NGHIEN CUU CU CAU VA YEU TO LIEN QUAN CUA BENH DA u l u DIEU TRI N O I TRU TAI KHOA DA LIEU. BENH VIEN DA KHOA KIEN GIANG TlT 2011-2013
PHAM D I I M T H O Y - B$nh viin Ba khoa Kiin Giang
TOMTAT
Muc tidu: Xac djnh ca du va yeu to lien quan bdnh da liiu diiu tri_ ndi trd tai khoa Da lieu, Benh vidn Da khoa Kidn Giang td 2011-2013. Doi tugng vd phuang phdp nghidn cdu: Md ti dt ngang. hii cdu dua tren 479 bdnh nhdn da lieu diiu tri tai khoa. Kit qui: Nhdm bdnh da dj dng chiim cao nhit 22,76%.
zona 18,37%, viy nin 11,09%, HIV 1,26%... Si bdnh nhan giim din nim: 2011:238 benh nhin, 2012:160 bdnh nhdn vi 2013: 81 bdnh nhan. Bdnh phin bima Ida tuii, nam nO tuang duang nhau; benh nhan d Thdnh phi Rgch Gii chiim tp Id cao nhit 43%, tiip din la huydn Chiu Thanh 12,3% va it nhat li huyen dio Phd Quic 0,84%. Kit luan: 3 nim (2011-2013) khoa Da iidu-Bdnh vi&n Da khiia Kien Giang thu dung 479 bdnh nhan da lidu, trong do benh nhan dj Ong nhiiu nhit (22,76%%), tiip din zona (18.3%), vay nin (11,09%); bdnh nhin chd yiu 6 TP. Rach Gii (43%), huydn Chau Thdnh (12,3%) vi giim din theo nSm.
TCr khda: Bdnh nhin da lieu, ca du, yiu ti lidn quan.
SUMMARY
THE STUDY OF STRUCTURE AND RELARED FACTORS OF PATIENTS WITH DERMATO- VENEREOLOGY BOARDING-TREATMENT AT DER.DERMATO-VENEREOLOGY, KIENGIANG HOSPITAL FROM 2011-2013
Objective: To investigate the structure and related fecfors of patients with dermato-venereology at Kiengiang hospital from 2011-2013. Materials and methcxis: 479 patients with dermato-venereology.
Results: patients with allergy 22.76%, zona 18.37%, psoriasis 11.09%. HIV 1.26%. Patients of 2011: 238 patients, 2012: 160 pab'ents, 2013: 81 patients.
Paffente of Rach Gia city: 43%, Chauthanh district:
12.3% and Phuquoc district: 0.84%. Conclusion: In the three years (2011-2013) at department of dermato-venereology- Kiengiang hospital received 479 patients with dermato-venereologic diseases, patients with allergy 22.76%, zona 18.3%, psoriaisis 11.09%; patients of Rach Gia city (43%), Chauthanh district (12.3%) and patients reduced in accordance with year.
Keywords: Patients with dermato-venereology;
structure: related factors.
DAT VAN P ^
Bdnh da lidu r l t hay gdp trong edng dong dan eu ndi Chung, "nieo su phat trien cdng nghiep hod, hien dai hoa cfla d i t nude ta, d c benh lien quan d i n mdi tnidng, lao ddng, san x u l t . . ngay d n g tang. T\ Id bdnh da lieu trong toan dan la 10%-20% va ehilm 1,25%-2% tdng sd bdnh nhan d i l u tri npi tni tai d e bdnh vien da khoa. Theo Nguydn Canh Cau va d n g
su-1994, t f Id mac benh da l i l u d d c ddn vj bd dpi chiem 30%-4b% [1]. DUdng Vdn Khiem va cpng su- 1993 dieu tra n g l u nhien tren 1698 qudn nhdn d nhilu ddn vj khac nhau thu dupc t f Id mae la 52,47%
[3]. Tran Viet Hung-1995 nghien eijflj trdn 630 quan nhdn cho t h i y bdnh ngoai da chilm 46,85% [2].
