NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ CÁC YẾU TỐ NGUY CƠ CỦA BỆNH NHÂN NHỒI MÁU NÃO TÁI PHÁT TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Recurrent cerebral infarction accounts for a high rate in recent years and increases the rate of disability, death and burden to society many times more than the first cerebral infarction. The investigation of clinical characteristics and some risk factors provides important information in the assessment and prevention of recurrent ischemic stroke. Objectives: To describe the clinical characteristics and characteristics of some risk factors of patients with recurrent cerebral infarction. Materials and methods: A case series descriptive study, prospective on 61 patients diagnosed with recurrent cerebral infarction at the Department of Internal Neurology, Can Tho Central General Hospital from June 2022 to June 2023. Results: There were 27 female patients and 34 male patients with mean age of 66.05 ± 1.51 years old, patients relapsed mainly after 12 months (67.2%) since the previous time, the situation of onset when the patient was at rest prevailed (47.5%) with a gradual and progressive nature (55.7%). Symptoms of hemiplegia, difficulty speaking, numbness of hands and feet account for >50% of cases. NIHSS at admission was 6.87 ± 0.57. High blood pressure, smoking, and diabetes are major risk factors. Conclusions: In our study, cerebral infarction recurred mainly after 12 months from the previous time, hemiplegia, speech difficulty and loss of sensation prevailed. High blood pressure, smoking, and diabetes are common risk factors.