van ban ehi dgo cy thd do Bd Giao dye va Dao tgo dua ra. Neu khdng cd nh&ng van ban nhu I h l cho rigng hg ago tgo hudng nghd nghigp - Ci'ng dyng thi vide triln khai cgc chuong trinh hudng nghd nghigp - irng dyng d eae trudng v i n se rdt khd khgn. Dd khie phyc tinh trgng nay dCi mudn nhung Bd Y id da g i p nit ehuin bj ban hgnh vgn b i n chi dgo thyc hidn ehuong trinh dgo tgo dua tren ngng iye, bd tidu ehuin ngng Iyc eho egc nggnh nghe, h i so nang iye nghd nghi#p,., Cgc chuin ngy duyc xem nhu la chuin tdi thidu c i n dgt cdn vdl mdi tnrdng se cd phat tridn cgc chuin d l u ra tuung xipng vdi ngng Iyc dgo tgo cOa trudng vg duyc sir dyng Igm eu sd xgy dyng thude do ehung ehIt luyng dgo tao.
Bin lg, mdt sd ehlnh sgch ehung cCia Nhg nudc ddi vdi cgc chuong trinh gigo dye dgi hgc dai tra r l t khdng thich hyp vdi egc ehuung trinh hudng nghd nghigp - Crng dyng, Thi dy nhu, i^nh chuin nggn sgch tai ehinh eua Bd Tgi chinh cho cgc ehuong trinh dgo tao lg qug hgn hep, n l u khdng ed ngudn tgi ehlnh tCr Dy gn se khdng t h i triln khai duoc cgc hogt ddng cua hudng nghd nghidp - i>ng dyng. Vd ehlnh sgch bdi dudng vg sCr dyng ddi ngO giang vidn cDng cd v i n dd Trong khi cge ehuong trinh hudng n g h i nghigp - irng dung ddi hdi ddi ngO gilng vidn phal ed ktdn thirc thye tiln, ed egc ky nSng thyc hgnh vd nghd nghigp, phai cd kmh nghiem thuc t i l n chuygn nggnh it nhit lg 2 ngm thi cgc ehlnli sgch ddi vdi gilng vign dgi hpc d Vigt Nam Igi duyc xgy dyng theo cge tieu t r i " hgn lam", ehi hudng ngudi thdy chgy theo l l y cac hpc vj thac sT, tiln sT, hun la tham gla iam vigc d cge eo sd thye hgnh eham sdc va/hoge igm viee tgi I h y e t d edng ddng. Chlnh sach kdt hyp Vidn - T m d n g van tdn tat song ed rdt nhieu md hinh khd ly giai trong sy phgt triln cge mdi quan hg ngy Vi du vd Tnrdng Dat hpe Y Ha Ndi, trude 2007 khi chua cd Benh vien thuc hanh ciia tnrdng, eo sd thye hanh iam sang, hoc tap kidn thCrc trd thgnh bgc sy cCia Sinh vien Y chu ydu lg egc bgnh vidn Idn nhu Bach Mai, Viet Du'c, Xanhpon, Thanh Nhgn, Bgnh vi^n Nhi TW, Phy-san TW, Phu san Hg Ndi.. Mdi quan hg chi dgo, didu hgnh ra quydt djnh hay theo ddi dgnh gia, de xuat hogn togn khdng duyc van ban hda ma
chi cd nhO'ng thda thuan khdng chlnh thire N l u tinh ra s l PGS, GS khdng phgi can bd eu hCru cua tmdng cOa eae bgnh vign cQng khdng IL Khi ndp hd so dgng ky chCre danh, ddu phgi dam bgo tigu ehuin phdn eCrng phai gidng It nhit theo gid ehuin la 280 gid trong khi dd thi vuyt gid vdi mdt cgn bg giang day chinh eiia nha trudng cdn khd n l u tinh ditng.