Nghien cflU cd d u bdnh tdt cfla mdt eong dong, mdt benh vidn. mdt ehuyen khoa la mot vide lam d n thilt, d f nghTa thilt thuc trong d d n g tac t l chflt y t l , edng tae y hoc dU phdng. d n g tac dieu tri eung nhu cdng tac dao tao va nghiSn efliu khoa hpc. Khoa Da lidu, Bdnh vien Da khoa Kidn Giang la mdt chuyen khoa t u y i n cudi efla tinh da d p cflu vd thu dung dieu trj nhieu benh nhdn cfla d e huyen, ^ j gfli ldn hodc bdnh nhdn tU den. De xem xet cd d u bdnh da lilu d i l u trj tai khoa. ehflng tdi tien hanh d l tdi: 'Nghidn cdu ca du va yiu tiliin quan cda benh da lieu PJIU tri ndi trd tai khoa Da lidu, Bdnh vien Da khoa Kidn Giang 0/2011-2013" nham d e mue tieu sau:
1. Xic djnh cd ciu thu dung diSu tri ndi tm tai khoa Da liiu, Bdnh vi$n Da khoa Kien Giang td20li- 2013.
2. Khio sit mdt so yiu to lidn quan.
DOI TUONG VA PHl/ONG P H A P NGHIEN cCfU 1. Ddi tupng nghien c l h j
1.1. DiS tupng
479 benh an cfla bdnh nhdn da l i l u d i l u trj ndi tni tai khoa Da lidu, Benh vien Da khoa Kien Giang tiT 2011 -2013. Tieu d u i n lua chon benh an:
Hd sd, benh an day dfl, rd rang.
Mat benti da dupe chan doan xac djnh.
- l i e u ehuan loai trii:
Benh an khdng dap limg dfl d e tidu d u a n I i ^ chpn
Bdnh khdng phai la mdt benh d a chuyen khoa Da lidu - Di (tng.
1.2. Dia &&n - thdf gian nghien cihi - Dia diem nghien etjTu: Khoa Da lidu. Bdnh vien Da khoa Kien Giang.
- Thdi gian nghien cUu: Tt^ ndm 2011-2013.
2. PhUdng phap nghien ciili 2.1. Thiit ki nghiin ciiu Hdi eUu. md ta d t ngang.
2.2. Miu nghiin ciiu
M l u thuan tien. chpn t i t d bdnh an dfl tieu ehuan dua vao nghien eCru.
2.3. Cic bubt tiin hinh - Chpn bdnh an.
- Ddng k f cho philu dieu tra d e chi sd: Hp va ten.
tudi, gidi. ngay vdo vien, ngay ra vidn, chan doan xae djnh.
- Ma hoa sd benh an vd d c dii' lieu.
Y HOC THVC HANH (950) - S6 2/2015
Nhan xdt: S d lupng benh nhdn da l i l u giam d i n . nhung ty le nam nU hdng nam deu tUdng dUdng nhau vdi p>0,05.
sn
1 2 3 4 5 6 7 S 9 10 11 12 13 14 15 16 17
T&n benh Benh da d| u^g
Zona Vay nfin ThQy dau Lupus ban do
HiV GhS VigmmOtSb^o
Ch&
Hdng ban da dang 86nh da bong nudc
Nam da Vjgm nigu dao
XocOngbi ViSm mach Viem niSm mac migng
Bgnh khdc Tong
n 109
66 56 64 16 6 5 4 2 2 4 2 2 2 1 1 116 479 Nhan xet: Tong s6 thu dung dieu tri npi t nam 479 ca benti. Trong do, benh nhan di ijn t j le cao nhat 22,76%, tiep den^zona 18,37%.
