Các nguyên nhân chóng mặt của bệnh nhân điều trị tại Bệnh viện Đa khoa Quốc tế S.I.S Cần Thơ năm 2023=Causes of dizziness among patients treated at Can Tho S.I.S Hospital in 2023

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Tác giả: Tiến Đạt Diệp, Thị Mỹ Hạnh Nguyễn, Hồng Thọ Phương

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.140-146

Bộ sưu tập: Metadata

ID: 243665

Thêm vào giỏ

Dizziness is one of the common symptoms. Dizziness has many causes, usually divided into central or peripheral types but sometimes it is not clear. Objective: Describe the causes of dizziness that cause patients to be hospitalized for treatment. Methods: Retrospective study, cross-sectional description, survey of 1533 dizziness patients hospitalized from 01/01/2023 to 31/12/2023 at Can Tho Stroke International Services. Results: There are more women than men with a female: male ratio = 2:1. The average age was 64.05 ± 7.03 years old. Percentage of patients undergoing brain MRI (88.19%). The highest rate was diagnosed with vestibular dysfunction (35.74%), followed by benign paroxysmal vertigo (26.22%) and posterior circulation cerebral infarction (18.52%). The diagnoses that account for a very small percentage are vestibular neuritis (0.26%) and vertigo of central origin (0.33%). Patients with dizziness have a cerebral vascular stenosis rate of 49.77%. The most damage to brain structure is in the pons (17.03%). The most narrowed cerebral blood vessel is the basilar artery (20.09%). Electrolyte disorders account for 27.59%. Conclusion: Our study evaluated 1,533 dizziness patients and showed that dizziness symptoms occur mainly in older people and women. This study also shows that peripheral causes of vertigo account for a high rate. However, there is still a significant proportion of dizziness patients with structural brain damage and cerebral vascular stenosis when examined by cranial imaging.Mô tả các nguyên nhân gây ra chóng mặt khiến bệnh nhân nhập viện điều trị. Đối tượng và phương pháp: Nghiên cứu hồi cứu, mô tả cắt ngang, khảo sát 1.533 bệnh nhân chóng mặt nhập viện từ 01/01/2023 đến 31/12/2023 tại Bệnh viện đa khoa quốc tế S.I.S Cần Thơ. Kết quả: Nữ giới nhiều hơn nam giới với tỉ số nữ: nam = 2:1. Tuổi trung bình là 64,05 ± 7,03 tuổi. Tỉ lệ bệnh nhân được chụp MRI sọ não (88,19%). Tỉ lệ cao nhất là chẩn đoán rối loạn chức năng tiền đình (35,74%), kế đến là chóng mặt kịch phát lành tính (26,22%) và nhồi máu não tuần hoàn sau (18,52%). Các chẩn đoán chiếm tỉ lệ rất ít là viêm thần kinh tiền đình (0,26%) và chóng mặt nguồn gốc trung ương (0,33%). Bệnh nhân chóng mặt có tỉ lệ hẹp mạch não là 49,77%. Tổn thương cấu trúc não nhiều nhất là ở vị trí cầu não (17,03%). Mạch máu não hẹp nhiều nhất là động mạch thân nền (20,09%). Rối loạn điện giải chiếm tỉ lệ 27,59%. Kết luận: Nguyên nhân chóng mặt ngoại biên chiếm tỉ lệ cao. Tuy nhiên vẫn có một tỉ lệ không nhỏ bệnh nhân chóng mặt có tổn thương cấu trúc não và hẹp mạch máu não khi được khảo sát hình ảnh học sọ não.

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