The ischemic prevention of brain apoplexy second makes multi-zone supervision a key point

The ischemic prevention of brain apoplexy second makes multi-zone supervision a key point
The ischemic prevention of brain apoplexy second makes multi-zone supervision a key point
It is reported ' Reporter Wang Dan) In the near future, Chinese Medical Association's neuropathy credit will be put out <<2010 ischemic brain soldiers in China neutralize the transient brain ischemically and break out (TIA) Second prevention guide >>. Guangdong Province cures SCTE's neuropathy credit and knows president, Zhongshan University and attaches to the head of the department of internal medicine of nerve of first hospital and enters to defeat a professor to emphasize, second of the ischemic apoplexy of brain prevents the key from lying in it is early that learn to diagnose the cause of disease about the patient of apoplexy of brain, utilize and follow the medical evidence of the card, carry on overall risk assessment to the patient, and divide layer the patient according to number and severity of the dangerous factor, thus treat individuals as soon as possible. It is introduced, our country nearly has more than 7 million patients of cerebrovascular diseases at present, 70% among them are the ischemic patient of apoplexy of brain. Among them is analogous to a proportion patient with many kinds of dangerous factors such as hypertension, diabetes, so, the recuring rate of apoplexy of brain obviously increases. Though has already known measure of giving up smoking, lowering blood pressure, resisting the bolt medicine etc. can reduce the apoplexy of brain and recur effectively, but clinician lack the intersection of health education and consciousness and patient comply with to be getting strong, make the measure that the patient of apoplexy of brain prevents from recuring after leaving hospital employ improperly or insufficiently. Have entered and won the introduction, " guide " including dangerous factor is controlled, great atherosclerosis patient is not the drug therapy, heart source thromboembolism resist the intersection of bolt and treatment, heart source getting ischemic apoplexy / TIA resist the intersection of bolt and treatment, other the intersection of brain and the intersection of apoplexy and 5 major part such as being therapeutic of patient in special circumstances. Among them, the key content is divided layer for being dangerous, namely according to factors such as patient's age, basic disease,etc., adopt ESSEN brain apoplexy dangerous grading or ABCD2 point system,etc., divide the patient into endangering, high to endanger, low to endanger the grade extremely high, second prevention that and then carry on individuals. For example, endanger a patient (ESSEN person who grades 3 fen) high as to the apoplexy of brain ,Should resist the blood platelet medicine for a long time. In addition, " guide " emphasizes, ischemic apoplexy of brain and TIA patient should start second prevention from acute one. Study and show according to EXPRESS, patient assessing and intervening promptly in one day after the acute ischemic apoplexy of brain has illness coming on, the intersection of brain and apoplexy recur risk and delay, treat patient (assess 3 days while being average have illness coming on, always 90 day, 20 days are offered the prescription treatment) Compare and drop by 80%.


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