Bang 2: Phan bo benh da iieu theo nam (n STT
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Ten b#nh B^nh da dj i>ng
Zona V5y nSn ThQy dau Lupus ban dd
HiV GhS Viem me te bao
Ch«c it6ng ban da dang Benh da bong nudc
Nam da Viem nieu dao
XocOngbl Viem mach Viem niem mac
mieng Benh khac T6ns
2011 49 46 36 48 6 3 3 2 0 0 0 1 0 2 0 0 41 238
2012 46 24 14 10 4 1 1 1 1 0 4 1 2 0 1 2 50 160
2013 14 18 6 6 5 2 1 1 1 2 0 0 0 0 0 0 25 81
22,76
%
18,37 11,69 13,36 3,13 1,25 1,04 0,84 0,42 0,42 0,84 0,42 0,42 0,42 0,21 0,21 24,20 100%
t j cOa 3 g chiem
=479) Tdng 109 68 56 64 15 6 5 4 2 2 4 2 2 2 1 2 116 479 Nhdn xet: Bdnh da lieu dieu tri npi tru tai Benh vien Oa khoa Kidn Giang giam dan theo hang nam, su khac biet ed f nghTa thdng ke vdi p<0,01.
2. Mdt sd yeu to lien quan ' 2.1. Phin bibenh da liiu theo gidi
B§ng 3: F'hdn b d bdnh da lieu theo gidi (n=479)
• GiOHnh Nam ' NO - Tiinq
P 2011
134 104 238
>0,05 2012
86 74 160
>0,05 2013
46 35 81
>0,05 Tdng
266 213 479
>0,05
Bang 4;
eetjdi
<10 10-19 20-29 30-39 4049 60-59 60-69 2 70 Tmnq blnh
=han bS b i 2011
' n h theo tu 2012 9 1 4 31 49 35 38 32 19 25 40,4±6,9
12 26 32 16 31 12 27 44,3±7,8
oi ddi (n=^
2013 2 6 15 15 to 17 7 9 42,8±8,8
79) J6m
15 49 90 82 64 80 38 61 42.1±7,9 Nhdn xet: Phan b d nhdm tuoi va tuoi tmng binh hang ndm tUong dudng nhau vdi p>0,05.
Bang 5: Phdn b d bdnh da lieu theo dja dU (n=479) Diadu
TP. Ifech Gia Gidng Ridng Vinh Thuen An Bien Kien Luang
Hdn Dat Chau Thinh
Gd Quad An Minh Tan Hiep U Minh Thuong
Pho Qudc Giang Thinh Kien Hii TX. Ha Tien
Tdng 2011
113 12 3 4 4 4 32 15 11 8 12 2 6 8 4 238
2012 61 15 1 16 2 6 21 8 13 2 3 1 6 4 1 160
2013 32 2 2 13 2 10 6 1 5 1 1 1 1 3 1 81
Tdng 206 (43,0%)
29 6 33 8 20 59 (12,3%)
24 29 11 16 4 (0,84%)
13 15 6 479 (100%) Nhan xet: Benh nhan TP. Rach Gia e h i l m nhieu nhat 206/479 bdnh nhdn (43.0%), tiep 6en la huydn Chdu Thanh 59/479 bdnh nhan (12,3%), it nhat ia Phfl Qude 0,84%.
