Đánh giá đặc điểm lâm sàng và tuần hoàn bàng hệ theo giới ở bệnh nhân nhồi máu não cấp

Evaluation of some clinical characteristics by gender in patients with acute ischemic stroke. Assess the degree of collateral circulation on 3-phase CTA by gender. Subjects and methods: 118 patients (67 male and 51 female) who underwent 3-phase CTA in the first 7 days from symptom onset, inpatient treatment at the Stroke Department, Military Hospital 103 from November 2021 to July 2022. To evaluate some clinical characteristics at admission and discharge; assess the degree of CS on 3-phase, 64-sequence CTA film according to the Calgary; determine the relationship between clinical characteristics and the degree of CS with gender. Results: male/female ratio=1.31; women group were older (p>0.05), had the high rate of atrial fibrillation (p<0.05), diabetes (p>0.05), dyslipidemia (p>0.05), low rate of hypertension (p>0.05) and smoking (p<0.05); disorder of consciousness were more common in women; the average NIHSS score at admission was 2.97 points higher in women than in men (p<0.05), the rate of good CS in women was lower (p<0.05) and the degree of severe disability at discharge (mRS 5-6) was higher (p>0.05). Conclusion: Female group had a higher rate of atrial fibrillation and poor CS than male group. AIS in women had disorder of consciousness and the mean NIHSS score at admission were higher in men.