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<div id="vzhd3htz5lj" class="bw pl30 pr30 pb30 mb20"> <h1 class="f46 lh58 wbwr pt30 mb30">老年人腦梗是什么原因?qū)е碌?/h1> <div id="vzhd3htz5lj" class="fc9 f24 flex aic lh32 mb10"> <time class="icon-time">2025-11-27</time> <span id="vzhd3htz5lj" class="icon-eye ml40"> 1165人瀏覽</span> </div> <div id="vzhd3htz5lj" class="detail-content wbwr f32 lh52 pt20 taj"><p>老年人腦梗通常由動脈粥樣硬化、高血壓、心臟病、糖尿病和不良生活習(xí)慣等因素引起。腦梗即缺血性腦卒中，主要因腦部血液供應(yīng)障礙導(dǎo)致局部腦組織壞死，常見癥狀包括肢體無力、言語障礙和意識模糊等。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/54/50/oYYBAGkn04CAAA4TAABzdCcH_8k09.jpeg"></p><p>1、動脈粥樣硬化</p><p>動脈粥樣硬化是腦梗常見的原因，長期高脂飲食或代謝異常可導(dǎo)致血管內(nèi)脂質(zhì)沉積形成斑塊。斑塊破裂后可能引發(fā)血小板聚集形成血栓，阻塞腦動脈?；颊呖赡艹霈F(xiàn)頭暈、視物模糊等癥狀。臨床常用阿托伐他汀鈣片、瑞舒伐他汀鈣片等調(diào)節(jié)血脂，配合阿司匹林腸溶片抗血小板聚集。</p><p>2、高血壓</p><p>長期未控制的高血壓會損傷腦血管內(nèi)皮細(xì)胞，加速動脈硬化進(jìn)程。血壓劇烈波動時易誘發(fā)小動脈玻璃樣變或微血栓形成。這類患者常伴有頭痛、惡心等先兆癥狀。醫(yī)生可能開具苯磺酸氨氯地平片、纈沙坦膠囊等降壓藥物，同時建議低鹽飲食和規(guī)律監(jiān)測血壓。</p><p>3、心臟病</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/9C/54/ooYBAGkn04CAKv1IAAcPfXg2vzg946.jpg"></p><p>心房顫動等心律失常疾病易在心房內(nèi)形成附壁血栓，脫落后隨血流進(jìn)入腦動脈。風(fēng)濕性心臟病或瓣膜病變也可增加血栓脫落風(fēng)險?；颊呖赡艹霈F(xiàn)心悸、胸悶等心臟癥狀。治療需使用華法林鈉片或達(dá)比加群酯膠囊等抗凝藥物，嚴(yán)重者需進(jìn)行射頻消融手術(shù)。</p><p>4、糖尿病</p><p>長期高血糖狀態(tài)會損傷血管內(nèi)皮功能，促進(jìn)動脈粥樣硬化發(fā)展。糖尿病患者的血液常呈高凝狀態(tài)，微小血管病變概率顯著增高。典型表現(xiàn)包括多飲多尿、肢體麻木等。除控制血糖外，可能聯(lián)合使用鹽酸二甲雙胍片、格列美脲片等藥物，并強(qiáng)調(diào)足部護(hù)理。</p><p>5、不良生活習(xí)慣</p><p>長期吸煙會損傷血管內(nèi)皮，酗酒可能引起血壓波動，缺乏運(yùn)動則加重代謝異常。這些因素協(xié)同作用會顯著提升腦梗風(fēng)險。改善措施包括戒煙限酒、每周進(jìn)行適度有氧運(yùn)動，以及保持低脂低糖飲食結(jié)構(gòu)。</p><p>老年人預(yù)防腦梗需綜合管理基礎(chǔ)疾病，定期監(jiān)測血壓血糖血脂指標(biāo)。日常保持低鹽低脂飲食，適量食用深海魚、燕麥等富含不飽和脂肪酸的食物。避免突然起身或過度用力等可能誘發(fā)血壓波動的行為，天氣寒冷時注意頭部保暖。若出現(xiàn)言語含糊、單側(cè)肢體無力等征兆，須立即就醫(yī)進(jìn)行頭顱CT或MRI檢查。</p></div> <div id="vzhd3htz5lj" class="f24 fc9 lh40 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