, every day with a rhinoceros horn comb, daily exercise etc.. An old man said he took 10 thousand steps in the park every day to prevent stroke. There are people who eat natto, lecithin, health tea. Can these really prevent strokes?

For health care, sometimes even more than the law itself. Any food, including we often say natto, lecithin, really effective or not much, the best food we eat these fruits and vegetables. The best evidence for stroke prevention is brisk walking. However, according to a survey by the American Institute of health, strenuous exercise increases the amount of bleeding in the brain.

Myth five: aspirin can prevent any stroke.

The use of aspirin in China is far lower than that of foreign countries. At present, the average person is 14%, and the United States is about 50%. Clinical doctors recommend aspirin is different from person to person, certainly not anyone can eat. American studies have pointed out that, first, people who have had a heart attack, two of women over the age of 45, there are multiple risk factors in the future, the risk of cardiovascular disease in the future, the use of high talent three. However, it is best not to use aspirin: a person who has high blood pressure and is not easy to control.

The national guidelines of the United States also said that the prevention and treatment of stroke is comprehensive, aspirin is only part of the prevention. Although aspirin is very important, don't forget to take your blood pressure, blood fat, and blood sugar lowering medications as prescribed.

Myth six: toxic drugs, health care products more secure.

Some people say that side effects of the drug on the written instructions, the occurrence of side effects and more opportunities, Western Medicine symptoms, Chinese medicine cure. The fact is that the frequency and severity of adverse reactions are not related to the number of instructions. Prevention of stroke drugs, many people worry about long-term damage to the liver to eat, I can say that there is no one in the world because of the use of statins appear physical damage, so do not be scared by the instructions.

The safety of health care products did not accept the scientific evaluation, must not have the exact effect and health care products, health care products are very expensive, so we must not blindly believe that the health care products, and give up the drug safety better, thus delaying the disease.

Myth seven: my condition is light, do not need hospitalization.

We have a lot of people have a stroke, said his symptoms are very light, do not need hospitalization, outpatient infusion can be good, this is wrong. In fact, even a small stroke, the prognosis is often unsatisfactory, mortality and recurrence rates are high, so we must attach importance to small stroke.

From a social point of view, a brief and mild stroke is more valuable. A small stroke is cured of normal people, if not treated, then it may become a real stroke.

Myth eight: infusion is more effective than medicine.

Many patients believe that the infusion is more effective than the medication, and I said that the medication is more effective. At present, China has become a big infusion country, all the hospitals have a transfusion room, but for the prevention of stroke, infusion how much effect?

In fact, in the early stage of stroke, there is no obvious effect of infusion. In our country's guide, there is almost no infusion of this one, mainly based on statins, anti platelet and antihypertensive drugs, only the need for intravenous thrombolysis only. Out of the clinic we almost never open the infusion, inappropriate infusion will only make the condition worse, and the study found that the daily infusion of patients with higher disability rates.

Myth nine: blood circulation = dredge blood vessels = prevent stroke.

I often listen to the patient, said: I now eat 37 a day, wild ginkgo tea, eat blood tonic every day, live blood, you can dissolve the thrombus." This is also wrong. Nowadays, there are few kinds of thrombolytic drugs and the best time to treat them. The risk of thrombolysis is very large, which is harmful. So far, there is no oral thrombolytic drugs, and blood circulation drugs can not be thrombolysis, can not dredge the blood vessels.

Myth ten: I am sick, do not take medicine.

You know, the recurrence rate of stroke is very high, the 5 year recurrence rate is about, 1/3 of patients with recurrence and re hospitalization. Patients who have done the ESSEN stroke risk score scale, the higher the score, the more people will insist on taking medicine. There are people because of the legs, feet, and do not take the initiative to take medicine, in fact, even after the recovery of limbs, the blood vessels are not necessarily better. The blockage may still be present, and follow the doctor's advice.

 

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