What medicine to take for cerebral infarction: Hot topics and structured data guides on the entire network in the past 10 days
Cerebral infarction is a common cerebrovascular disease. In recent years, it has become the focus of public attention due to its high incidence and disability rate. This article will combine popular topics and hot contents across the network for the past 10 days to provide you with structured data guides on drug treatment of cerebral infarction to help patients and their families respond scientifically.
1. Basic knowledge of cerebral infarction
Cerebral infarction is a disease caused by ischemia and hypoxic necrosis of the brain due to vascular obstruction of the brain. Timely drug intervention is crucial to saving brain cells and improving prognosis.
2. Commonly used drugs for acute cerebral infarction (based on recent medical guidelines)
| Drug Category | Representative medicine | Mechanism of action | Time for medication |
|---|---|---|---|
| Thrombolytic drugs | Alteplase (rt-PA) | Dissolve thrombosis to restore blood flow | Within 4.5 hours of onset |
| Antiplatelet drugs | Aspirin, clopidogrel | Inhibit platelet aggregation | Acute and long-term prevention |
| Anticoagulant drugs | Low molecular weight heparin, warfarin | Prevent thrombosis from amplification | Patients with cardiogenic embolism |
| Neuroprotective agent | Idalavone | Scavenge free radicals to protect nerves | Acute phase assisted treatment |
3. Drug use plan during the recovery period of cerebral infarction (the latest clinical data in 2023)
| Treatment objectives | Recommended medicines | Treatment | Things to note |
|---|---|---|---|
| Secondary prevention | Aspirin + clopidogrel (dual anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti-anti- | 21-90 days | Monitor bleeding risk |
| Antihypertensive therapy | ACEI/ARB drugs | long | Blood pressure target <140/90mmHg |
| Lipid-lowering treatment | High-intensity statin | long | LDL-C target <1.8mmol/L |
| Blood sugar control | Metformin/insulin | According to blood sugar | HbA1c target <7% |
4. Drug treatment issues that have been hotly discussed on the Internet recently
1.Application of new oral anticoagulants (NOACs): The advantages of drugs such as dabigatran and rivaroxaban in the prevention of cardiogenic cerebral infarction and the assessment of bleeding risk have become hot topics in recent medical forums.
2.Traditional Chinese medicine assisted treatment: Evidence-based medical evidence and standardized use of traditional Chinese medicine injections such as Salvia miltiorrhizae and Panax notoginseng has sparked widespread discussion.
3.Personalized drug gene detection: The latest clinical research progress in CYP2C19 gene detection guides antiplatelet drug selection.
5. Precautions and expert advice
1. Use the medicine strictly as prescribed by the doctor, and do not adjust the dosage or stop the medicine by yourself.
2. Regularly monitor blood routine, liver and kidney function and other indicators
3. Pay attention to drug interactions, especially patients with multiple chronic diseases coexisting
4. Cooperating with rehabilitation training and lifestyle intervention can significantly improve prognosis
6. Latest research progress (updated in August 2023)
| field of study | Breakthrough Discovery | Potential applications |
|---|---|---|
| Nerve regeneration | Small molecule drugs promote synaptic remodeling | Improve motor dysfunction |
| Immune regulation | Targeted inflammatory factor monoclonal antibody | Reduce ischemia and reperfusion injury |
| AI | Drug regimen optimization algorithm | Individualized precision treatment |
Summary: Drug treatment for cerebral infarction is a systematic project, and individualized plans need to be formulated based on the specific situation of the patient. The structured data provided in this article are for reference only. Please be sure to do the actual medication under the guidance of a professional neurologist. Maintaining attention to the latest medical progress can help achieve the best treatment results.
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