NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG, KẾT QUẢ ĐIỀU TRỊ NGƯỜI BỆNH NHỒI MÁU NÃO CẤP MỨC ĐỘ NHẸ TẠI BỆNH VIỆN ĐA KHOA TỈNH YÊN BÁI NĂM 2024

Abstract

Objective: To find out the clinical, paraclinical and treatment results of mild acute cerebral infarction at the Yên Bái Province hospital. Methods: A cross-sectional descriptive study. The study subjects were patients with confirmed diagnosis of acute cerebral infarction within 24 hours of onset with NIHSS score ≤ 4, over 18 years old, treated at Yên Bái Province hospital since 1/ 2024 to 8/2024, follow-up clinical outcomes after 3 months of discharge. Results: The total number of study subjects was 33 patients, in which the male/female ratio = 1,35/1. Mean age: 66.52±12.97, the age group over 45 years old accounted for the largest rate 90,9%, the age group under 45 years old accounted for the lowest rate 9.1%. The number of patients hospitalized after onset 6 hours - 24 hours after onset accounted for the highest rate of 45,5%. Among the risk factors, the most common were hypertension and lipid metabolism disorders, respectively 90,9% and 84,8%, diabetes 15,2% and old cerebral stroke 21,2%. Classification according to TOAST, the cause of small vessel disease accounted for the highest rate of 63,6%, embolism from the heart accounted for 12,1%. At the time of discharge after 3 months of discharge, patients with good recovery had mRS score of 0 -1, accounting for 87,9%. Patients with pre-medical history stroke and large artery stenosis are the prognostic factors for risk of severely progression and poorly neurologic outcome. Conclusion: The study showed the distinct clinical characteristics in the group of patients with mild cerebral infarction at the Yên Bái Province hospital with a high recovery rate, with small vascular etiology accounting for the majority. Patients with pre-medical history stroke and large artery stenosis are the prognostic factors for risk of severely progression and poorly neurologic outcome.