Tridn khai dag tgo hudng nghe nghigp - i^ng dyng ddt hdi ddi ngQ gidng vign phdi tryc tidp tham gia vao qua trinh phgt triln chuong trinh va t y chju trach nhidm vdi chuong trinh dg xgy dung. Tuy nhign theo Thdng t u 08/2011/BGDDT ngay 17/2/2011 cOa Bd Giao dye va Dgo tgo quy d|nh dieu kign, hd so, quy trinh md nggnh dgo tgo, dinh chi tuydn sinh, thu hdi quydt dinh md nggnh dgo tgo trinh dd dgi hge, trinh dd cao d i n g thi tmdng mudn t u chu duyc chuong trinli phdi cd duyc (ddi vdl nganh dao tgo) it nhdt 5 tidn sT la giang vidn co hiru. Dgy ig mdt ygu d u rlt khdng thyc id, dgc bigl ddi vdi nhu'ng tmdng dai hpc theo hudng nghi nghigp - irng dyng
K\tU NGH! MpT SO GlAl P H A P
Trong giai dogn s i p tdi, d l thuc hign chi dao d l i mdi gigo dye loan dign tri§t dd, d n phai thao gd nhO'ng vudng m i c , dgc bigt nhO'ng vudng m i e ve mat ehinh sach, khi md rdng ap dyng md hlnh dao tao dua tren nang luc dinh hudng nghd nghiep u'ng dyng trong cgc tmdng Y Viet Nam, Bd Gigo dye vg Dgo tgo va Bd Y td d n triln khai mdt s l cdng vigc sau:
- Thanh Igp don vj/nhdm chuygn gia chuydn trgch phgt tnen chuong trinh gigo dye dua tren nang Iyc dmh hudng nghd nghigp de giiip cgc tnrdng dai hoc xgy dyng ddi ngu cgn bd quan ly va giang vign thgnh thao cdng vigc (xay dyng hd su nghi nghiep, ho so nang lye, thidt k l chuong trinh, td chO'c dao tgo, ddi mdi phuong phap dgy,.,),
- xay dung va ban hgnh d i n g bd hg thong cgc vgn ban phap qui (qui ehd hpe tgp, qui chd hgc sinh sinh vien, quy d i d giang vien,..,) va cgc chd dg chlnh sgch cho ngng hg dao tao dya trgn ngng lye.
- Cho thi didm gp dyng he dgo tao bgc sy dua trdn nang Iyc d mdt sd Tmdng Y tinh nguygn cam kit thyc Ihl ddi mdi togn di$n-trigt d l dao tgo nhan luc y td
NGHIEN Cinj THUC TRANG TRE DAI NAO 0-60 THANG TUOI TAI KHOA PHUC HOI CHUfC NANG - DENH VIEN NHI TRUNG IfONG
TOM T A T :
Bai nio li mdt dang da tdn tit ndng ni dung vj tri hdng diu trong md hlnh tin tdt d tri em. Oac tinh, ty Id mac bgi nio Id 2/1000 trd sinh ra sdng; chiim khoing 30-40% tdng sd tri khuyit t$t [4], [6].
Kit qua nghiin cdu (NC) mo ti cat ngang 74 tre b$i nao 0-60 thdng tudi tai khoa Phijc hdi chdc ning - Bdnh vidn Nhi Tmng wang nam 2012: Tri bai nao nam gip 2,21 lin nw. Hiu hit trd cd cdn nang lOc
PHAM TH| NHUYEN Tru'dng Dai hgc Ky thudt Y te Hii Duxmg sinh td 2kg, tmng dd tre dg/ ndo cd cdn ndng khi sinh ra td 3 kg trd Idn Id cao nhat (47,1%). Tj li tre bgj ndo trong dd tudi 0-12 thdng tudi li cao nhit (32,4%). trong dd tudi 48-60 thing tudi Id thip nhit (5,4%) Tri bai nio li con dau Idng chiim ty Id cao nhit 47,3%. Ty Id tre b^i ndo cd me sinh trd khi tudi td 23-35 li cao nhit 51,4%. Tj Id tre bai nao cd mg Idm nghe ndng li cao nhit (35,1%). Trd mic bgi nao do cic nguydn nhin tmng sinh chiem tj Id cao nhit
Y HpC THV'C HANH (872) - SO 6/2013
(31%), tidp din nguydn nhin sau sinh (29.7%) vd trwdc sinh (16,3%) vi vin cdn ty 1$ cao chwa rd nguydn nhin (22.9%).