BAN LUAN
1. Co'cSu thu dung didu trj npi trd - Theo k i t qua khao sat ed d u thu dung dilu tri npi tni tai khoa Da lieu, Benh vien Da khoa Kien Giang tU nam 2011-2013 tai bang 1 cho thay nhdm benh dj Ung chiem tf le cao nhat 22,76%, trong dd gap cae bdnh viem da dj Ung, may day... Ket qua cfla ehung toi thap hdn k i t qua efla Vu Thu Trang va d n g su-2012 [4], nghidn cUu eo e l u tCf 2000-2010 tai khoa Da iilu-Di Ung, Bdnh vidn Trung Udng Quan dpi 108 id 30.55% vdi p<0.05. Benh zona qua nghien eUu cfla ehflng tdi chiem 18,37% tUdng duong vdi Vu Thu Trang va cpng su-2012 vdi p>0,05. Bdnh vay nen ehflng tdi gap la 11,69%. ket qua Vu Thu Trang va edng sU-2012 la 10,72%, nhu vay ket qua ehflng toi tiidng duong vdi p>0,05, Bdnh lupus ban dd ehflng toi gap 3,13%. xd cUng bi 0,42%. theo Vu Thu Trang vd d n g SU gap 6.58% cao hdn k i t qua chung toi d f nghTa ttidng ke vdi p<0,05. Do Benh vidn Tmng Udng Quan dpi 108 Id tuyen cudi vd la bdnh vien dde bidt nen d e benh nang dUpe ehuyen len tuyen trdn.
Y HOC THV'C HANH (950) - S6 2/2015
Ket qua tai bang 2 eho thay phan bd benh giam theo hdng nam, cd Id khdng phai do bdnh da Hlu giam ma do benh nhan d i n kham tai benti vien tuyen tinh bj giam. Nguydn nhan giam d nhilu. d the do su kham, chdm sde d i l u t i efla tuyen dudi (huydn, xa) tdt hdn, hodc do benh nhan d i n khdm d c phdng kham t u nhan dupc cham sdc cd ban tdt nen hp khdng di kham tuyin tinh niia. Tim hieu ndi dung ndy chung tdi chua ^ a m khao dupc tdi lieu d n g bd nen khdng d sd lieu de so sanh.
2. Mot so' yeu to' lien quan
K i t qua nghidn eUu d a chung tdi tai bang 3 cho thay t f Id nam nu: den kham tai Benh vidn Da khoa Kien Giang la tUdng dUdng nhau vdi_p>0,05 theo hdng ndm. D i l u ndy ndi Idn benh da iidu d mac d hai gidi.
K i t qua tai bang 4 cho thay tuoi bi benh gap mpi Ilia tudi tUtre 1 tudi eho den tuoi 97.
Ket qua tai bang 5 eho thay benh nhan efla thdnh phd Rach Gia la ddng nhat ehilm 43% tdng sd benh nhan den dieu tri tai Khoa Da iieu-Bdnh vien Da klioa Kidn Giang. D i l u nay ly giai d the d e benh nhan thdnh phd hp quan tdm den benh tat ndi chung vd benh da lilu ndi rieng hdn d e bdnh nhdn d huydn thj.
mdt mdt d the do sU hieu biet v l bdnh tdt cung khac nhau. Chflng tdi khdng tham khao dupe tai lieu edng bd v l ndi dung nay nen khdng ed sd lieu 6e so sdnh.
KS'TLUAN
Qua nghidn CU'U 479 benh nhan benh t^eu trj ndi tru tai khoa Da lidu. Benh vien Da khoa Kidn Giang tU 2011-2013, chflng tdi nit ra mOtsd nh§n xet sau.
1. Cv cdu thu dung didu tri ndi trfl
Co d u bdnh gSp nhdm benh da dj Ung chiem eao nhat 22.76%, zona 18,37%. thfly dau 13,36%, vay nen 11.09%, HIV 1,26%.
Benh d xu hudng gidm dan theo hang ndm:
2011: 238 benh nhan, 2012: 160 benh nhdn va 2013:
81 benh nhdn.
2. Mot so yeu to lien quan
- T f le bdnh nhan nam, nEJf d i l u tri ndi tUdng dUdng nhau, benh phan bd mpi Ifla tudi tU 1 tudi eho d i n 97 tudi.
- Benh nhdn thudc Thanh phd Raeh Gia ehilm tf le eao nhat 43%, tidp den Id huydn Chau Thdnh 12,3% vd it n h i t id huyen dao Phfl Qudc 0,84%.
