tailieunhanh - Comparison of urodynamic characteristics in cerebral hemorrhage and ischemic stroke patients at Bach Mai hospital in 2016-2017

Objectives: To compare the urodynamic characteristics of patients with hemorrhagic stroke and those with cerebral ischemic stroke patients at Bachmai Hospital in 2016 - 2017. Subject and method: A descriptive prospective study on 84 stroke patients (26 with hemorrhagic stroke and 58 with local ischemic stroke) meeting inclusion criteriants at Bach Mai hospital in 2016-2017. | Journal of military phrmaco-medicine nO7-2017 COMPARISON OF URODYNAMIC CHARACTERISTICS IN CEREBRAL HEMORRHAGE AND ISCHEMIC STROKE PATIENTS AT BACH MAI HOSPITAL IN 2016 - 2017 Do Dao Vu*; Nguyen Thanh Xuan** SUMMARY Objectives: To compare the urodynamic characteristics of patients with hemorrhagic stroke and those with cerebral ischemic stroke patients at Bachmai Hospital in 2016 - 2017. Subject and method: A descriptive prospective study on 84 stroke patients (26 with hemorrhagic stroke and 58 with local ischemic stroke) meeting inclusion criteria. Results: Urodynamic tests showed that the group of hemorrhagic stroke patients had a higher rate of overactive bladder than that in ischemic stroke patients (p Duration of illness (week)/(mean ± SD) ± ± > Features p > There was no difference between two groups of local hemorrhagic stroke and ischemic stroke in age, sex and duration of illness (p > , χ2 test, Mann - Whitney test). Table 2: Distribution of lesions in cerebral stroke. Lesion location Hemorrhagic stroke (n = 26) Ischemic stroke (n = 58) p 4 () 15 () > 1 () 7 () > Temporal lobes 5() 6 () > Occipital lobe 3 () 6 () > Thalamas 5 () 13 () > Midbrain 8 () 11 () > Frontal lobe Parietal lobes In terms of lesion locations diagnosed by CT/MRI, no difference was found between two groups of local hemorrhagic stroke and ischemic stroke (p > , Fisher exact test). Table 3: Results of urodynamic study in stroke patients. Hemorrhagic stroke (n = 26) Ischemic stroke (n = 58) p Maximum bladder capacity (mL) (mean ± SD) ± ± Residual volume after urination (mL) (mean ± SD) ± ± Qavg (mL/s) (mean ± SD) ± ± > Bladder compliance (ml/cmH2O) (mean ± SD) ± ± 8 (33%) 33 (57%) > .