Trd bai nio cd cdc diu hidu nh$n biit sdm diin hlnh, tmng dd: diu hiiu trd co cOng chiim tj Id cao nhit (62,1%), tiip din sd tri khdng kiim sodt dwgc diu, cd (54,0%). Tri ch$m phdt tridn (52.7 %) vd trd bgl ndo cd cdc tridu chdng khic kdm theo nhw nghe khd, nhin khd. thay ddi tinh nit. (9.5%).
Tip khod: nghidn cdu, thi/c trang. bai ndo, khoa Phue hit chdc ndng, bdnh vidn, nhi, tmng wang.
SUMMARY:
Cerebml palsy is a form of severe disability has ranked in the top model of disability in children.
Estimated that the incidence of cembml palsy is 2/1000 live births, accounting for about 30-40% of childmn with disabilities [4], [6].
Research msults 74 cmss-sectional descnptive 0- 60 months old childmn with cembml palsy at the Department of Rehabilitation - Hospital of Pediatrics In 2012: Childmn with cembml palsy males than females by 2.21 times. Most children with birth weight of 2kg, In which childmn with cembml palsy fmm birth weight of 3 kg or mom was highest (47.1%). The pementage of childmn with cerebral palsy aged 0-12 months was highest (32.4%). aged 48-60 months was the lowest (5.4%) Children with cembml palsy is the first highest pementage of 47.3%. The prevalence of cerebral palsy childmn bom to mothers aged 23-35 while the highest Is 51 4% The pementage of childmn with cerebral palsy mother fanning is the highest (35.1%). Childmn with cembml palsy causes of birth accounted for the highest pementage (31%), followed by postnatal causes (29.7%) and prenatal (16.3%) and remains unexplained high mte wori<ers (22.9%)
Childmn with cerebral palsy identify eariy signs typical, in which signs of child spasticity highest proportion (62.1%), followed by the number of children not contml the head, neck (54 0%), retarded children (52.7%) and children with cerebml palsy accompanied by other symptoms such as difficulty hearing, hard look, change stmak. (9.5%).
Keywords: msearch and mality, cembml palsy, department of mhabilitation. hospitals, pediatnc centml
DAT V A N o e
"Bai ndo Id nhdm rdi loan thin kinh tmng wang do tdn thwang ndo khdng tiin triin tdc ddng vio cdc giai doan tnrdc, trong, sau kht sinh cho din 5 tudi vdi hdu qui di lai Id nhQng bit thwdng vd v$n ddng, tdm thin, hinh vi vi giic guan" [4]. [5] Trd bai nao khdng t h i vu'i ehoi, hoc tap nhu eae tre khgc, khdng t h i t u chgm sdc ban than vg lg ggnh nang cho gia dinh vg xg hdi [6].
