Kết quả điều trị hạ huyết áp tích cực ở người bệnh chảy máu não cấp tại Bệnh viện Trung ương Thái Nguyên=The result of aggressive blood pressure management in patient with acute intracerebral hemorrhage at Thai Nguyen National Hospital

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Tác giả: Thị Quyên Lê, Món Thị Uyên Hồng, Thị Minh Nguyệt Nguyễn, Văn Tuấn Trần

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.46008

Bộ sưu tập: Metadata

ID: 477939

Thêm vào giỏ

Acute hypertensive response following intracerebral hemorrhage (ICH) is a common symptom, associated with hematoma expansion, increased mortality, and poor functional outcomes. Objective: To describe the outcomes and some factors related to the results of aggressive blood pressure management in patients with acute ICH at Thai Nguyen Central Hospital. Methods: A cross-sectional descriptive study was conducted on 116 patients with acute ICH treated at the Neurology Department of Thai Nguyen Central Hospital. Results: The average patient age was 62.34±12.28 years
69.8% of patients were male. The mean systolic blood pressure (SBP) at admission was 185.09±17.7 mmHg, after 3 hours was 143.88±12.3 mmHg, at 6 hours was 140.60±10.7 mmHg, and after 24 hours was 137.41±11.1 mmHg. The percentage of patients achieving target SBP at 2 hours after admission was 57.8%, and at 24 hours was 77.6%. Higher mean SBP was associated with poorer functional outcomes at discharge (p<
0.01). Conclusion: The average SBP in patients with ICH was elevated at admission. There was no significant association between age, gender, history of hypertension, diabetes, or alcohol abuse with the outcomes of aggressive blood pressure management in ICH patients.Phản ứng tăng huyết áp cấp tính sau chảy máu não cấp là một triệu chứng thường gặp, liên quan đến sự mở rộng khối máu tụ, tăng tỷ lệ tử vong và kết cục chức năng kém. Mục tiêu: Mô tả kết quả và một số yếu tố liên quan đến kết quả điều trị hạ huyết áp tích cực ở người bệnh chảy máu não cấp tại bệnh viện Trung ương Thái Nguyên. Phương pháp: nghiên cứu mô tả cắt ngang tiến hành trên 116 người bệnh chảy máu não cấp điều trị tại Khoa Thần kinh - Bệnh viện Trung ương Thái Nguyên. Kết quả: Tuổi trung bình của bệnh nhân là 62,34±12,28 (năm)
Tỷ lệ bệnh nhân nam giới 69,8%
Huyết áp tâm thu trung bình tại thời điểm nhập viện là 185,09±17,7 mmHg, 3 giờ là 143,88±12,3 mmHg, 6 giờ là 140,60±10,7 mmHg và 24 giờ là 137,41±11,1 mmHg
Tỷ lệ đạt huyết áp tâm thu mục tiêu tại thời điểm 2 giờ sau khi nhập viện là 57,8%, 24 giờ là 77,6%. Huyết áp tâm thu trung bình cao có liên quan đến kết cục chức năng xấu của người bệnh tại thời điểm ra viện (p<
0,01). Kết luận: Huyết áp tâm thu trung bình của người bệnh chảy máu não tại thời điểm nhập viện cao
Không có mối liên quan giữa tuổi, giới, tiền sử tăng huyết áp, đái tháo đường, tình trạng lạm dụng rượu đến kết quả điều trị hạ huyết áp tích cực của người bệnh chảy máu não.

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