Khảo sát tình hình biến chứng não cấp và một số yếu tố liên quan ở bệnh nhân đột quỵ nhồi máu não tại Bệnh viện Đa khoa Trung ương Cần Thơ=Survey on acute neurological complications and related factors in ischemic stroke patients at Can Tho central general hospital

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Tác giả: Duy Thanh Đặng, Văn Minh Lê, Hoàng Toàn Ngô, Thanh Tân Nguyễn, Vũ Hiền Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y dược học Cần Thơ, 2024

Mô tả vật lý: tr.89-96

Bộ sưu tập: Metadata

ID: 244850

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Acute brain complications are dangerous complications that aggravate stroke, prolong hospital stay and increase mortality. Objectives: To determine the rate of acute neurological complications and some related factors in patients with ischemic stroke at Can Tho Central General Hospital. Materials and methods: A cross - sectional study on 76 patients with ischemic stroke. All patients were asked about their medical history, clinical examination, evaluated on the NIHSS scale and had a brain CT scan. Results: The rate of acute neurological complications was 46.05%. The rate of hemorrhagic transformation was 15.8%, Seizure was 3.9% and Cerebral edema was 38.2%. There was an association between NIHSS score at admission and acute neurological complications. Specifically, in the group of patients with an NIHSS score of 5 or higher at admission, the rate of acute neurological complications was higher, and this difference was statistically significant with p <
0.001. Conclusions: Acute brain complications occur at a relatively high rate following ischemic stroke and are associated with the NIHSS score at admission.Các biến chứng não cấp là các biến chứng nguy hiểm, làm nặng nề thêm tình trạng đột quỵ não, kéo dài thời gian nằm viện và tăng tỷ lệ tử vong. Mục tiêu nghiên cứu: Khảo sát tỷ lệ biến chứng não cấp và một số yếu tố liên quan ở bệnh nhân nhồi máu não tại Bệnh viện Đa khoa Trung ương Cần Thơ. Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang trên 76 đối tượng bệnh nhân nhồi máu não. Tất cả bệnh nhân được hỏi bệnh, khám lâm sàng, đánh giá thang điểm NIHSS và chụp CTScan sọ não. Kết quả: Tỷ lệ biến chứng não cấp chung là 46,05% trong đó biến chứng chuyển dạng xuất huyết, động kinh và phù não có tỷ lệ lần lượt là 15,8%, 3,9% và 38,2%. Trong số bệnh nhân có biến chứng chuyển dạng xuất huyết thì có 3 bệnh nhân là có triệu chứng chiếm tỷ lệ là 3,9%. Có sự liên quan giữa phân nhóm điểm NIHSS lúc nhập viện và biến chứng não cấp. Cụ thể, ở nhóm bệnh nhân có điểm NIHSS lúc nhập viện là từ 5 trở lên thì tỷ lệ xuất hiện các biến chứng não cấp là cao hơn, và sự khác biệt này là có ý nghĩa về mặt thống kê với p <
0,001. Kết luận: Các biến chứng não cấp chiếm tỷ lệ tương đối cao sau nhồi máu não và có mối liên quan với điểm NIHSS lúc nhập viện.

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