\7]. Ddi vdi tre bgi nao, tuy nao da tdn Ihuong khdng thd trd lai binh thudng nhung phat hi#n sdm - can thidp sdm bing cae bien phap phyc h l i chirc nSng phu hyp se giiip nhieu tre bai nao cd t h i hda nhgp cpng ddng va ddc Igp trong sinh hogt hgng ngay [1], [3] Tgi Bgnh vign Nhi Trung uong da cd nhilu tac gid nghidn ciru v l tre bai nao nhung thyc trgng Ire bai ngo
vg cgc y l u t l nguy co ggy bgt nSo la nhO-ng khia canh v i n chua d u y c quan tSm ddy du nen chitng tdi bin hgnh dd t a i : "Nghign cii'u thyc trgng trd bgi ngo 0-60 thang tudi tgi khoa Phyc hdi ehCre nang - B$nh vi^n Nhi Trung uong", Mye tidu nghign cCi'u:
1. Dinh gii die diim tri b$i ndo tgi khoa Phtfc hdi chirc ning - Bdnh vidn Nhi Trung wang.
2. Md ti cic diu hidu nhdn biit sdm tri bgi ndo tai khoa Phue hdi chuc ning - Bdnh vidn Nhi Tmng uang
DOl TU'ANG VA PHirONG P H A P NGHIEN Cl/U 1. Dja d i l m NC: khoa Phye hdi chCrc ngng - B$nh vign Nhi Trung uong
2. T h & i g i a n N C : n g m 2 0 1 2
3. Ddi t u y n g nghign ciru, 74 tre bgl ngo 0-5 thdng t u l i va duye s y ddng y cua ngudi cham sdc chlnh
Diu hidu chin dodn [4]:
- Chgm phat t r i l n vgn ddng thd: ch^m lly, ngli, bd, quy, dirng, di.
- Cham phat t r i l n van ddng tinh: ky nang su dyng ban tay.
- Chgm phat tndn ky nang giao t i l p vg ngon ng&
(trong 12 thang d l u ) ,
- Cham phat tridn tri tug. chgm tidp thu. hoc kh6 khgn hoac khdng di hgc,
- Lidt cgc ddy t h i n kinh sg ngo: cd thd lae, syp ml, mil. dilc, meo migng..
- cae dau hieu khgc: tre bai ngo ed t h i bj cong vgo cdt sdng, ddng kinh
4. T h i l t kd NC: Md ta d t ngang.
5. c a c bud-e tign hgnh:
- Phin chuan bi: Thidt kd b$ egu hdi, tgp huin d i l u tra vian thCr nghigm bd egu hdi, ehinh sCra bfl eau hdi va in I n bd eau hdi.
- Phan thu thip thdng tin: D i l u tra vien (DTV) Id sinh vien khoa Vgt ly tri li$u / Phue hdi chuc ndng (VLTL/PHCN) - Trudng dgi hge Ky thuat Y t l Hal Duong s u dyng Bd cau hdi d l tthu thap s l ligu dirdi s u t u v i n cua giang vien khoa VLTL/PHCN - Taring dai hge Ky thugt Y td Hai Duung
- Van de d^o d i i c trong nghidn cdu: Cdc thdng tin thu thgp d u y c giCr bi mat Nghidn cuu dupc sy d i n g y eua ngudi eham chinh cua tre Bgi nSo,
- Xw ly so li^u: Sd lidu duyc ma hda vd xi> ly bdng p h i n mdm thdng kg SPSS 16.0. thuat todn dugc dung la thdng kg s6 luyng (n) vg ty Id (%)•
KfeT QUA NGHIEN Cl>U
1. Mdt s d d$c d i l m cua tre bai nao trong nghign CCPU
Bang 1: Ty |g bai nap tlieo qidi:
Sd lupng (n)
Tong
Tyi${%L
31.1 ^ . Nhan x e f Ty 1^ mac bdnh bai nSo ed sy khdc nhau giO-a nam (68,9%) vg nu' (31,1%) trong 66 nam g i p 2.21 l l n nir. Theo mdt sd tai lldu: ty Id nam/nO- \i 1,35/1. Sy khac bidt nay cd the do tinh trang mit cdn bang gidi tinh dang xay ra trong nhirng nam gin ddy ty 10 tre trai nhieu hon trd gai.
