Comprehensive treatment during the recovery period of cerebral hemorrhage: Four methods to promote functional recovery

Recovery Period Treatment:

The main goals of recovery period treatment are to promote functional recovery of paralyzed limbs and speech impairment, improve brain function, reduce sequelae, and prevent recurrence.

1. Behavioral Control: Prevent high blood pressure and emotional excitement to avoid rebleeding. Maintain a regular lifestyle, eat a moderate diet, and avoid constipation.

2. Functional Exercises: After mild or severe cerebral hemorrhage, passive movement and massage of the paralyzed limbs should be initiated promptly, 2-3 times daily for about 15 minutes each time. The amount of activity should gradually increase, starting with bed rest, gradually progressing to sitting up, standing, and assisted walking. Movement of the paralyzed limbs should begin as early as possible; the earlier the better. For speech impairment, practice pronunciation and speaking. When muscle strength recovers to a certain extent, exercises for daily living and occupational functions can be started to gradually restore the ability to live and work.

3. Drug Treatment

Medications that promote nerve metabolism can be used, such as Cerebrolysin, Citicoline, Cerebrolysin, Gamma-aminobutyric acid, Coenzyme Q10, B vitamins, Vitamin E, and vasodilators. Traditional Chinese medicine formulas that invigorate blood circulation, remove blood stasis, replenish qi and unblock meridians, nourish the liver and kidneys, and resolve phlegm and open the orifices can also be used.

Citicoline: The dosage form is 2ml:200mg. Intravenous injection, adult dose is 200mg once, 200-600mg daily, for 5-10 days as one course of treatment. It can improve brain tissue metabolism and promote brain function recovery.

Nimodipine: Oral administration, one tablet three times daily. Nimodipine preferentially acts on small blood vessels in the brain, regulating vascular tone, affecting the balance of neurotransmitters, and improving cerebral hemorrhage, memory impairment, and mood swings. However, it is contraindicated in patients with liver or kidney dysfunction, hypotension, and during pregnancy and lactation.

4. Physiotherapy, physical therapy, and acupuncture, etc.