TAI LI$U THAM KHAO
1. Nguyin Canh Cau. (1994), Tinh hinh benh da lilu trong qudn doi 5 ndm 1985-1969 vd phUdng hUdng phong ehdng, Bdo d o tdm tat Hoi nghj khoa hoc-Hoc vien Qudn y.
2. Tran Viet Hflng. (1995). G6p phin nghien cUu co d u benh ngoai da vd phong bdnh ndm da d mdt sd don vj bp ddi, Ludn vdn ftiae sTy hoe, Hpe vien Qudn y.
3. buong Vdn Khiem, Nguyen Khic Vien. (1992).
Tinh hinh benh ngoai da d e165, f312, Cdng trinh nghien cUu y tioc quan su. Hoe vien Qudn y, 46-49.
4. Vu Thu Trang, Ddng Vdn Em. (2012), NghiSn cCfu cd d u benh dieu trj noi tni tai khoa da lidu-dj ilng, Benti vien Tmrig Udng Qudii ddi 108 tU ndm 2000-2010, tgp chi Y dupc Idm sang 1108, tr.54-60.
5. Nguydn Khie Vidn. (1996), Tinh hinh benh ngoai da d b&nh nhdn ndi tni tai khoa Da lilu. Quan y Vien 103 tCr 6/1993-6/1994, Npi san da lilu. 2, 6-23,
6. Upjotin E, Kelly. J. (2004), Skin diseases in war and peacekeeping, ADF health, 5, USA. 64-68.
THUC TRANG VIEM DUONG HO HAP 0 CONG NHAN CAC NHA MAY XI MANG TAI THAI NGUYEN VA MOT SO YEU TO LIEN QUAN
N G U Y I N CONG H O A N G - Binh viSn Da khoa Trung udng Thii Nguyin
TOM T A T
Di ddnh gia thuc trang bdnh vidm dudng hd hap (VDHH) cda dng nhan sin xuit xi ming khu vuc Thai Nguydn, va mdt so yiu ti lidn quan. Mdt nghiin cdu md ti cit ngang cd phin ti'ch da thi/c hidn tai 5 nhi miy sin xuit xi ming tai Thai Nguydn ndm 2013. Kit thiy tp Id mic bdnh VDHH chung d cdng nhin la 23,9%. Trong dd gSp chd yiu d nhdm 41-50 tuii (36,3%). Tuii nghi gip chd yiu d nhdm 21-25 tuii (40,6%). Bdnh VDHH gip 6 nd (24,0%). nam (23,9%). Ca du bdnh VDHH d dng nhan: benh mui xoang (53,2%^; bdnh vidm phi quin (51,9°/o), bdnh hong, thanh quan:34,1%, bdnh vidm phoi (23,1%), bdnh bui phii (15,4%) va bdnh vi tai:12.7%. Nghidn cdu da phit hidn dugc mdt so yiu to lien quan tdi bdnh VDHH: cdng nhan cd di hinh vach ngdn, c6 cd dia di iJng, bi vidm A, VA man tinh d lien quan lam ting'tpldmicVDHH.
SUMMARY
REAL SITUATION OF RESPIFiATORY TRACT INFECTIONS AT WORKERS IN THE CEMENT PLANT IN THAI NGUYEN AND SOME RELEVANT FACTORS
Objective: To assess the status of respiratory tract infections in cement production workers in Thai Nguyen region and to identify some related factors.
Method: A analytic cross-sectional descriptive study was conducted in 5 cement factories in Thai Nguyen in 2013.
Results: The overall prevalence rate of respiratory tract inactions found in the workers was 23.9%. In which, seen mostiy in age group 41-50 years (36.3%). Regarding an occupational age, the rate of respiratory tract infections mainly occurred in the occupational age of 21-25 years(40.6%). The respiratory trad infedons in women was 24.0% and
Y HOC THUC HANH (950) - S6 2/2015
