Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả điều trị ở bệnh nhân nhồi máu não có rung nhĩ tại Bệnh viện Đa khoa Trung ương Cần Thơ năm 2023-2024=Research on clinical and para-clinical characteristics and evaluation of treatment results in patients with cerebral infarction with atrial fibrillation at Can Tho central general hospital in 2023-2024

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Tác giả: Thị Lan Hồng Nguyễn, Văn Khoe 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.175-181

Bộ sưu tập: Metadata

ID: 245053

Thêm vào giỏ

Atrial fibrillation is identified as an important risk factor for cerebral infarction, increasing the risk of cerebral infarction by 5 times. Cerebral infarction occurring in patients with atrial fibrillation is often more severe, with higher complication rates, mortality rates, and risk of severe disability. Objectives: 1). To survey on clinical and paraclinical characteristics in patients with cerebral infarction and atrial fibrillation at Can Tho Central General Hospital in 2023-2024
2). To evaluate the results of in-hospital treatment in patients with cerebral infarction and atrial fibrillation at Can Tho Central General Hospital in 2023-2024. Materials and methods: A cross-sectional descriptive study was conducted on 35 patients diagnosed with cerebral infarction and atrial fibrillation treated at Can Tho Central General Hospital in 2023-2024. Results: Most patients were ≥ 70 years old and female accounted for 57.10%. Regarding clinical characteristics, the main symptoms included hemiplegia (74.3%) and language disorders (68.6%). Regarding paraclinical characteristics, middle cerebral artery damage accounted for 91.42%. The results of treatment according to the mRS scale at the time of discharge from the hospital, the poor recovery group was about twice higher than the good recovery group, 65.7% and 34.3% respectively. Conclusions: Cerebral infarction and atrial fibrillation is common in female patients over 70 years old with a history of hypertension with typical symptoms of movement disorders and language disorders. Middle Cerebral Artery Infarction is common in patients with cerebral infarction and atrial fibrillation. Patients with cerebral infarction and atrial fibrillation often have poor outcomes after treatment according to the mRS scale.Rung nhĩ được xác định là một yếu tố nguy cơ quan trọng của nhồi máu não, làm tăng nguy cơ nhồi máu não lên gấp 5 lần. Nhồi máu não xảy ra trên bệnh nhân rung nhĩ thường nặng hơn, tỉ lệ biến chứng, tỉ lệ tử vong và nguy cơ tàn phế nặng đều cao hơn. Mục tiêu nghiên cứu: 1). Khảo sát đặc điểm lâm sàng, cận lâm sàng ở bệnh nhân nhồi máu não có rung nhĩ tại Bệnh viện Đa khoa Trung ương Cần Thơ năm 2023-2024
2). Đánh giá kết quả điều trị nội viện ở bệnh nhân nhồi máu não có rung nhĩ tại Bệnh viện Đa khoa Trung ương Cần Thơ năm 2023-2024. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 35 bệnh nhân được chẩn đoán nhồi máu não có rung nhĩ điều trị tại Bệnh viện Đa khoa Trung ương Cần Thơ năm 2023- 2024. Kết quả: Phần lớn bệnh nhân ≥ 70 tuổi và nữ chiếm 57,10%. Về đặc điểm lâm sàng, các triệu chứng chính gồm liệt nửa người (74,3%) và rối loạn ngôn ngữ (68,6%). Về đặc điểm cận lâm sàng, tổn thương động mạch não giữa chiếm 91,42%. Kết quả điều trị theo thang điểm mRS tại thời điểm xuất viện, nhóm hồi phục kém cao gấp khoảng hai lần so với nhóm hồi phục tốt, lần lượt là 65,7% và 34,3%. Kết luận: Nhồi máu não có rung nhĩ thường gặp ở nữ giới trên 70 tuổi có tiền sử tăng huyết áp với các triệu chứng điển hình là rối loạn vận động và rối loạn ngôn ngữ, vị trí mạch máu tổn thương thường gặp là động mạch não giữa. Bệnh nhân nhồi máu não kèm rung nhĩ thường có kết cục kém sau điều trị theo thang điểm mRS.

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