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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 0.05 Duration of illness (week)/(mean ± SD) 13.3 ± 12.7 16.2 ± 16.8 > 0.05 Features p > 0.05 There was no difference between two groups of local hemorrhagic stroke and ischemic stroke in age, sex and duration of illness (p > 0.05, 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 (15.4%) 15 (25.9%) > 0.05 1 (3.8%) 7 (12.1%) > 0.05 Temporal lobes 5(19.2%) 6 (10.3%) > 0.05 Occipital lobe 3 (11.5%) 6 (10.3%) > 0.05 Thalamas 5 (19.2%) 13 (22.5%) > 0.05 Midbrain 8 (30.9%) 11 (18.9%) > 0.05 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 > 0.05, 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) 423.3 ± 114.2 317.2 ± 75.0 0.05 Residual volume after urination (mL) (mean ± SD) 254.1 ± 139.5 130.9 ± 86.3 0.05 Qavg (mL/s) (mean ± SD) 5.9 ± 1.2 5.7 ± 1.6 > 0.05 Bladder compliance (ml/cmH2O) (mean ± SD) 47.2 ± 10.1 24.5± 7.9 0.05 8 (33%) 33 (57%) > .