ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ CÁC YẾU TỐ NGUY CƠ CỦA BỆNH NHÂN ĐỘT QUỴ NÃO TẠI BỆNH VIỆN ĐA KHOA TỈNH NAM ĐỊNH

Abstract

Objective: Describe some clinical and paraclinical characteristics and risk factors of patients with cerebral stroke. Subjects and methods: Cross-sectional descriptive study on 225 patients aged 18 years and older diagnosed with cerebrovascular accident and transient ischemic attack treated as inpatients at Nam Dinh Provincial General Hospital from August 2021 to July 2022. Results: The most common symptom in the onset and full-blown period was hemiplegia, accounting for 80.4% and 98.3%. There were 2 patients (100%) of inpatients detected in the thrombolytic intervention window, in the group of patients coming to the hospital in the thrombolytic window, there were 82 patients (36.5%). At the time of admission, the number of patients with NIHSS (National Institutes of Health Stroke Scale) scores in the moderate and severe stroke group (5-20 points) accounted for 58.3%. The proportion of patients with normal blood lipid tests in both the cerebral infarction and cerebral hemorrhage groups was low at 9.9% and 33.3%. The proportion of patients with cerebrovascular accident with concomitant diabetes was 20.6%. Hypertension and carotid atherosclerosis were highest in the 70-79 age group. The rate of alcoholism was higher in the cerebral hemorrhage group at 13.9% compared to the cerebral infarction group at 2.7%. This difference was statistically significant with p= 0.027.