What is the treatment for cerebral vascular obstruction

If the cerebral blood vessels are blocked, it will directly affect the blood supply to the brain, causing the brain to suffer from oxygen deprivation and insufficient blood supply. The treatment of cerebral vascular blockage should be carried out according to the stage of the disease, and patients also need to pay attention to post-treatment care.

1. Acute Phase

The principle is to improve blood circulation in the ischemic area of ​​the brain as soon as possible and promote recovery of neurological function.

1. Relieve cerebral edema: For patients with large and severe infarction areas, dehydrating agents or diuretics can be used.

2. Improve microcirculation: Low molecular weight dextran can be used to reduce blood viscosity and improve microcirculation.

3. Dilution of blood: (1) Isovolumetric hemodilution therapy: blood is drawn from the vein and an equal amount of fluid is replaced at the same time; (2) Hypervolumetric hemodilution therapy: intravenous injection of fluid that does not contain blood to achieve the purpose of volume expansion.

4. Thrombolysis: (1) Streptokinase. (2) Urokinase.

5. Anticoagulation: used to prevent blood clot extension and the occurrence of new blood clots. (1) Heparin. (2) Dicoumarol.

6. Vasodilator: It is generally believed that the effect of vasodilators is uncertain. For patients with severe increased intracranial pressure, it can sometimes aggravate the condition, so it is not recommended to use them in the early stage.

7. Others: This disease can also be treated with hyperbaric oxygen therapy, extracorporeal counterpulsation therapy and photon blood therapy.

2. Recovery Period

1. Continue to strengthen the functional training of paralyzed limbs and speech functions. In addition to medication, physical therapy, body therapy and acupuncture can be used in combination. In addition, long-term use of antiplatelet agents, such as dipyridamole or aspirin, can help prevent recurrence.

2. Pay special attention to eating less salt, light food, more vegetables and less animal meat. Eat more fish. Taking lipid-lowering drugs

3. Traditional Chinese medicine has a good effect. Take 12 grams of Angelica sinensis, 15 grams of Rehmannia glutinosa, 10 grams of peach kernel, 10 grams of safflower, 12 grams of red peony root, 20 grams of Achyranthes bidentata, 20 grams of Pueraria lobata, 20 grams of oyster, 15 grams of Uncaria rhynchophylla, 10 grams of Eucommia ulmoides, 15 grams of Poria cocos, 15 grams of cinnamon twig, 10 grams of licorice, and 10 grams of Chuanxiong. Decoction in water, three times a day.

4. Medication during the recovery period: The best treatment for the acute phase of cerebral vascular obstruction should be mainly Western medicine, because Western medicine has the advantages of rapid onset of action and strong targeted treatment, and can quickly suppress the development of the disease. However, most Western medicines have great side effects, cause damage to the patient's liver and kidneys, and have high drug resistance (47% of patients will develop resistance to aspirin), so they are not suitable for long-term use by patients with cerebral thrombosis.