MỘT SỐ YẾU TỐ NGUY CƠ VÀ MỐI LIÊN QUAN VỚI TỔN THƯƠNG MẠCH NÃO CỦA NHỒI MÁU KHU VỰC ĐỘNG MẠCH NÃO SAU

Abstract

Objective: To describe risk factors of posterior cerebral artery infarction and to analysis relationship between risk factors and cerebral blood vessel damage of posterior cerebral artery infarction. Subjects and methods: A prospective, descriptive study of 68 patients with posterior cerebral artery infarction treated at the Department of Neurology, Bach Mai Hospital from March 2017 to March 2018. Results: Mean age was 64.79 ± 11.29, male/female ratio was 1.83. The leading risk factors are still those that cause atherosclerosis. Hypertension is the most common risk factor (77.9%), alcohol consumption (44.1%), smoking (38.2%), diabetes (39.7%), metabolic disorder. blood lipids (29.4%), history of stroke is less common (16.2%). The leading risk factor for thrombosis from the heart is atrial fibrillation (11.8%). There is a statistically significant relationship between the degree of vascular damage and the number of risk factors with p < 0.05. Patients with more than 2 risk factors were 2.8 times more likely to have a major embolism than patients with less than 2 risk factors. The degree of disability after 30 days in patients with major occlusion was 16.5 times higher other group.