KẾT QUẢ ĐIỀU TRỊ LẤY HUYẾT KHỐI CƠ HỌC TRÊN NGƯỜI BỆNH NHỒI MÁU NÃO CẤP DO TẮC MẠCH LỚN TUẦN HOÀN TRƯỚC TẠI BỆNH VIỆN ĐA KHOA TỈNH VĨNH PHÚC

Abstract

Objectives: This study aimed to describe the clinical and paraclinical characteristics and results of mechanical thrombectomy treatment of patients with acute ischemic stroke due to large vessel occlusion of the anterior cerebral circulation treated at Vinh Phuc Provincial General Hospital. Methods: The study subjects were patients diagnosed with acute cerebral infarction due to occlusion of large blood vessels in the anterior circulation and underwent thrombectomy within the first 6 hours. with clear and quantifiable signs of neurological deficits based on NIHSS score ≥6, ASPECTs ≥6 on CT scan, treated at Vinh Phuc Provincial General Hospital from January 2021 to the end of December 2023, were monitored for clinical outcomes 3 months after discharging. Results: The total number of study subjects was 92 patients, in which the male/female ratio = 1.55/1. Mean age: 68.03±14.08. The number of patients hospitalized within 3 hours after onset accounted for 86.95%. Among the risk factors, the most common were hypertension with 62%, smoking with 55.4%, following that was atrial fibrillation with 32.6%, diabetes mellitus with 12.6% , history of thrombosis  with 15.2%, lipid metabolism disorders with 12% and history of stroke with 10.5%. The percentage of patients treated with bridging therapy accounted for 27.7%, and treated with Mechanical thrombectomy was 72.83%. The median NIHSS score on admission was 19. At the time of hospital discharge 03 months, patients with good recovery who had mRS score 0-2, accounting for 46.73%, while disabled patients dependent on caregivers accounted for a high rate of 36.71%, and there were 18 death, equivalent to 19.56%. Conclusion: Results of anterior circulation mechanical thrombectomy treatment in patients with acute cerebral infarction recovered well with mRS 0-2 in both intervention and bridging treatment groups, accounting for 46.73%. Common risk factors are hypertension, smoking, atrial fibrillation, diabetes, patients with history of thrombosis, lipid metabolism disorders and history of stroke