Đánh giá tình trạng rối loạn nuốt và các yếu tố liên quan ở bệnh nhân nhồi máu não cấp tại Trung tâm đột quỵ, Bệnh viện Bạch Mai=To evaluate dysphagia rate and some predictive factors among acute ischemic stroke patients at Bach Mai Stroke Center

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Việt Phương Đào, Duy Tôn Mai, Lê Ngọc Nguyễn, Quang Thọ Phạm

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.385-390

Bộ sưu tập: Báo, Tạp chí

ID: 477916

Thêm vào giỏ

Đánh giá tình trạng rối loạn nuốt (RLN) bằng bộ công cụ SSA và một số yếu tố liên quan ở bệnh nhân (BN) nhồi máu não (NMN) cấp tại trung tâm Đột quỵ Bạch Mai. Đối tượng và phương pháp: Nghiên cứu quan sát mô tả các BN chẩn đoán NMN cấp điều trị tại trung tâm Đột quỵ Bạch Mai từ 01/01/2024- 31/03/2024, được đánh giá sàng lọc RLN bằng công cụ SSA. Kết quả: 1068 BN được thu tuyển vào nghiên cứu. Tuổi trung bình (67,3±12,3) tuổi, nam giới (62,8%), tăng huyết áp là bệnh lý đồng mắc phổ biến nhất. Trong nghiên cứu, điểm Glasgow và NIHSS trung bình lần lượt là 15 và 7 điểm. RLN (16,7%). Các yếu tố liên quan tình trạng RLN gồm: tuổi >
55, tiền sử đột quỵ não cũ, NIHSS >
10, tắc động mạch lớn, nhồi máu vùng thân não và biến chứng chuyển dạng chảy máu. Kết luận: Rối loạn nuốt là tình trạng khá phổ biến ở BN NMN cấp. Việc xác định các yếu tố nguy cơ RLN giúp dự đoán, từ đó có kế hoạch dự phòng và điều trị BN tốt hơn.To evaluate dysphagia rate and some predictive factors among acute ischemic stroke patients at Bach Mai Stroke Center. Subject and methods: A cross-sectional study was carried out among acute ischemic stroke patients treated at Bach Mai Stroke Center from January 1, 2024, to March 31, 2024. They were screened for swallowing disorders using the SSA tool. Results: 1068 patients were recruited into the study. The mean age was 67.3 ± 12.3 years, 62.8% were male. Hypertension was the most common comorbidity. In the study, the average Glasgow and NIHSS scores were 15 and 7 points, respectively. Swallowing disorders occurred in 16.7% of patients. Factors associated with swallowing disorders include age >
55, history of previous stroke, NIHSS >
10, large artery occlusion, brainstem infarction, and hemorrhagic transformation. Conclusion: Dysphagia is quite common in patients with acute ischemic stroke. Identifying risk factors for swallowing disorders helps predict, thereby planning better prevention and treatment of patients.

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