Nhận xét một số yếu tố nguy cơ liên quan tới mức độ nặng ở bệnh nhân nhồi máu não

The patients at risk of cerebral infarction, namely, diabetes, hypertension, heart disease and transient ischemic attacks are on the rise. Objectives: To describe the relationship of risk factors with the severity in the patients with cerebral infarction at Phu Tho General Hospital. Subjects and Methods: 190 patients with cerebral infarction, having been treated in Phu Tho Hospital, were divided into 2 groups according to the severity based on NIHSS scores; Glasgow and Rankin scores were used for assessing the relationship of the risk factors in both groups. Results: The percentage of male/female was 1.4; the most common risk factors were hypertension (63.7 percent, n = 121), heart disease (28.4 percent, n = 54), diabetes (15.8 percent, n = 30) and transient ischemic attacks (13.2 percent, n = 25); the risk of death or worsening in severe cases of ischemic attacks transient in history increased 5.2 times higher than normal; 3.2 times for hypertension; and 2.6 times with heart disease. Diabetes causes pathological changes, increasing the risk for the severe group. Conclusions: The pathological factors such as diabetes, hypertension, heart disease, and the history of transient ischemic attacks affect the severity of cerebral infarction patients at different levels.