MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN MỨC ĐỘ TÀN TẬT CỦA BỆNH NHÂN NHỒI MÁU NÃO TÁI PHÁT DO TỔN THƯƠNG ĐỘNG MẠCH NÃO GIỮA

Abstract

Objective: We analyzed some factors related to the level of disability according to the mRS scale in recurrent cerebral infarction due to damage to the middle cerebral artery. Subjects and methods: a cross-sectional study on 77 patients with recurrent cerebral infarction due to damage to the middle cerebral artery at the Neurology Center of Bach Mai Hospital. Results: Middle cerebral artery infarction with occlusion at the M1 segment is related to mRS >2 points (accounting for 31.2%), and there are differences between branches of the middle cerebral artery with mRS scores >2, ≤ 2 points, with p = 0.008. Factors associated with mRS include hypertension, elevated LDL, hypertension with dyslipidemia, dyslipidemia with thrombocytosis, antithrombotic therapy, and infrequent statins related to mRS (p<0.05). Conclusion: There are many factors related to the level of disability of patients with cerebral infarction due to damage to the middle cerebral artery, such as the location of M1 blockage, the patient's condition at admission, a number of risk factors, and irregular treatment.