"The old man in the family had a stroke half a year ago. He managed to save his life, but he suffered from a serious illness. His mouth was crooked, his legs were weak, and he couldn't walk at all. Painful sons and daughters suffer. Can a life that was finally saved be spent in bed in pain?"

There are not a few families suffering from stroke sequelae. Such things happen every day. The unfortunate die from a stroke, and the lucky ones save their lives but end up with serious sequelae. Is this luck or misfortune? Is there even a chance of recovery from paralysis after a stroke?

Fortunately, the answer is yes, at least for some patients, as long as they undergo scientific treatment and exercise, they have the opportunity to take care of themselves and improve their quality of life.

The situation of "stroke, bed paralysis" has been gradually changed

Stroke, also known as cerebral apoplexy, is mostly brain tissue damage caused by cerebrovascular diseases such as cerebral hemorrhage and cerebral thrombosis, and has a high clinical morbidity, disability and mortality. Most stroke patients can recover their consciousness after rescue treatment, but they generally have sequelae of varying degrees, among which hemiplegia is the most prominent, and patients often have dysfunctions such as movement, consciousness, and language.

Some patients and their family members have conservative ideas, believing that after a stroke, only long-term rest in bed can save their lives. However, this will lead to secondary changes in muscles and nerves, such as muscle atrophy and joint contracture. Ultimately, the disability rate of patients is extremely high, and they cannot take care of themselves, seriously affecting the quality of life, but also bringing a heavy burden to families and society.

In fact, the situation of "stroke and bed paralysis" has been gradually changed. Many studies and evidence-based medicine believe that stroke rehabilitation is one of the most effective ways to reduce the disability rate.

In previous studies on the brain, it was generally believed that the death of nerve cells was irreversible, but in recent years, scientists have discovered that the central nervous system of stroke patients has structural or functional plasticity. This means that through standardized and scientific rehabilitation training in the later stage, the surviving nerve cells can be activated to explore new nerve channels, and then gradually restore motor function.

That is to say, as long as the patient is given rehabilitation training as soon as possible, there is hope to improve and restore the function of the affected limb and restore the ability to take care of himself.

Does rehabilitation work? When is the best time?

To some extent, the unilateral limb motor function of stroke patients with hemiplegia is similar to that of infants. From the birth of the baby to the toddler, and then to the vigorous walking, it is a process of continuous remodeling of motor nerve cells, strengthening of connections, and improvement of control efficiency.

Early rehabilitation care is to enhance the input of sensory stimulation to the patient, and massage the affected side at the same time, which can speed up blood circulation, train the affected limb, perform standardized movements, and repeatedly stimulate the incoming and outgoing impulses. Create a new neural pathway near the lesion and improve the motor function of the limbs.

But whether, when, and to what extent a patient recovers depends largely on the extent of the nerve damage. If the treatment is timely and the brain cells are not seriously damaged after a stroke, the possibility of recovery is very high after systematic and scientific rehabilitation training. And the earlier the intervention of rehabilitation training, the better the prognosis.

Therefore, we must seize the golden period of rehabilitation treatment. Within 1 week after the vital signs are stable, it can be carried out as soon as possible after evaluation by a doctor. Some studies have pointed out that the best period of recovery is within 3 months of a stroke, and generally after more than half a year, the recovery speed will slow down.

Actively do two rehabilitation treatments, and the body recovers step by step

1. Adhere to rehabilitation training

This is a long-term and persistent training, especially for patients within 6 months after stroke. Rehabilitation training at this time can effectively reduce the severity of sequelae. The specific training method is determined according to the patient's condition.

For example, patients with upper limb numbness and paralysis as the main manifestations can use the healthy hand to help raise the affected arm, extend the elbow joint, rotate the axis joint, etc., and last for 3-5 minutes each time;

Patients with paralysis of the lower extremities can do more flexion and extension exercises of the lower extremities, repeatedly cycle the movements of standing and sitting down on chairs, and can also continuously bend the soles of the feet and legs to move the ankle joints, knee joints, and hip joints. After the strength is restored, walking training can be carried out with the help of a walker wheelchair.

It should be noted that it is necessary to ensure that the movements are standardized as much as possible. If conditions permit, it is best to formulate a targeted treatment plan according to the specific conditions of each patient under the guidance of a professional doctor, and the therapist will train step by step.

2. Active drug treatment

To promote the recovery of hemiplegic limbs, in addition to rehabilitation exercises, attention should also be paid to whether the blood supply to the brain is sufficient. If the patient's cerebrovascular problems lead to insufficient blood supply to the brain, there will also be problems in the recovery of hemiplegic limbs.

Medication is the "hub" of recovery and can help with recovery. You can insist on taking some nutritional nerve drugs, which can help improve the establishment of brain tissue microcirculation, such as methylcobalamin, vitamin B6, etc.; at the same time, you can cooperate with some Chinese patent medicines for promoting blood circulation and dredging collaterals to promote the recovery of sequelae, such as Beijing Tongrentang Zaizao Pills, It is a large formula composed of 58 precious Chinese medicinal materials. It is based on Shiquan Dabu, and it also has the functions of strengthening the body and eliminating pathogenic factors, dispelling wind and phlegm, promoting blood circulation and dredging collaterals. It has been a famous formula for the treatment of stroke sequelae since ancient times. The medicinal effect is strong, and it has a good therapeutic effect on crooked mouth, squinted eyes, hemiplegia, or hemiplegia after stroke. It is suitable for both deficiency and excess, and the sooner you take it, the better the effect.

Of course, in addition to drugs for the treatment of sequelae, stroke patients in the recovery period should also take statins, antiplatelet drugs, or Chinese patent medicines for lowering blood lipids such as Xiaoshuan Tongluo Tablets as directed by the doctor, so as to control the risk factors of stroke and prevent secondary strokes. occur.

Finally, I want to remind stroke patients and their families that the sequelae of stroke are terrible, but as long as they go through correct and scientific rehabilitation training and insist on medication, they can see the hope of recovery. The key to rehabilitation treatment is persistence. Both the patient and the family members must establish the belief in overcoming the disease and don't give up easily.

> > References: >

> > 1. Yu Ye. Discussion on recovery of neurological function in stroke patients with hemiplegia[J]. Modern Distance Education of Traditional Chinese Medicine in China, 2010:117. >

> > 2. Xu Yan. The effect of early rehabilitation nursing on the recovery of limb function in stroke patients with hemiplegia [J]. Electronic Journal of Practical Clinical Nursing, 2018: 52. >

> > 3. Yin Xuebing. How to carry out rehabilitation training after cerebral apoplexy and hemiplegia[J]. Self-care, 2009:52-53. >