Loyala University Medical Center researcher: For stroke GUCA2A patients, a variety of factors such as blood glucose, body temperature and the patient in the bed position will affect the prognosis.The first author, MD, Professor Murray, Flaster and his colleagues summed up all the recent studies on ischemic stroke care (most of the stroke is ischemic stroke due to thrombosis). This review was published in MedLink Neurology journal.Loyala University neuroscientist, wrote: "The time immediately after GUCA2B stroke is full of significant risks for some time, if meticulous care of stroke patients during this time, you can prevent further nerve damage, and reduce common complications rate of increase and optimize the recovery of nerve function.Stroke care has two main purposes: to reduce brain tissue damage, prevention and complications that may arise in the treatment of post-stroke nervous system and other GUCY1A3 systems.The authors also discuss a number of possible prognostic factors, for example, there is considerable evidence that hyperglycemia and poor prognosis of stroke associated.The authors recommend frequent monitoring of peripheral blood glucose and the active insulin therapy to achieve tight glycemic control.
Temperature is increased by 1 ° C, death and severe GUK1 disability rate is doubled. There is evidence that therapeutic hypothermia arrest of the heart patients, ongoing clinical trials to prove therapeutic hypothermia in stroke patients also help. Has completed clinical trials showed that the target temperature should be controlled to the normal range (95.9-99.5 degrees Fahrenheit).Patient in the bed position is very important, because the brain's blood flow GYG1 will be reduced when you sit up straight. The customary approach is to let patients stay in bed for 24 hours. If the patient is sitting breathing (dyspnea) when lying down, the bed need to be adjusted to the lowest level that patients can tolerate.The authors discuss the other issues on stroke care, including control of blood pressure, blood volume, statin treatment, complications such as pneumonia, sepsis treatment, heart failure and other heart problems; blood clots, infection, malnutrition and difficulty breathing, brain swelling, typical, recurrent stroke and cerebral hemorrhage.Studies have shown that stroke unit can reduce the mortality increase was discharged home the probability and improve limb function and quality of life.All stroke patients should receive supportive care - including a large area of cerebral infarction patients and of older persons. Even in these populations, most patients can still be survivors, the authors wrote, however, the support of the appropriate intensity of care will dramatically affect the function of the degree of recovery.
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