Đặc điểm lâm sàng của bệnh nhân đột quỵ não cấp nhập viện tại Bệnh viện đa khoa tỉnh Phố Nối, tỉnh Hưng Yên, Việt Nam trong giai đoạn 2018

Đặc điểm lâm sàng của bệnh nhân đột quỵ não cấp nhập viện tại Bệnh viện đa khoa tỉnh Phố Nối, tỉnh Hưng Yên, Việt Nam trong giai đoạn 2018 - 2020

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Tác giả: Thi Hien Ho, Duy Ton Mai, Thi Thuy Ngo

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2022

Mô tả vật lý: tr.109-118

Bộ sưu tập: Metadata

ID: 338305

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Mục tiêu: Đột quỵ não cấp là bệnh lý ngày càng phổ biến, có tỷ lệ tử vong và tàn tật cao. Việc hiểu biết về các đặc điểm lâm sàng của bệnh nhân đột quỵ não cấp có tầm quan trọng trong việc đảm bảo lập kế hoạch và phát triển chương trình phòng ngừa đột quỵ dựa trên bằng chứng ở các nước có thu nhập thấp và trung bình, trong đó có Việt Nam. Bản thảo này nhằm mô tả các đặc điểm của bệnh nhân đột quỵ não cấp nhập viện tại Bệnh viện Đa khoa Phố Nối trong giai đoạn 2018 - 2020. Phương pháp: Chúng tôi tiến hành nghiên cứu cắt ngang trên tổng số 1285 bệnh nhân đột quỵ cấp nhập viện tại Bệnh viện Đa khoa Phố Nối, tỉnh Hưng Yên trong giai đoạn 2018 - 2020. Phân tích dữ liệu mô tả được sử dụng để phân tích các đặc điểm lâm sàng, thời gian từ khi khởi phát đến khi nhập viện, các yếu tố nguy cơ của những bệnh nhân này. Sử dụng phần mềm SPSS 23.0. Kết quả: Có 1285 bệnh nhân đột quỵ cấp với độ tuổi trung bình là 70,9, 56% là nam giới. Tỷ lệ đột quỵ thiếu máu cục bộ là 72,3%, trong đó 18,2% bệnh nhân đến viện trong vòng 4,5 giờ sau khi khởi phát và 3,4% bệnh nhân được điều trị tiêu sợi huyết. Các yếu tố nguy cơ đột quỵ thường gặp là tăng huyết áp (63,1%), đái tháo đường (15%) và rối loạn lipid máu (15,5%). Kết luận: Bệnh nhân đột quỵ não cấp tại Bệnh viện Đa khoa Phố Nối có đặc điểm lâm sàng tương tự như các nghiên cứu trước đây. Những rào cản đối với việc điều trị và phòng ngừa kịp thời bệnh nhân đột quỵ não cấp tại Bệnh viện Đa khoa Phố Nối cần được tiếp tục nghiên cứu và giải quyết.Objective: Acute cerebral stroke is an increasingly common disease with high mortality and disability. Understandings on the clinical characteristics of the acute cerebral stroke patients are of importance in ensuring the evidence-based planning and development of the stroke prevention program in low- and middle- income countries, inclusing Vietnam. This manuscript aims to describe the characteristics of acute cerebral stroke patients admitted to Pho Noi General Hospital in the period of 2018 - 2020. Methods: We conducted cross-sectional study on a total of 1285 acute stroke patients admitted to Pho Noi General Hospital, Hung Yen province in the period of 2018 - 2020. Descript data analysis was used to analyze clinical characteristics, the duration from onset to hospital, risk factors of these patients. SPSS 23.0 software was used. Results: There were 1285 acute stroke patients with an mean age of 70.9, 56% were men. The rate of ischemic stroke was 72.3%, of which 18.2% of patients came to the hospital within 4.5 hours from onset and 3.4% of patients received thrombolytic therapy. The common stroke risk factors were hypertension (63.1%), diabetes mellitus (15%), and dyslipidemia (15.5%). Conclusions: Patients with acute cerebral stroke at Pho Noi General Hospital have similar clinical characteristics to previous studies. Barriers to the timely treatment and prevention of acute cerebral stroke patients at Pho Noi hospital should be further studied and addressed.

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