NGHIÊN CỨU MỐI LIÊN QUAN GIỮA ĐẶC ĐIỂM LÂM SÀNG VỚI TUẦN HOÀN BÀNG HỆ NÃO Ở BỆNH NHÂN TẮC ĐỘNG MẠCH NÃO LỚN TRÊN CT 3 PHA

Abstract

Objectives: To evaluate the relationship between clinical cerebral infarction and collateral circulation. Methods: A prospective, cross-sectional descriptive study on 94 patients with large cerebral artery occlusion treated at the Stroke Department, Military Hospital 103, from September 2021 to April 2023. Results: Cerebral infarction had atrial fibrillation, the rate of poor collateral circulation was 42.3%, and the average and good collateral circulation rates were 38.5% and 19.2%, respectively; the difference was statistically significant with p < 0.05. The clinical severity (according to Glasgow and NIHSS scores) was higher in the poor collateral circulation group than in the average and good collateral circulation group; the difference was significant with p < 0.05. The rate of patients with mRS from 0 - 2 points in the group of good collateral circulation was 57.9%, poor collateral circulation was 4.3%, and the average collateral circulation was 40.4%; the difference was statistically significant with p < 0.05. Conclusion: Atrial fibrillation, clinical severity, and severe disability were related to collateral circulation in patients with cerebral infarction.