<h2><span style="font-family: 宋体; font-size: 18pt;">腦血管疾病治療，是藥物重要還是生活管理重要？</span></h2>
<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">在門診中，很多腦血管疾病患者都會問醫生一個問題：</span><span style="font-family: Calibri;">&ldquo;</span><span style="font-family: 宋体;">我藥已經按時吃了，生活習慣還需要這麼嚴格嗎？</span><span style="font-family: Calibri;">&rdquo;</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">也有人剛好相反，認為</span><span style="font-family: Calibri;">&ldquo;</span><span style="font-family: 宋体;">少吃鹽、多運動就夠了，藥能不吃就不吃</span><span style="font-family: Calibri;">&rdquo;</span><span style="font-family: 宋体;">。</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">那麼，腦血管疾病的治療，到底是藥物更重要，還是生活管理更重要？</span></span>

<h3><span style="font-family: 宋体; font-size: 13.5pt;"><span style="font-family: 宋体;">一、先說結論：這是一個</span><span style="font-family: 宋体;">&ldquo;不能二選一&rdquo;的問題</span></span></h3>
<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">從醫學角度來看，</span></span><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">腦血管疾病的治療，從來不是藥物或生活管理的單選題，而是缺一不可的</span><span style="font-family: Calibri;">&ldquo;</span><span style="font-family: 宋体;">組合拳</span><span style="font-family: Calibri;">&rdquo;</span><span style="font-family: 宋体;">。</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">藥物負責</span><span style="font-family: Calibri;">&ldquo;</span><span style="font-family: 宋体;">穩定病情、降低短期風險</span><span style="font-family: Calibri;">&rdquo;</span><span style="font-family: 宋体;">，</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">生活管理決定</span><span style="font-family: Calibri;">&ldquo;</span><span style="font-family: 宋体;">長期控制、減少復發</span><span style="font-family: Calibri;">&rdquo;</span><span style="font-family: 宋体;">。</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">任何一方缺失，治療效果都會大打折扣。</span></span>

<p class="p"><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">德國必邦</span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;"><span style="font-family: 黑体;">&ensp;</span></span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">印度神油延時噴劑金尊版</span></span><span class="15" style="font-family: Calibri; font-size: 16pt;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">俄羅斯泰坦凝膠第三代升級版</span><span style="font-family: 黑体;">&ensp;</span></span><span class="15" style="font-family: Calibri; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">笛夢達克羅寧黑寡婦</span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">&ensp;菱形雙效威而鋼KAMAGRA&ensp;</span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">&ensp;正品犀利士20mg</span><span class="15" style="font-family: Calibri; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">美國黑金</span>

<h3><span style="font-family: 宋体; font-size: 13.5pt;"><span style="font-family: 宋体;">二、藥物治療：穩住病情的</span><span style="font-family: 宋体;">&ldquo;第一道防線&rdquo;</span></span></h3>
<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">在腦血管疾病中，藥物治療的核心目標包括：</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">防止血栓形成（如抗血小板藥物）</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">降低血脂、穩定動脈斑塊</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">控制血壓、血糖</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">預防再次中風</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">尤其是在</span></span><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">急性期和早期恢復階段</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">，藥物幾乎不可替代。</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">大量研究顯示，規範服藥能顯著降低腦卒中復發率和死亡風險。</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">但需要明確的是：</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">藥物無法修復已經受損的血管，也無法抵消不良生活習慣帶來的持續傷害。</span></span>

<h3><!-- [if !supportLists]--><span style="font-family: 宋体; font-size: 13.5pt;">三、</span><!--[endif]--><span style="font-family: 宋体; font-size: 13.5pt;"><span style="font-family: 宋体;">生活管理：決定復發概率的</span><span style="font-family: 宋体;">&ldquo;根本因素&rdquo;</span></span></h3>
<p class="MsoNormal"><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">必利劲</span><span class="15" style="font-family: Calibri; font-size: 16pt;"> </span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">超級雙效希愛力</span><span class="15" style="font-family: Calibri; font-size: 16pt;"> </span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">威而鋼真實效果</span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">威而柔</span><span class="15" style="font-family: Calibri; font-size: 16pt;"> </span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">德國紅魔威格拉</span><span class="15" style="font-family: Calibri; font-size: 16pt;"> </span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">KAMAGRA-100水果味口含片</span><span class="15" style="font-family: Calibri; font-size: 16pt;"> </span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">金鑽超級艾力達雙效片</span><span class="15" style="font-family: Calibri; font-size: 16pt;"> </span><span class="16" style="mso-spacerun: 'yes'; font-family: 黑体; color: #0000ff; mso-ansi-font-weight: bold; font-size: 16.0000pt;">香港老中醫正品效果</span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">腦血管疾病並不是偶然發生，大多數與長期不良生活方式有關，例如：</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">高鹽高油飲食</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">吸煙、長期飲酒</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">久坐不動、肥胖</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">長期熬夜、壓力過大</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">如果只吃藥，卻繼續這些習慣，等於一邊滅火，一邊不斷添柴。</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">良好的生活管理可以帶來的好處包括：</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">降低血壓和血脂水準</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">減緩動脈粥樣硬化進展</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">改善血管彈性</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">減少藥物劑量依賴</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">從長期來看，</span></span><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">生活方式干預是決定腦血管疾病是否反復發作的關鍵因素。</span></span>

<p class="p"><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">印度雙效樂威壯</span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">印度神油延時噴劑金尊版</span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">正品香港老中醫</span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">加拿大進口</span><span style="font-family: 黑体;">VIMAX增大丸</span></span><span class="16" style="font-family: Calibri; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> <span style="font-family: 黑体;">女用美國</span><span style="font-family: 黑体;">key</span></span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> <span style="font-family: 黑体;">德國黑螞蟻</span></span><span style="font-family: 黑体; color: #333333; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"> </span><span class="16" style="font-family: 黑体; color: #0000ff; font-size: 16pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: 黑体;">超級雙效樂威壯</span><span style="font-family: 黑体;">Levifil</span></span>

<h3><span style="font-family: 宋体; font-size: 13.5pt;">四、為什麼很多患者低估生活管理的重要性？</span></h3>
<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">一個常見誤區是：</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: Calibri;">&ldquo;</span><span style="font-family: 宋体;">只要指標正常了，就說明病好了。</span><span style="font-family: Calibri;">&rdquo;</span></span>

<p class="p"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">事實上，許多患者在服藥後血壓、血脂暫時達標，但一旦停藥或生活放鬆，病情很快反彈。</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;"><span style="font-family: 宋体;">醫生常說：</span></span><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 12.0000pt; mso-font-kerning: 0.0000pt;">
</span><span class="15" style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; mso-ansi-font-weight: bold;"><span style="font-family: 宋体;">藥物讓指標好看，生活管理決定結局好不好。</span></span>

<p class="MsoNormal"><span style="mso-spacerun: 'yes'; font-family: Calibri; mso-fareast-font-family: 宋体; mso-bidi-font-family: 'Times New Roman'; font-size: 10.5000pt; mso-font-kerning: 1.0000pt;"> </span>