脳梗塞の再発予防〜再発率、危険因子、血圧管理〜

■ 2024年版・脳卒中の再発予防の7つのリスクはこちら
   • 【2024年版】脳梗塞の再発にかかわる7つのリスク  

■ 自費リハビリのお問い合わせはこちら
https://brain-lab.net/

▶︎もくじ
00:00 イントロダクション
01:00 本動画のまとめ①
01:22 脳梗塞・脳出血の再発率
04:44 再発の危険因子
06:09 再発を予防する方法【概論】
06:38 血圧はどれくらい？
08:21 再発を予防する方法①薬を飲む
10:23 再発を予防する方法②生活習慣の改善
13:54 本動画のまとめ②

■ 【リハビリ相談・体験プログラム予約】BRAINのLINE公式アカウント
https://lin.ee/gTHHm1V

■ 東京都の脳卒中／神経系専門の自費リハビリ『EBP東京自費リハビリ』はこちら↓
https://brain-lab.net/

■ 脳卒中リハビリテーションに携わるPTOTSTさん向けのオンライン学習プログラム【脳卒中EBPプログラム】のカリキュラムはこちら↓
https://brain-lab.net/seminar-top/cou...

■ セラピスト向け・LINEオープンチャット【BRAIN 脳卒中リハビリ無料勉強会】
https://line.me/ti/g2/NayDncq1Mu-_7IV...

■ 動画制作者
針谷　遼（はりがいりょう）
BRAIN 代表
理学療法士
認定理学療法士（脳卒中）

■ 運営者情報
BRAIN
https://brain-lab.net/

■ 本動画制作の目的
脳卒中（脳梗塞・脳出血・くも膜下出血）当事者の方々に適切なリハビリ関連情報を提供すること、またご自宅での自主トレーニングを行うときの参考情報を提供すること

■ 参考文献
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Zheng S, Yao B. Impact of risk factors for recurrence after the first ischemic stroke in adults: A systematic review and meta-analysis. J Clin Neurosci. 2019 Feb;60:24-30.

Kolmos M, Christoffersen L, Kruuse C. Recurrent Ischemic Stroke – A Systematic Review and Meta-Analysis. J Stroke Cerebrovasc Dis. 2021 Aug;30(8):105935.

Katsanos AH, Filippatou A, Manios E, Deftereos S, Parissis J, Frogoudaki A, Vrettou AR, Ikonomidis I, Pikilidou M, Kargiotis O, Voumvourakis K, Alexandrov AW, Alexandrov AV, Tsivgoulis G. Blood Pressure Reduction and Secondary Stroke Prevention: A Systematic Review and Metaregression Analysis of Randomized Clinical Trials. Hypertension. 2017 Jan;69(1):171-179.

Thomopoulos C, Parati G, Zanchetti A. Effects of blood pressure lowering on outcome incidence in hypertension: 2. Effects at different baseline and achieved blood pressure levels–overview and meta-analyses of randomized trials. J Hypertens. 2014 Dec;32(12):2296-304.

日本脳卒中学会：脳卒中治療ガイドライン2021, 株式会社協和企画, 2021

Al AlShaikh S, Quinn T, Dunn W, Walters M, Dawson J. Predictive factors of non-adherence to secondary preventative medication after stroke or transient ischaemic attack: A systematic review and meta-analyses. Eur Stroke J. 2016 Jun;1(2):65-75.

Al AlShaikh S, Quinn T, Dunn W, Walters M, Dawson J. Multimodal Interventions to Enhance Adherence to Secondary Preventive Medication after Stroke: A Systematic Review and Meta-Analyses. Cardiovasc Ther. 2016 Apr;34(2):85-93.

Heron N, Kee F, Cardwell C, Tully MA, Donnelly M, Cupples ME. Secondary prevention lifestyle interventions initiated within 90 days after TIA or ‘minor’ stroke: a systematic review and meta-analysis of rehabilitation programmes. Br J Gen Pract. 2017 Jan;67(654):e57-e66.

Lennon O, Galvin R, Smith K, Doody C, Blake C. Lifestyle interventions for secondary disease prevention in stroke and transient ischaemic attack: a systematic review. Eur J Prev Cardiol. 2014 Aug;21(8):1026-39.

Liljehult J, Christensen T, Molsted S, Overgaard D, Mesot Liljehult M, Møller T. Effect and efficacy of lifestyle interventions as secondary prevention. Acta Neurol Scand. 2020 Oct;142(4):299-313.

Hendrickx W, Vlietstra L, Valkenet K, Wondergem R, Veenhof C, English C, Pisters MF. General lifestyle interventions on their own seem insufficient to improve the level of physical activity after stroke or TIA: a systematic review. BMC Neurol. 2020 May 1;20(1):168.

Deijle IA, Van Schaik SM, Van Wegen EE, Weinstein HC, Kwakkel G, Van den Berg-Vos RM. Lifestyle Interventions to Prevent Cardiovascular Events After Stroke and Transient Ischemic Attack: Systematic Review and Meta-Analysis. Stroke. 2017 Jan;48(1):174-179.

Lawrence M, Pringle J, Kerr S, Booth J, Govan L, Roberts NJ. Multimodal secondary prevention behavioral interventions for TIA and stroke: a systematic review and meta-analysis. PLoS One. 2015 Mar 20;10(3):e0120902.

Rees K, Takeda A, Martin N, Ellis L, Wijesekara D, Vepa A, Das A, Hartley L, Stranges S. Mediterranean-style diet for the primary and secondary prevention of cardiovascular disease. Cochrane Database Syst Rev. 2019 Mar 13;3(3):CD009825.

Coveney S, McCabe JJ, Murphy S, O’Donnell M, Kelly PJ. Anti-inflammatory therapy for preventing stroke and other vascular events after ischaemic stroke or transient ischaemic attack. Cochrane Database Syst Rev. 2020 May 11;5(5):CD012825.

Liu J, Wang LN. Peroxisome proliferator-activated receptor gamma agonists for preventing recurrent stroke and other vascular events in people with stroke or transient ischaemic attack. Cochrane Database Syst Rev. 2017 Dec 2;12(12):CD010693

#脳梗塞
#脳出血
#後遺症
#リハビリ