MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TÌNH TRẠNG RỐI LOẠN NGÔN NGỮ Ở NGƯỜI BỆNH ĐỘT QUỴ TẠI BỆNH VIỆN PHỤC HỒI CHỨC NĂNG HÀ NỘI

Abstract

Objective: To analyze factors related to post-stroke language disorders in patients at Hanoi Rehabilitation Hospital. Subjects and Methods: Subjects and Methods: A cross-sectional descriptive study on stroke patients with language disorders conducted from March to June 2025. Results: The study found that the time to emergency care after stroke significantly affected language recovery. Patients receiving emergency treatment within 4.5 hours had a markedly lower rate of language impairment compared to those treated later (73.9% vs. 100%), especially in reading comprehension (78.3% in the early group vs. 100% in the late group). The type of stroke was also associated with the severity of language disorders: patients with hemorrhagic stroke had more severe impairments in auditory comprehension and verbal expression (100%) than those with ischemic stroke (66.7% and 76.2%, respectively). Gender was statistically associated with reading comprehension, with male patients showing higher rates of impairment. No significant associations were found between language disorder severity and factors such as age, educational level, number of stroke episodes, or participation in language therapy. Conclusion: Emergency treatment within 4.5 hours of stroke onset significantly improves language function, particularly reading comprehension. Patients with hemorrhagic stroke have more severe deficits in auditory comprehension than those with ischemic stroke. Male patients tend to have greater reading comprehension impairment. Age, education, stroke recurrence, and language therapy intervention were not clearly associated with the severity of language disorders.