Một số yếu tố liên quan đến biến chứng sớm ở người bệnh nhồi máu não cấp=Factors associated with early complication in acute ischemic stroke patients

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Tác giả: Thị Huyền Bùi, Thị Bảo Thoa Hạng, Thị Quyên Lê, Món Thị Uyên Hồng, Thị Minh Nguyệt Nguyễn, Văn Tuấn Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.85-91

Bộ sưu tập: Metadata

ID: 242220

Thêm vào giỏ

Sự xuất hiện của các biến chứng là một trong các nguyên nhân làm nặng thêm tình trạng bệnh dẫn đến nguy cơ tử vong hoặc để lại di chứng nặng nề cho bệnh nhân (BN) nhồi máu não (NMN) cấp. Mục tiêu: Phân tích một số yếu tố liên quan đến biến chứng sớm ở BN NMN cấp. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 153 BN NMN cấp điều trị tại khoa Thần kinh bệnh viện Trung ương Thái Nguyên. Kết quả: Tuổi trung bình: 68,39±11,59 (năm)
nam giới: 61,4%
tiền sử tăng huyết áp: 75,2%
rối loạn chuyển hóa lipid: 40,5%
đái tháo đường: 20,3%
điểm NIHSS trung bình khi vào viện: 7,71±3,48 (điểm), khi ra viện: 5,13±6,99 (điểm), điểm mRS (0-3) khi ra viện: 83%
biến chứng sớm thường gặp lần lượt là: viêm phổi 13,9%, nhiễm khuẩn tiết niệu 3,9%, bệnh tim mạch 3,9%, chảy máu tiêu hóa: 2,6%
điểm NIHSS ≥10 có liên quan đến sự xuất hiện biến chứng sớm
không có mối liên quan giữa tiền sử lạm dụng rượu, hút thuốc, đái tháo đường và bên liệt đến sự xuất hiện biến chứng sớm của BN. Kết luận: Biến chứng sớm thường gặp nhất ở BN NMN cấp là: viêm phổi, điểm NIHSS ≥10 điểm, liệt vận động (sức cơ: độ 4, 5), không tập phục hồi chức năng sớm.The apperance of complications is one of the causes exacerbating the disease, leading to risk of mortality or leaving disabilities of stroke patients. Objectives: Analyze some related factor to early complications in patients suffered from acute ischemia cerebral infarction patients. Methods: A cross-sectional descriptive study was conducted on 153 patients with acute cerebral infarction treated in the Department of Neurology-Thai Nguyen National Hospital. Results: The mean age of subjects: 68,39±11,59 (years). The male rate: 61,4%. The propotions of patients with history of hypertention, lipid metabolism disorder, diabetes are 75,2%, 40,5% and 20,3%, respectively. The average NIHSS scores at admission and discharge were 7,71±3,48 and 5,13±6,99 (points), respectively. The rate of patients with mRS (0-3) score at discharge accounted for 83,0%. Common early complications were pneumonia 13,9%, urinary tract infection 3,9%, cardiovascular 3,9% and gastrointestinal bleeding 2,6%. NIHSS score over 10 is associated with apperance of early complications, but there is no association between history of alcohol abuse, smoking, diabetes, the side of hemiplegia and early complications. Conclusion: The common early complications in patients with acute ischemia cerebral infartion is pneumonia. The NIHSS score over 10, limb weakness grade 4 and 5, without performing early rehabilitation exercises have relation.

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