Article Sidebar

PDF
Issue: Vol. 524 No. 1A (2023)
Section: Các bài báo
DOI: 10.51298/vmj.v524i1A.4618
Date Published: 15/03/2023
Views 745
Downloads 349
How to Cite
Đỗ, Đ. T., Phạm , N. T., Đinh , C. T., Trần , M. A., Nguyễn, T. N., & Nguyễn, Đ. T. (2023). STUDY ON THE SITUATION OF GLYCEMIA CONTROL IN ISCHEMIC STROKE PATIENTS IN THE FIRST THREE DAYS OF DISEASE. Vietnam Medical Journal, 524(1A). https://doi.org/10.51298/vmj.v524i1A.4618

STUDY ON THE SITUATION OF GLYCEMIA CONTROL IN ISCHEMIC STROKE PATIENTS IN THE FIRST THREE DAYS OF DISEASE

Đức Thuần Đỗ1, , Ngọc Thảo Phạm 2, Công Trường Đinh 3, Minh Anh Trần 1, Thị Nguyệt Nguyễn1, Đức Thuận Nguyễn1
1 Vietnam Military Medical Academy
2 103 Military Hospital
3 National Hospital of Endocrinology

Main Article Content

Abstract

Objective: study on the situation of glycemia control in ischemic stroke patients in the first three days of disease. Subject and method: studied prospective, cross-sectional study with 134 patients with cerebral infarction in the first 3 days from May 2022 to August 2022 at the Department of Stroke, 103 Military Hospital. Result: Hyperglycemia was 40.3%. Control glycemia in the first 24 hours with a target rate of 15.3%. Glycemia control with insulin combined with diet in patients with glycemia above 10 mol/l reached the target at 24 hours is 37.5%, 24-48 hours is 40%, 48-72 hours is 66.7%. Conclusion: Patients with cerebral infarction in the first 3 days have a high rate of hyperglycemia and difficult to control glycemia in the first 24 hours. Patients with glycemia above 10 mmol/l, control with insulin combined with diet rapidly achieves target treatment.

Keywords

hyperglycemia, ischemic stroke, acute ischemic stroke

Article Details

References

1. Ovbiagele B., Nguyen-Huynh M.N. (2011), "Stroke Epidemiology: Advancing Our Understanding of Disease Mechanism and Therapy", Neurotherapeutics, 8(3), pp. 319-329.
2. Powers W.J., Rabinstein A.A., Ackerson T. et al (2018), "2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association", stroke, 49(3), pp. e46-e99.
3. Thắng T.V. (2012), "Nghiên cứu một số đặc điểm dịch tễ học đột quỵ não và hiệu quả bài tập phục hồi chức năng tại nhà ở Khánh Hòa", Luận Án Tiến Sỹ Y Học, Học Viện Quân Y, Hà Nội, pp.
4. Aho K., Harmsen P., Hatano S. et al (1980), "Cerebrovascular disease in the community: results of a WHO collaborative study", Bulletin of the World Health Organization, 58(1), pp. 113.
5. Lindsberg P.J., Roine R.O. (2004), "Hyperglycemia in acute stroke", Stroke, 35(2), pp. 363-364.
6. Powers W.J., Rabinstein A.A., Ackerson T. et al (2019), "Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association", 50(12), pp. e344-e418.
7. Nguyễn Thành Vy (2010), Nghiên cứu đặc điểm lâm sàng biến đổi glucose máu ở bệnh nhân đột quỵ nhồi máu não trong tuần đầu, Luận văn thạc sỹ y học, học viện Quân Y.", pp.