Tăng huyết áp ở bệnh nhân đột quỵ xuất huyết não tại Bệnh viện Đa khoa vùng Tây Nguyên năm 2020

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Tác giả: Hữu Hùng Đinh, Phước Hữu Trần

Ngôn ngữ: Vie

Ký hiệu phân loại: 612.1 Blood and circulation

Thông tin xuất bản: Khoa học (Đại học Tây Nguyên) 2022

Mô tả vật lý: 57-63

Bộ sưu tập: Metadata

ID: 412210

Thêm vào giỏ Liên kết toàn văn

Tăng huyết áp là một bệnh phổ biến ở bệnh nhân đột quỵ và là nguyên nhân thường gặp nhất của đột quỵ xuất huyết não. Chúng tôi muốn xác định tỷ lệ tăng huyết áp, tỷ lệ tăng huyết áp chưa được phát hiện trước khi nhập viện và tỷ lệ không tuân thủ điều trị tăng huyết áp ở bệnh nhân đột quỵ xuất huyết não tại Bệnh vi ện Đa khoa Vùng Tây Nguyên năm 2020. Nghiên cứu cắt ngang ở đối tượng nghiên cứu tại bệnh viện đa khoa vùng Tây Nguyên đã thực hiện từ 01/2020 đến 6/2021. Có 85 đối tượng nghiên cứu được chọn liên tiếp. Chúng tôi đã sử dụng một bộ câu hỏi soạn sẵn để thu thập các thông tin cần thiết thông qua phỏng vấn trực tiếp và khám bệnh. Số liệu được phân tích bằng phần mềm SPSS 20.0. Trong tổng số 85 bệnh nhân đột quỵ xuất huyết não được đưa vào nghiên cứu, tỷ lệ nam giới là 76,5%, tuối trung bình là 60,9 ± 14,5, người Kinh chiếm 67,1%, tỷ lệ bệnh nhân có tăng huyết áp ở mức rất cao (81,2% (69/85)). Trong số các bệnh nhân có tăng huyết áp, có đến 44,9% chưa biết bản thân bị tăng huyết áp trước khi nhập viện. Trong số các bệnh nhân có tiền sử tăng huyết áp, tỷ lệ không tuân thủ điều trị tăng huyết áp chiếm tỷ lệ 53%. Kết quả nghiên cứu cho thấytỷ lệ tăng huyết áp ở bệnh nhân đột quỵ xuất huyết não ở mức rất cao (81,2%). Trong đó, tỷ lệ bệnh nhân tăng huyết áp chưa được phát hiện trước khi nhập viện và tỷ lệ không tuân thủ điều trị đều ở mức cao (lần lượt là 44.9% và 53%). Việc tầm soát, phát hiện sớm và điều trị kịp thời tăng huyết áp ở người dân trong cộng đồng, đặc biệt là ở những người có tiền sử đột quỵ xuất huyết não là vô cùng quan trọng., Tóm tắt tiếng anh, Hypertension is a common disease in stroke patients and is the most common cause of hemorrhagic stroke. We aimed to determine the prevalence of hypertension, the prevalence of undetected hypertension before admission, and the proportion of non-adherence to antihypertensive treatment in hemorrhagic stroke patients at the Tay Nguyen Regional General Hospital in 2020. A cross-sectional study was performed from January 2020 to June 2020. The study involved 85 subjects selected. We used a designed questionnaire to collect the necessary information from the subjects through direct interview and physical examination. Data were analyzed using SPSS 20.0 software. Of the 85 study subjects, the proportion of male was 76.5% the mean age was 60.9 ± 14.5 the proportion of Kinh people was 67.1% the prevalence of hypertension in patients with hemorrhagic stroke was very high (81.2% (69/85)). Among patients with hypertension, 44.9% did not know they had hypertension before being hospitalized. Among patients with a history of hypertension, non-adherence to antihypertensive treatment was up to 53%. The results showed that the prevalence of hypertension in patients with hemorrhagic stroke was very high (81.2%). The proportion of patients with undetected hypertension before admission and the proportion of non-adherence to treatment was high (44.9% and 53%, respectively). Therefore, it is essential to screen, detect and promptly treat hypertension in people in the community, especially in patients with a history of hemorrhagic stroke.

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