Phân tích một số yếu tố nguy cơ trên bệnh nhân đột quỵ não dưới 45 tuổi

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Tác giả: Đức Thuần Đỗ, Hải Linh Nguyễn, Văn Tuyến Nguyễn

Ngôn ngữ: Vie

Ký hiệu phân loại: 612.1 Blood and circulation

Thông tin xuất bản: Tạp chí Y học Việt Nam 2023

Mô tả vật lý: 242-246

Bộ sưu tập: Metadata

ID: 412311

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Chủ đề

Khảo sát một số yếu tố nguy cơ và phân tích mối liên quan trên bệnh nhân đột quỵ não dưới 45 tuổi Đối tượng và phương pháp nghiên cứu: nghiên cứu "bệnh-chứng", mô tả cắt ngang 130 đối tượng đột quỵ não chia hai nhóm từ dưới 45 tuổi (nhóm nghiên cứu) và trên 45 tuổi (nhóm chứng) tại khoa Đột quỵ não- Bệnh viện TWQĐ 108 và bệnh viện quân y 103. Tiền sử Ngày duyệt bài: 23.8.2023 bệnh lý thường gặp nhất là tăng huyết áp (42,4%) uống rượu và hút thuốc lá (18,2% và 25,8%) nhóm bệnh lý suy tim, bệnh cơ tim, hẹp van 2 lá, rung nhĩ chiếm 12,1% bệnh khác (rối loạn đông máu/ Moyamoya) là 7,5% tiền sử khỏe mạnh là 36,4% - sự khác biệt có ý nghĩa thống kê so với nhóm chứng. Tuân thủ điều trị tăng huyết áp trước nhập viện có nguy cơ đột quỵ thấp hơn 0,177 lần [OR=0,177 (0,047-0,663), 0,006] so với không điều trị. Nghiện rượu, thuốc lá có nguy cơ cao hơn 3,354 và 3,462 lần so với những người không sử dụng. Béo phì (dựa trên chỉ số BMI) ở nhóm nghiên cứu cao hơn nhóm chứng p<
0,05. Kết luận: Các yếu tố nguy cơ thay đổi được chiếm tỉ lệ cao trong đột quỵ não dưới 45 tuổi, không tuân tủ điều trị và lối sống không lành mạch làm tăng nguy cơ đột quỵ não., Tóm tắt tiếng anh, To investigate some risk factors and analyze the correlation in stroke patients under 45 years of age. Methods: A "case-control" study, a cross-sectional description of 130 subjects. Patients were divided into two groups from under 45 years old (research group) and over 45 years old (control group) at Stroke Department- 108 Central Military Hospital and 103 Military Hospital. Results: The most common history is hypertension (42.4%) alcoholism and smoking (18.2% and 25.8%) heart failure, cardiomyopathy, mitral valve stenosis, atrial fibrillation accounted for 12.1% other diseases (Coagulopathy/ Moyamoya) is 7.5% Normal medical history is 36.4% - statistically significant difference compared to controls. Adherence to pre-hospital hypertension treatment was associated with a 0.177 times lower risk of stroke [OR=0.177 (0.047-0.663), 0.006] compared with no treatment. Alcoholism and tobacco use were 3,354 and 3,462 times higher, respectively, compared with non-users. Obesity (based on BMI) was higher in the study group than in the control group, p<
0.05. The modifiable risk factors account for a high proportion of stroke under 45 years of age, non-compliance with treatment regimen and lifestyle increase the risk of stroke.

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