According to domestic and foreign data and evidence-based medical evidence, early thrombolytic therapy and stroke unit are the most effective methods for stroke treatment.
Early thrombolysis should grasp the strict indications : time window control within 3 hours after onset ; age no more than 75 years old ; blood pressure less than 180 / 110mmHg ; unconscious disorder ; paralyzed limb muscle strength below grade 3 ; head CT excluded cerebral hemorrhage. Thrombolysis contraindications : bleeding tendency ; a history of major surgery within 2 weeks ; blood pressure higher than 180 / 110 mmHg ; cT found large low-density lesions ; body temperature above 39 °C with disturbance of consciousness ; serious heart, liver and kidney dysfunction. The commonly used thrombolytic drugs are tissue plasminogen activator ( rt-PA ) and urokinase ( UK ), but the vast majority of patients have missed the best time window for thrombolytic therapy, so the stroke unit is one of the most effective treatment options.
The stroke unit is the management mode of cerebrovascular disease. It refers to the comprehensive treatment of drug treatment, limb rehabilitation, speech training, psychological rehabilitation and health education for patients in the stroke ward, which is composed of neurologists, rehabilitation physicians and professional nursing staff. Its core is the early intervention of rehabilitation treatment. Practice has proved that standardized rehabilitation treatment can enable 60 % of patients to achieve self-care, and 30 % of patients of working age to return to work.
