Treatment and prognosis of sequelae of cerebral thrombosis

In recent years, the incidence of cerebral thrombosis has been increasing, affecting many people and leaving them with obvious sequelae. A comprehensive recovery requires multi-faceted treatment, including rehabilitation exercises for facial function, language, cognitive ability, etc. Physical therapy is also required to assist.

1. Treatment

Recovery period treatment is very important for patients with sequelae of cerebral thrombosis. It mainly includes two aspects: rehabilitation function exercise and physical therapy:

1. Rehabilitation functional exercise

(1) Functional exercises for facial paralysis.

(2) Language and swallowing function training.

(3) Training of cognitive functions.

(4) Limb function training: ① transfer training; ② passive joint movement; ③ inducing active movement of the patient; ④ hand function training; ⑤ balance and coordination ability training; ⑥ walking function training, etc.

2. Physical therapy

It mainly includes functional electrical stimulation, biofeedback, transcranial magnetic stimulation, sequential cycle therapy, acupuncture, hyperbaric oxygen, etc.

2. Prognosis

1. It is related to the size of the blocked blood vessel

If the blocked blood vessels are small, the area of ​​cerebral ischemia is small, collateral circulation is easy to form, recovery is faster, and the prognosis is better. If the blocked blood vessel is large, the area of ​​cerebral ischemia is large, the brain tissue is severely damaged, the clinical symptoms recover slowly, and the prognosis is poor.

2. Related to the speed of onset

For patients with slow and gradual onset of the disease, collateral circulation is more likely to form, cerebral ischemia can be gradually compensated, and the prognosis is better. For patients with acute onset, collateral circulation cannot be established and the prognosis is poor.

3. Related to the number and quantity of infarctions

For the first attack, the prognosis is good.

4. Related to the nature of the embolus

If the thrombus is loose and breaks up during the flow of blood, flows to the distal end of the blood flow and blocks small blood vessels, the prognosis is better. The prognosis of fat emboli, air emboli, and bacterial emboli is worse than that of cardiogenic emboli. However, the prognosis of brain abscess caused by cardiogenic embolus is poor.

5. Related to the severity of focal localization symptoms

After the onset of the disease, localizing symptoms such as hemiplegia and aphasia are mild and the prognosis is good. On the contrary, patients with more severe hemiplegia and aphasia have a worse prognosis.

6. Related to the degree of coma

The more severe the coma is and the longer it lasts, the worse the prognosis is. Patients who are not in coma at the onset of the disease but enter coma later and whose coma degree gradually worsens have a poor prognosis. The patient remains conscious throughout and has a good prognosis.

7. Related to the presence or absence of comorbidities

If the patient has complications such as pressure sores, lung infection, urinary tract infection, diabetes, coronary heart disease, arrhythmia, heart failure, etc., the prognosis is poor. If there are no complications, the prognosis is good.

8. Related to the patient's age

Older age, poor physical condition and poor prognosis. Young age, good physique and good prognosis.