NGHIÊN TÌNH HÌNH ĐỘT QUỴ NÃO, YẾU TỐ LIÊN QUAN VÀ ĐÁNH GIÁ KẾT QUẢ CAN THIỆP QUẢN LÝ ĐIỀU TRỊ Ở BỆNH NHÂN ĐỘT QUY THIẾU MÁU NÃO TẠI BỆNH VIỆN ĐA KHOA TỈNH SÓC TRĂNG NĂM 2020 – 2021

Abstract

Background: Stroke is one of the leading causes of disability and death in developed countries. The overall global mortality rate is about 20%. Objectives: Determining the rate of thrombolytic therapy to remove thrombosis and time of onset-hospitalization, related factors and evaluation of intervention results in ischemic stroke patients by stroke management organization at the Hospital Soc Trang Province General Hospital in 2020-2021. Materials and methods: A crosssectional descriptive study on 318 ischemic stroke patients for goals 1,2 and non-control intervention on 11 staff members of the hospital's stroke emergency unit and evaluated over 49 brain stroke patients for item 3. Results: The rate of revascularization with fibrinolytic drugs is 15%, by thrombectomy 1.3% and medical treatment 85%. Onset-hospitalization time is 1488.56 ± 1666.37 minutes. Factors related to Onset-hospitalization time include: Knowledge of stroke signs, fibrinolytic therapy, stroke emergency unit, history of hypertension, diabetes, symptoms of hospitalization VII nerve palsy, revascularization treatment. The results of the recanalization rate before and after the intervention were 51.15% and 67.15%. Conclusion: The rate of fibrinolytic treatment is low 15%, medical treatment is high 85%, the rate of interventional thrombolysis is still very low 1.3%. High onset-hospitalization time 1488.56 ± 1666.37 minutes. The factors related to the onset-hospitalization time: Knowledge of stroke, history of hypertension and diabetes, symptoms of hospitalization due to cranial nerve palsy VII, revascularization treatment. After intervention, the rate of recanalization improved.