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class="detail-content wbwr f32 lh52 pt20 taj"><p>急性腦?；颊叱鲈汉笮枳⒁馑幬锕芾?、康復訓練、飲食調整、定期復診和情緒調節。腦梗死的復發(fā)風(fēng)險較高，患者需嚴格遵循醫囑進(jìn)行長(cháng)期管理，以降低二次卒中概率并改善生活質(zhì)量。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/33/34/oYYBAGhWe4-ADYQtAACIH7GEhzo148.jpg"></p><p>1、藥物管理</p><p>患者需遵醫囑長(cháng)期服用抗血小板藥物如阿司匹林腸溶片、硫酸氫氯吡格雷片，或抗凝藥物如華法林鈉片，以預防血栓形成。同時(shí)需控制高血壓、高血脂等基礎疾病，常用降壓藥包括苯磺酸氨氯地平片，降脂藥包括阿托伐他汀鈣片。不可自行增減藥量或停藥，出現牙齦出血、黑便等異常需及時(shí)就醫。</p><p>2、康復訓練</p><p>存在肢體功能障礙者應在康復醫師指導下進(jìn)行運動(dòng)，包括關(guān)節活動(dòng)度訓練、平衡練習及步態(tài)矯正。語(yǔ)言吞咽障礙需進(jìn)行舌肌訓練、發(fā)音練習，必要時(shí)采用經(jīng)顱磁刺激等物理治療。訓練強度需循序漸進(jìn)，避免過(guò)度疲勞誘發(fā)血壓波動(dòng)。</p><p>3、飲食調整</p><p>采用低鹽低脂飲食，每日食鹽攝入不超過(guò)5克，避免腌制食品。增加膳食纖維攝入如燕麥、西藍花，適量補充優(yōu)質(zhì)蛋白如魚(yú)類(lèi)、豆制品。糖尿病患者需同步控制碳水化合物流量，進(jìn)食時(shí)細嚼慢咽防止嗆咳。</p><p>4、定期復診</p><p>出院后1個(gè)月需復查頭顱CT或MRI評估恢復情況，每3個(gè)月監測血脂、血糖及凝血功能。頸動(dòng)脈狹窄患者需每半年進(jìn)行血管超聲檢查，心房顫動(dòng)者定期復查心電圖。出現頭痛加重、肢體無(wú)力等預警癥狀應立即就診。</p><p>5、情緒調節</p><p>約三成患者會(huì )出現卒中后抑郁，表現為持續情緒低落、興趣減退。家屬應鼓勵患者參與社交活動(dòng)，必要時(shí)心理科介入進(jìn)行認知行為治療。保證每日7-8小時(shí)睡眠，避免情緒劇烈波動(dòng)誘發(fā)血壓升高。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/33/34/oYYBAGhWe4-ANPYuAAaCxhHCuAY43.jpeg"></p><p>患者需建立健康檔案記錄每日血壓、血糖數據，外出時(shí)隨身攜帶急救卡注明病史和用藥信息。戒煙并限制酒精攝入，男性每日飲酒不超過(guò)25克。保持適度有氧運動(dòng)如快走、太極拳，每周累計150分鐘。注意氣候變化時(shí)保暖，浴室安裝防滑設施。家屬需學(xué)習海姆立克急救法，定期檢查家庭藥箱藥品有效期。通過(guò)醫患共同努力，可顯著(zhù)改善預后并提高生活自理能力。</p></div> <div id="9zzd5xpp" class="f24 fc9 lh40 ta-j">免責聲明：本頁(yè)面信息為第三方發(fā)布或內容轉載，僅出于信息傳遞目的，其作者觀(guān)點(diǎn)、內容描述及原創(chuàng )度、真實(shí)性、完整性、時(shí)效性本平臺不作任何保證或承諾，涉及用藥、治療等問(wèn)題需謹遵醫囑！請讀者僅作參考，并自行核實(shí)相關(guān)內容。如有作品內容、知識產(chǎn)權或其它問(wèn)題，請發(fā)郵件至suggest@fh21.com及時(shí)聯(lián)系我們處理！</div> <div id="9zzd5xpp" class="pt40"> <a href="http://www.mmhgsj.com/zmip/17478478.html" class="flex aic next-article ovh f28 fc6 pr15"> <span id="9zzd5xpp" class="next-left tac fs0 fcf h-1">下一篇</span> <div id="9zzd5xpp" class="ellipsis w-50 fg1 pl20 next-right 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