Kết quả chăm sóc người bệnh đột quỵ não trong vòng 12 giờ tại Khoa Cấp cứu Bệnh viện Đa khoa Xanh Pôn năm 2020

Abstract

Objectives: Results of caring for patients with brain stroke within 12 hours at the Emergency department - Xanh Pon General Hospital in 2020.

Methods: The study describes the research on 105 patients diagnosed with brain stroke between January 2020 and the end of August 2020 at the Emergency Department - Xanh Pon General Hospital. Patients participating in the research are given clinical examination, blood tests, and counseling - health care. The result of care were assessed against a variety of criteria: Glasgow score classification, National Institutes of Health Stroke Scale (NIHSS) Scores of the National Institutes of Health and Chinese Brain Stroke States), Barthel score classification, mRankin score classification, and MMSE score assessment (The mini-mental state examination). The collected data were processed using SPSS 20.0 software.

Results: The pulse index, temperature, average blood pressure, and breathing rate of the patient were gradually stabilized over the time of monitoring. After 12 hours, the proportion of patients with moderate and mild NIHSS scores increased higher than at the time of admission. The average NIHSS score was 47.6% and the mild one was 38.1%. The proportion of patients with paralysis improved well after 12 hours (decreased from 100% to 50.4%). The rate of illiteracy decreased to 4.8%; there are 9.5% cases of patients with urination incontinence and 35.2% lisp.

Conclusion: After 12 hours of hospital admission, the assessment scales for patients had a good improvement after treatment: scores of Barthel, mRankin, MMSE. Survival signs also returned to normal after care.