Kết quả điều trị người bệnh nhồi máu não cấp kèm béo phì=Treatment results of acute cerebral infarction patients with obesity

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Tác giả: Xuân Khánh Chu, Việt Phương Đào, Duy Tôn Mai

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.227-233

Bộ sưu tập: Báo, Tạp chí

ID: 477880

Thêm vào giỏ

Điều trị nhồi máu não (NMN) ở bệnh nhân (BN) béo phì còn gặp nhiều khó khăn từ chẩn đoán, việc dùng thuốc, can thiệp mạch, quá trình điều trị dễ có biến chứng do cân nặng lớn, bất động lâu, tập vận động khó, phục hồi chức năng sau đột quỵ khó khăn, phức tạp và kéo dài hơn. Mục tiêu: Mô tả một số đặc điểm lâm sàng và cận lâm sàng, kết quả điều trị và một số yếu tố liên quan của người bệnh NMN cấp kèm béo phì tại Trung tâm Đột quỵ bệnh viện Bạch Mai. Đối tượng và phương pháp: Mô tả hồi cứu kết hợp tiến cứu trên 136 BN NMN cấp kèm béo phì điều trị tại Trung tâm Đột quỵ bệnh viện Bạch Mai từ tháng 3/2023- 3/2024. Kết quả: Độ tuổi trung bình của BN (61,3±13,4), nam (63,2%), béo phì độ I (81,6%), NMN do bệnh mạch máu nhỏ (50,7%), vào viện trong tình trạng tỉnh (80,1%). Sau 90 ngày điều trị, 70,6% BN có (mRS 0-2). Các yếu tố ảnh hưởng đến kết quả điều trị gồm: tuổi, tỉnh trạng béo phì và điểm NIHSS. Kết luận: BN NMN cấp kèm béo phì sau 90 ngày điều trị, phần lớn có chức năng tốt. Các yếu tố ảnh hưởng đến kết quả điều trị bao gồm: tuổi, tỉnh trạng béo phì và điểm NIHSS.Treatment of cerebral infarction in obese patients still faces many difficulties from diagnosis
medication use
vascular intervention
the treatment process is prone to complications due to large weight, long-term immobilization, difficult exercise
rehabilitation after stroke is difficult, complicated and longer. Objectives: To describe some clinical and paraclinical characteristics, treatment results and related factors of patients with acute cerebral infarction and obesity at the Stroke Center - Bach Mai Hospital. Methods: etrospective description combined with a prospective study on 136 patients with cerebral infarction with obesity treated at the Stroke Center - Bach Mai Hospital from March 2023 to March 2024. Results: The study showed that the average age of the subjects was 61.3±13.4, most were male (63.2%), with grade I obesity (81.6%). Most of the subjects had cerebral infarction due to small vessel disease (50.7%) and most of the subjects were admitted to the hospital in a conscious state (80.1%). After 90 days of treatment, most patients had good function (mRS 0-2), accounting for 70.6%. Factors affecting treatment outcomes included: age, obesity status, and NIHSS score. Conclusion: Most of the patients with acute cerebral infarction with obesity after 90 days of treatment had good function. Factors affecting treatment outcomes included: age, obesity status, and NIHSS score.

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