NGHIÊN CỨU TÌNH HÌNH GIẢM CHỨC NĂNG VẬN ĐỘNG TRÊN BỆNH NHÂN NHỒI MÁU NÃO SAU GIAI ĐOẠN CẤP TẠI BỆNH VIỆN Y HỌC CỔ TRUYỀN VÀ PHỤC HỒI CHỨC NĂNG TỈNH BÌNH THUẬN NĂM 2024-2025

Abstract

Background: Cerebral infarction accounts for more than three-quarters of stroke cases and is the leading cause of serious sequelae, severely affecting motor function, cognition and quality of life of patients after the acute phase. Objectives: To describe the rate of motor function loss and some factors related to the severity of motor dysfunction in patients after a stroke due to cerebral infarction after the acute phase at the Traditional Medicine and Rehabilitation Hospital of Binh Thuan province. Material and methods: A descriptive cross-sectional was conducted on 193 patients with cerebrovascular accident due to cerebral infarction who received acute treatment at The Traditional Medicine and Rehabilitation Hospital of Binh Thuan province in 2024-2025. Results: After the acute phase, patients with cerebral infarction due to stroke recovered well according to the Orgogozo scale, only 4.7%, 91.7% of patients were assessed as severely paralyzed according to the Babath scale, functional loss accounted for 99.5%, of which 54.4% had a lot of loss and 44.6% had some loss. Some factors associated with the severity of motor dysfunction were economic (OR=2.968, 95% CI: 1.01-9.931, p=0.029), place of residence (OR=3.220, 95% CI: 1.517-6.836, p=0.002), severe Bobath classification (OR=3.740, 95% CI: 1.146-12.203, p=0.003), poor recovery ability according to Orgogozo (OR= 10.154, 5.207-19.801, p=0.001). Conclusions: 99.5% of patients after the acute phase had impaired motor function, which indicates that the majority of patients were severely affected in mobility. The close relationship between the Bobath and Orgogozo scales and decreased motor function in the study suggests that the more severe the neurological impairment (as reflected by Bobath and Orgogozo), the more markedly motor function assessed by the Fugl–Meyer scale declines.