What Populations Have a Higher Stroke Risk?

Elderly people are at high risk of stroke, and men are slightly more at risk than women. Crowd surveillance data showed that 64% of the cases occurred in the 55-75 age group, of which the highest proportion was in the 55-65 age group, at 34.6%, and the incidence rate was below 4.4%. Surveillance data in recent years show that the incidence of stroke has a younger trend. Therefore, people over 55 years of age should be targeted for prevention, but people over 40 should also be strengthened.

Stroke Prevention Act

Elderly people are at high risk of stroke, and men are slightly more at risk than women. Crowd surveillance data showed that 64% of the cases occurred in the 55-75 age group, of which the highest proportion was in the 55-65 age group, at 34.6%, and the incidence rate was below 4.4%. Surveillance data in recent years show that the incidence of stroke has a younger trend. Therefore, people over 55 years of age should be targeted for prevention, but people over 40 should also be strengthened.

Chinese name

Stroke Prevention Act

Foreign name

Stroke prevention

Purpose

Stroke

Stroke is a serious threat to human health, and its incidence and mortality have jumped to the top three in the disease spectrum. Stroke is characterized by high morbidity, high mortality, high disability and high cost. according to

The factors associated with stroke are commonly referred to as risk factors. The risk factors of stroke have been studied at home and abroad for a long time, and the risk factors of stroke have been classified into the following three categories:

The first category: factors that cannot be changed. These factors include age, gender, race or ethnicity, and family genetic history. With the increase of age, the possibility of stroke will increase, males are higher than females, blacks are higher than whites, family members with related blood strokes, and family members are more likely to have a stroke.

Type 2: Factors that can be changed. These factors include high blood pressure, diabetes,

The vast majority of stroke events are in the cerebrovascular

The occurrence of a stroke seems to be an accidental event from the surface phenomenon, in fact, it is an inevitable result of long-term damage to the cerebral blood vessels. Therefore, knowing and grasping the degree of damage to the cerebral blood vessels can predict the risk of stroke; treating the damaged cerebral blood vessels can effectively prevent the occurrence of stroke.

Cerebrovascular damage is manifested as structural damage and functional damage. Structural damage refers to cerebrovascular arteriosclerosis and vascular stenosis or small aneurysm formation; functional damage refers to impaired vascular endothelial cell function and abnormal hemodynamics. The detection of cerebrovascular structural damage requires cerebral angiography to be clear. Due to the trauma, the detection is complicated, expensive, and has certain risks, it is not suitable for most people. The cerebrovascular function can be detected by non-invasive methods. Commonly used detection instruments include cerebrovascular hemodynamic detector and transcranial Doppler ultrasound detector. The former has more comprehensive detection indicators and has comprehensive indicators reflecting cerebrovascular function. Therefore, this detection method is more suitable.

Clinically suffering

Develop good habits. Long-term bad eating habits are an important factor in causing thrombosis. A high-fat, high-cholesterol diet can lead to excess calories and elevated blood lipids. Over time, the walls of blood vessels, blood components, and blood flow velocity will change; excessive drinking can damage blood red blood cells, which can affect the binding of red blood cells Force and cause blood clots.

Stroke prevention should be carried out at two levels, namely general prevention and focused prevention.

Stroke Prevention Act General Prevention

(1) The general prevention of stroke is mainly aimed at the general population, especially vulnerable groups with risk factors for stroke, to carry out publicity and education and active treatment to change lifestyle behaviors and control risk factors.

1. Changing Bad Life Behaviors In life, certain life behavior factors are closely related to the risk of stroke. Such as smoking, excessive drinking, high-fat diet, sedentary work and lifestyle, long-term mental stress and so on. For these factors, adjustments and changes should be made according to individual circumstances. If the smoker should quit or limit the amount of smoking, drink alcohol in moderation to avoid excessive drinking; reduce the intake of animal fats in the dietary ingredients, eat more fruits, vegetables, fish, soy products and dairy products; moderate physical activity or Physical exercise; avoid long-term mental stress, maintain an optimistic attitude, and avoid overwork. These measures can help reduce the risk of stroke.

2. Active treatment and control of stroke risk factors Stroke is the long-term effect of factors such as hypertension, diabetes, heart disease, hyperlipidemia, and obesity, leading to impairment of cerebrovascular function. When the cerebrovascular function is damaged to a certain degree, it is caused by the stimulus. Therefore, once you find that you have stroke-related risk factors, you should actively take measures for treatment and control. For example, patients with hypertension should adjust their blood pressure levels according to the doctor's recommendations, and adjust the blood pressure below 140 / 90mmHg. Patients with heart disease, diabetes, hyperlipidemia, carotid stenosis, and obesity should also go to the hospital for treatment and control according to the opinions of a specialist, and develop a corresponding stroke prevention program.

The above measures are the basis of stroke prevention, can delay the process of impaired cerebrovascular function, and can reduce the risk of stroke from varying degrees.

Stroke Prevention Law Key Prevention

(2) The key prevention of stroke is based on the general prevention, and through scientific detection methods, high-risk individuals are selected from the susceptible population of stroke and key interventions are performed.

1. Examine cerebrovascular function and assess stroke risk: Cerebrovascular hemodynamic testing is a non-invasive method for cerebrovascular function testing. Cerebrovascular function score can quantitatively evaluate the function of cerebrovascular function and the risk of stroke. A normal person has a score of 100. Below 75 points, there are abnormalities in the cerebrovascular function. The lower the score, the greater the possibility of stroke. Among people over 55 years of age, when the point value drops below 75 points, 13% of people have a stroke within 5 years, and the risk of stroke is 7 times that of normal peers. When the points drop below 25 points, the average A stroke occurred in 1 out of 5 people, and the risk of stroke was more than 14 times that of normal peers. The risk of stroke is higher when the cerebrovascular function score is reduced with hypertension.

2. Reasonable drug prevention: When the cerebrovascular function is damaged, that is, the integral value is below 75 points. In addition to treating stroke-related diseases as recommended by a specialist, drug prevention should also be performed. The drugs that are currently effective are:

Aspirin: Foreign studies suggest that taking aspirin 100 ~ 300mg daily can reduce the risk of stroke, but it can only reduce about 14%.

Xianghe Nao'an: Domestic studies have confirmed that daily taking Xianghe Nao'an for prevention can reduce the risk of stroke by more than 50%. The dosage can refer to the cerebrovascular function score, 50 to 75 points, 2 to 4 capsules per day; 25 to 50 points, 4 to 5 capsules per day; 25 points or less, the risk of stroke is high, and daily consumption is required 6 capsules.

Statins: A large number of clinical studies have found that statins, such as pravastatin, simvastatin, and other lipid-lowering drugs can also prevent stroke.

Others: The effectiveness of other drugs in preventing stroke is not clear, and can be selected according to the doctor's recommendations.

3. Review cerebrovascular function on time: When you treat stroke-related diseases and prevent key drugs according to the above methods, you should review cerebrovascular function 1 to 2 times a year. If the cerebrovascular blood flow, blood flow velocity, and cerebrovascular function score increase, it indicates that the prevention and treatment effect is good, otherwise the prevention and treatment plan should be adjusted in time.

For patients who have already had a stroke, they should actively perform rehabilitation and prevent recurrence of stroke. The measures to prevent recurrence are basically the same as the measures to prevent recurrence.