Article Sidebar

PDF
Date Published: 11/12/2023
Abstract Views: 83
Views PDF: 57
DOI: https://doi.org/10.51298/vmj.v532i2.7631
Issue
Vol. 532 No. 2 (2023)
Section
Các bài báo
How to Cite
Đào, T. N., Nguyễn, X. T., Trần, V. L., & Vũ, T. T. H. (2023). ASSESSMENT OF THE IMPROVED RESULTS OF PHYSICAL FUNCTION OF TREATMENT OF THROMBOLYSIS IN GERIATRIC PATIENTS WITH ACUTE BRAIN INFARCTION AT NINH BINH PROVINCE HOSPITAL. Vietnam Medical Journal, 532(2). https://doi.org/10.51298/vmj.v532i2.7631

ASSESSMENT OF THE IMPROVED RESULTS OF PHYSICAL FUNCTION OF TREATMENT OF THROMBOLYSIS IN GERIATRIC PATIENTS WITH ACUTE BRAIN INFARCTION AT NINH BINH PROVINCE HOSPITAL

Thị Nhâm Đào1,, Xuân Thanh Nguyễn2,3, Viết Lực Trần2,3, Thị Thanh Huyền Vũ2,3
1 Ninh Binh Provincial General Hospital
2 Central Geriatric Hospital
3 HMU

Main Article Content

Abstract

Objectives: describe the results of improving physical function of fibrinolytic therapy in elderly patients with acute ischemic stroke and explore some factors related to the results of improving physical function of thrombolytic therapy. Subjects and methods: a cross-sectional descriptive study was conducted on 108 patients (54 patients in the fibrinolytic group and 54 in the control group) with acute ischemic stroke at Ninh Binh Provincial General Hospital during the period of time from July 2022 to May 2023. RESULTS: The mean age in the study was


71.78 ± 8.03; at the time of discharge, the mean ADL of the fibrinolytic group was 4.39 ± 2,343 higher than the control group. The SPPB score was 1.7± 1,744 of the fibrinolytic group was 9.11 ± 4.612, which was


4.57 ± 4.474 higher than the control group, the NIHSS score of the fibrinolytic group was 2.19±2.940, which was 5.35 ± 2.816 lower than the control group, and mRs at the time of discharge 1 month fibrinolysis group was 1.15 ± 1.535 lower than the control group was 2.7 ± 1.369. Advanced age > 70 years, change in NIHSS score more than 4 points, hospital stay < 7 are associated with improved physical function outcomes. Conclusion: The fibrinolytic group improved physical function better than the group; factors such as advanced age over 70 years, change in NIHSS score, mean treatment day < 7 are associated with outcomes of improved physical function

Article Details

Keywords

: physical function, acute stroke, elderly, thrombolysis

References

1. Nguyễn Văn Chương (2005). “Thực hành lâm sàng Thần Kinh học”.
2. Reference for chair height: Puthoff M. (2008) Outcome measures in cardiopulmonary physical therapy: SPPB. Cardiopulmonary Physical Therapy Journal. March 19 (1): 17-22.
3. RhaJ .H., Saver J. L. The impact of recanalization on ischemic stroke outcome: a meta - analysis. Stroke. 2007:38(3), 967-973.
4. Lê Đức Hinh và cộng sự. Tai Biến Mạch Máu Não, Hướng Dẫn Chẩn Đoán và Xử Trí. NXB Y Học; 2008.
5. Mai Duy Tôn. Nghiên cứu hiệu quả điều trị thuốc tiêu huyết khối đường tĩnh mạch BN NMN cấp tại Bệnh viện Bạch Mai. Luận án Tiến sỹ Y học. 2012.
6. Thắng, Đàm Cẩm Linh và cộng sự. Nguyễn Thị Kim Liên, Nguyễn Huy Điều trị tiêu sợi huyết đường tĩnh mạch trên 105 BN đột quỵ thiếu máu não cấp tại Bệnh viện Nhân dân 115, Nội san Hội Thần kinh học Việt Nam. 2010.
7. Katzan IL, Thompson NR, Uchino K, Lapin B. The most affected health domains after ischemic stroke. Neurology. Published online 90 2018:e1364-e1371.



8. Võ Thị trinh Nữ, Nguyễn Minh Trí, Châu Hữu Hầu. Cập nhật điều trị tiêu sợi huyết trong nhồi máu não cấp.
9. Đào Việt Phương, Nguyễn Văn Chi, Vũ

Đăng Lưu. Các yếu tố ảnh hưởng kết quả điều trịđột quỵthiếu máu não cấp do tắc động mạch lớn. Tạp chí Y học Việt Nam. 2019;tập 476(01 & 02):tr 156-160.