Sa sút trí tuệ sau đột quỵ: Nguyên nhân, dấu hiệu và cách phòng ngừa



 !"#$%&%#'!(



#)*+,'

 !"

#$%#&'##("##)*+,#-

$%#..(/"##0*(-"#)

*#&



#$-./0/

1'"1+2123/!,4&

5,!!,4&

13)&4-42Tng snhi máu não ñưcñưa vào nghiên cu này là 74 bnh nhân. Trong sut

thi gian ñiu tr, chúng tôi thu thp tòan b d liu v dch t hc, nhng yu t nguy cơ mch máu, bnh

cnh ñt qu, tình trng thn kinh. Mi bnh nhân ñu ñưc kim tra v tâm thn kinh hc qua các test:

MMSE, IST, ZCT, 4-IADL. '0#067189"sa sút trí tê 

#0:8:61$8;<:&'0 #"#$%#=#0>#+#

#?@A&

1567/8'*2BTn s sa4làCDE(#4CF&CE(

4FGE&CNgòai tui và trình ñ hc vn thp, hai lai yu t nguy cơ có liên quan

mt thit ñn sa sút trí tê sau ñt qu là (a): yu t nguy cơ mch máu: cao huyt áp, ñái tháo ñưng , hút

thuc lá , thiu máu cơ tim, xơ va ñng mch và (b): nhng yu t nguy cơ ñt qu: khó nói, ñt qu trưc

ñó, nhi máu bán cu trái, nhi máu não nhiu , bnh lý mch máu nh, nhi máu não l khuyt và nhi

máu não vùng chin lưc.

Kt lun: Tn sut ca sa sút trí tê sau ñt qu nhi máu não trong vòng 3tháng ñu là ¼. Nhng yu t

nguy cơ d ñóan ñc lp cho sa sút trí tê sau ñt qu bao gm: tui, trình ñ hc vn thp, và nhng yu t

nguy cơ ca ñt qu . Nhng yu t nguy cơ mch máu liên quan ñn sa sút trí tê sau ñt qu như ñã k

trên là nhng yu t nguy cơ có th ñiu tr ñưc. Phòng nga, chn ñóan và ñiu tr sm là quan trng.

Abstract:

1-Purpose:

-Study the prequency of poststroke dementia (PSD)

- Identify the predictors of PSD.

2-Methods:

-A total of 74 consecutive patients with ischemic stroke were enrolled in this study. During admission, the

demographic data, vascular risk factors,

stroke features and neurological status information were colleted.

All subjects were examined by a set of neuropsychological tests: MMSE, IST, ZCT, 4-IADL, at first and

3months after stroke.

Diagnotic Dementia was classified according to DSM-IV and Vascular Dementia was classified according to

NINDS-AIREN. Differential diagnosis with Alzheimer’s disease was determined by a modified Hachinski

scale.

3- Results:

(1) The frequency of poststroke dementia was 27%, that of stroke related dementia was 25.2%, and that of

dementia after first – ever stroke was 50%.

(2) In addition to age, and low educational level, two types of risk factors show a close relationship with

poststroke dementia :(a) vascular risk factors such as: hypertention, hyperlipidemia, diabetes mellitus,

smoking, myocardial ischemic, atherosclerosis, (b) stroke risk factors such as: dysphasia, prior stroke, left

cerebral infarctions, multiple stroke lesions, small vessell lesions, lacunar infarctions, strategic infarctions.

4-Conclusions:

The frequency of dementia is about one in four for patients with ischemic stroke, 3 months after stroke.

Indepent predictors of poststroke dementia include: age, low educational level and stroke risk factors. The

vascular risk factors related to post stroke dementia can be treated. Prevention , early diagnosis and

treatment are very important.

#3)&4-4

17,(.&

1H!+I, H&

13###JKGF1BCKGL&

96%'1':+3;<$

1'#-4#*)4#**0I)

"/,&

1''3"K7;8I)0""),#0&

1MNOBF#0&

13,#0 út tr í tu 67189"-#0:8:61

$8;<:&

1>#+##?@A&

13#,PMMSE, IST, ZCT, 4-IADL.

96%'1':=$"9/>3<

1Q!!*&

1R#R+S*("#*('3:(T!

# (#!UBCVW&

13, #&

1M#,),,!"##+#0&

#?(&@1-1A967+$B1=B4C

30#XLF"≥LF

3/"!2 G1F( L1J( @BG&

Y4)Z+#!+!+###! (#CP#(/,

0I)0#(")(,4&:#*0!'37;8

+!I!!&'0R! #R##1'<!

Z!+!#Z/!&'00#!*R0

2RI"*(,2T+!! (#&

Y#0#!4 ,#(#("#!(#4(4 (

!!,4'>$(Y#(Z(:33!(#(!(I*

(;['>[H(!!4#+&

'#0,!!2

1'! 2>$@BPGKJG>+##)'>$

1Y#2!@BB&BK[(>$B'&L(FE+#R

8#!!!

1Q*#6 ,,I"*&

1;['>[H2'@F&LK[([6[@A&PK[(3M@B&\\K[&

#-/96B;<1:+$-D'-//>2/'6B

'033R"#0267189

 ( 9 89 ##( :8:61$8;<:  : #R# U ]  :#

8#]:#6#RR+:8:61

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$8;<:("#0>$'>8:58&

Y#33" #R"77<(83(^'3(P18$6[&

1D'-//>2/'6B ."1.-'96)Z #   '# &(BJJC_

;&BJJABB(AP0R4"0+R4&

43##BJJP(&H#`[(BJJDPB(PC(AG&

1D'-//>2/'6BD'+$B/8'EH+16#2)ZI,

#"#4&5 ##0#!#4H#`[(BJJD

AG&

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I,46R"#R>CGGPBA&

#567/8'*

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#*#U,B&32#0/77<bBJ&\(83XCA(^'3

XBA"K@A\#&P18$6[/\&AF&3#083XCJ!!R

&

3DP+,CG+CDE(PP)

(F L&\E960

 (4H6CGCDE(#4;6BJCF&CE(

4ADFGE(BGBA&FEU,C

U,A2!!"R)0#*"+

!0#("!! R# BG"## #!!&

U,P2!!#*C(#!(#!!

 "#+(

#! (!#T# #R(I"*(#!#(!(4

,+0&

cd,F,4+! "#+#(4(#*

#(#*#00+!0(0"#!(#!.&

U,L2")0,"#!(#0#"#!"0

"##!!,&

U,D2'")0"#!20#0"##"#"

#! !# &

F#$D-1-1/&+96:.+-&9-&93!G$-.DD'-//>2/'6B;<H$%&DD'-//>2/'6B







27.4 26.7

18.9

30.6 27.9

18.2

0.3 2.3

8.35

MMSE IST 4-IADL

5$%& $-&' 1) 







&+96:.I



J

/3)<&

KFL+96:. MLN&9% *9



G#%=$"9



6.8

27 25.2

13.5

5$%&



O O O $-&'



3-D(1/6:$"1



12.2

37.8

16.4

9.5

33.8

'$:9MPQ KFR 3!

5$%& 





S#-1 67'/$7&' 1)."1.-'



24.3 12.2

8.1 10.8

2.7 4.1

60.8

39.2

24.3 28.4

18.9

5.4 9.5

5$%& 

-1

$ TT  ??

'$71=- UO '&@ $.$1 D/69



Q#-1+V1+96:.1'*+$B/8'E







5.4

25.7

12.2

1.4

38.8

23.2

28.4

5$%& 

?ððW

5$-$-9 ?WFT, ?WGT, -1,' 9A-1,'



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