Health

80% of stroke patients have severe sequelae


Escaped death after stroke, 80% of patients suffered sequelae with severe damage and 30% of them could not recover.

Information was given by Doctor Nguyen Trong Luu, former Head of Rehabilitation Department at 108 Hospital, on September 10, and assessed that stroke is one of the diseases with high demand for rehabilitation training.

Statistics from the Ministry of Health show that every year, Vietnam adds about 200,000 new stroke patients. Previously, stroke ranked third in the cause of death (after cancer, cardiovascular), now this disease has surpassed cancer and holds the second position. In particular, the age of the stroke patient also shows signs of being younger.

The most common and visible sequelae of this disease is the ability to move, but in fact stroke patients also have sequelae of disturbances in cognition, communication, language, and living functions. In particular, after stroke patients have psychological, emotional, and sexual dysfunction due to the tendency to rejuvenate…

“This is considered a multi-disability disease because there are many different types of disability in a stroke patient,” said Dr. Luu, adding that recovery methods must be diverse, multimodal from drugs, surgical interventions. department, rehabilitation intervention by machine, hand, exercises and divided into many stages.






Two technicians assist a patient in rehabilitation after a stroke. Image: Van Nuong

According to Dr. Luu, rehabilitation after stroke is envisioned to help patients relearn familiar movements like a child, from learning to walk, speak, hold objects… World Health Organization Divide the rehabilitation process for stroke patients into 4 stages. After the fulminant phase occurs in the first 48 hours of life-saving priority, the patient enters the early recovery phase.

This second stage takes place after 48 hours to 3 months, is the “golden” stage, but in fact not all patients have early access. The next phase takes place 3-6 months later, also a good but slower recovery period. After 6 months, the patient moved to the chronic stage. According to Dr. Liu, after a year, the damage caused by the stroke has basically formed, the ability to change and recover is not much, but it is still better with exercise.

There are actually patients who recover well after a long stroke. Typically, a 46-year-old male patient (Hanoi) had a major cerebral hemorrhage. After escaping death, he suffered severe injuries with sequelae of paralysis of the right side of his body. After 36 months since the stroke emergency, when he went to see Dr. Luu, he had to move in a wheelchair. In addition, he also has a very severe mixed language disorder when his ability to express, listen, understand, and receive is not good. The patient also had difficulty grasping objects, the technicians had to tie ropes to his hands to keep them steady.

After practicing for a few months, the patient can walk more easily, and the spasticity of the upper extremities is softer. Using specialized counter-balance exercises, the patient was able to move, gait was not flexible but made a lot of progress in stability and reduced risk of falling.

According to experts, stroke patients should take advantage of rehabilitation in the first year, especially in the first 6 months. The determination of rehabilitation exercises for patients after stroke depends heavily on the results of the assessment of the patient’s disability at that time, such as range-of-motion exercises, position-changing exercises. , practice balance control, practice movement…

In addition, speech therapy exercises and therapeutic activities are also necessary at the stage when the patient has made good progress in recovery to help them have the ability to communicate and be independent in life. day-to-day, as well as in future professional activities.

The Ministry of Health estimates that there are more than 30 million people in need of rehabilitation nationwide, of which the proportion of female patients is higher than that of men, more concentrated in the age group 50-59 and the most are in the group of disorders. musculoskeletal. The need for patients to be rehabilitated is great, but according to a survey of the Ministry of Health in 2020, only more than 40% of people have access to rehabilitation. The Ministry of Health has set a target by 2030 to raise this rate to 80%.

Le Nga

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