October 29, 2023 is the 18th World Stroke Day. The Cerebrovascular Disease Group of the Neurology Branch of the Chinese Medical Association has set the theme of this year’s World Stroke Day as “Act Together to Defeat Stroke.” The Chinese Stroke Society released this year’s publicity The theme and slogan is “Stroke: Prevention is the key.” Stroke, commonly known as “stroke”, is a sudden cerebrovascular disease. It is a group of diseases that causes brain tissue damage due to sudden blockage or rupture of blood vessels in the brain. It mainly includes ischemic stroke and hemorrhagic stroke. Big type. Stroke has the “five highs” characteristics of high incidence, high disability rate, high mortality, high recurrence rate and high economic burden. The disease has a sudden onset, rapid progression and serious consequences. In my country, stroke is the leading cause of death and disability among adults and a major chronic non-communicable disease that seriously endangers the health of Chinese people.
The team of Professor Li Xin, deputy director of the Second Hospital of Tianjin Medical University and expert in neurology, analyzed the recent trends in neurology hospitalizationAnalysis of 10 years of acute cerebrovascular disease data found that about 5.5% of hospitalized patients with acute stroke died during hospitalization, and about 74.7% of stroke survivors were left with varying degrees of disability, of which about 38.6% lost the ability to work, 28.3% % are severely disabled and cannot take care of themselves at all, which brings a huge burden to personal health, family harmony and social development.
Ischemic stroke, also known as cerebral infarction or cerebral embolism, is usually caused by stenosis or occlusion of a certain part of the cerebral blood vessels due to cerebral arteriosclerosis, causing interruption of blood supply, leading to ischemia and necrosis of brain tissue, and loss of corresponding brain functions. Ischemia Stroke accounts for approximately 10% of all stroke patientsAbout 60%~80%. Hemorrhagic stroke includes cerebral hemorrhage and subarachnoid hemorrhage. It is usually caused by the rupture of the blood supply artery to the brain due to reasons such as high blood pressure, cerebrovascular malformation or cerebral aneurysm. The blood enters the brain and brain tissue, resulting in the loss of brain cells. Death due to normal oxygen and nutrient supply is extremely dangerous once it occurs. Although stroke is menacing and extremely harmful, it is still a preventable and controllable disease. The World Stroke Organization recently pointed out that 90% of strokes can be avoided. Therefore, it is necessary for us to understand the various risk factors that lead to strokes, and through personal actions and proactive prevention, we can jointly build a healthy wall to prevent and control strokes.
So how do we prevent stroke? The most important thing is primary prevention and secondary prevention. Primary prevention refers to prevention before the onset of stroke, that is, actively preventing and treating high blood pressure, diabetes, heart disease, atrial fibrillation, smoking and other stroke risk factors before suffering a stroke; pay attention to low-salt and low-fat diet, and try to avoid frequent Eat too much animal fat and foods with high cholesterol, such as fatty meats, animal offal, egg yolks, butter and their products; avoid overexertion, ensure adequate sleep, quit smoking and limit alcohol consumption, and engage in appropriate physical labor and sports . Secondary prevention refers to preventing or reducing the risk of another stroke and reducing the degree of disability for patients who have already suffered a stroke. It is mainly targeted at patients who have suffered one or more strokes. Carry out etiology prevention for intervenable risk factors, adhere to antiplatelet therapy or anticoagulation therapy, and lipid-lowering therapy; actively control blood pressure, blood sugar, and blood lipids to meet standards, and regularly monitor relevant indicators. Smoking patients must resolutely quit smoking and avoid the harm of second-hand smoke. , overweight and obese people can lose weight through healthy lifestyles, good eating habits, increased physical activity and other measures, which will help control blood pressure and reduce the risk of stroke; people with atrial fibrillation, blood system diseases, and peripheral artery disease should regularly Have a physical examination and re-examination, receive treatment from a specialist, and follow the doctor’s prescribed medication.
Stroke is all around us. Each of us is the first person responsible for our own life and health. Starting from you and me, taking the initiative to prevent and avoid the occurrence of stroke is a contribution to ourselves, our families, and society. Important contribution!Tianjin Municipal Neurology Branch of Tianjin Medical Association and Neurology Branch of Tianjin Medical Doctors Association organize Tianjin40home hospital in2023YearAn online stroke charity and consultation event will be held all day long on October 27th (9:00-12:00 am, 2:00-5:00 pm). Everyone is welcome to actively participate!