Y H Q C T H I / C HANH (872) - SO 6/2013
Bang 2. Phgn bd tre bai ngo theo tudi Thgnq tuli
0 - 1 2
>12-24
>24 - 36
>36-48
>48 - 60 Tonq
n 22 24 15 9
%
29,7 32,4 20.3 12,2 4 5,4 74 100 Nhan xgt: Ty Ig tre bai nao trong dd tudi 0 - 1 2 thang t u l i la cao n h l l (32,4%), trong dd tudi 48-60 thang tudi la thdp n h l l (5,4%)
Bang 3. Phgn bd tre bgi nao theo thCr l u l l n sinh:
Thu' ty lgn sinh Thli' nhit
Thu 2 ThCfS Thi>4 T6ng
n 35 28 9 2
%
47,3 37,8 12.2 2,7 74 1 100 Nhgn xdt: Tre bgi nSo lg con d l u Idng chidm ty Ig cao n h l l 47,3%
Bang 4. Phgn bd tre bgi nSo theo tudi eOa mg khi sinh trd
Tudi cua me khi sinh tre
<23 23-35
>35 Tonq
n 15 38 21 74
%
20,3 51,4 28.3 100 Nhgn xet: Ty ig tre bai nao cd mg sinh tre khi tudi ICr 23-35 lg cao nhit 51,4%
Bang 5. Phgn b l tre bgi ngo lidn quan d i n n g h i nqhiep cua mg
Nghe nghigp C6ng chirc, vi6n chUc
Cdng nhgn Nonq dan Khgc
n 22 14 26 12 T6ng 1 74
%
29,7 18,9 35,1 16,3 100 Nhgn xel: Ty le tre bgi ngo cd me iam nghi ndng lg cao nhdt (35,1%) t h l p nhdt la cgc nghe khge (1 6,3%).
Bang 6. Phgn b l tre bgi nao theo nguydn nhgn trude, tronq vg sau khi sinh
Nguyen nhan Trudc sinh Tronq sinh Sau sinh Chipa ro nguyen nhSn
Tonq
n 12 23 22 17 74
%
16.3 31.0 29,7 30,0 100
Nhgn xdt, Trong cac nguygn nhgn trudc sinh thi ydu td mg bj m i c bgnh trong 3 thgng d l u cua thai ky chidm ty Id eao nhdt (21,6%)
Bgng 8. Phan bd trd bgi ngo theo cac nguygn nhan trong smh
Nhgn xet: Tre m i e bgi nao do cac nguygn nhgn trong sinh chiem ty 1$ cao nhdt (31%), tiep d i n nguyen nhan sau sinh (29,7%) vg trudc sinh (16,3%).
V i n edn ty lg eao ehua rd nguyen nhgn (22,9%).
Bang 7. Phgn bd trd bai ngo theo cac nguydn nhgn tmdc sinh
Nguygn nhgn Me mac benh cam cdm (3 thdng dlu manq that) Rau tign dao
Candi Qau bung keo dgi
06 n 16
01 01 02
%
21,6
1,4 1,4 2,6
Khflng n 58
73 73 72
%
78,4
98,6 98,6 97,2
T6ng n 74
74 74 74
%
IOU
IUU iuu IUU
Nguygn nhgn Tai bign khi
sinh De can thigp
Bk non (< 37 tudn) CSn n|ng thdp
< 2500g Ng^t khi sinh
06 n 01 04 15 20 12
%
1,4 5,4 20,3 27,2 16,2
Kh6nq n 73 71 59 54 62
%
98,6 94,6 79.7 72,8 83,8
TAng n 74 74 74 74 74
%
100 100 100 100 100 Nhgn xgt: Trong egc nguygn nhgn trong sinh thi tre dd ra ed can ngng t h l p chilm ty lg eao nhdt (27,2%),tilp ddn cgc nhdm trd dd non chidm ty Ig (20,3%), tre bj dd nggt (16,2%) va tai bidn khi sinh chidm ty lg thdp nhdt (1,4%)
Bang 9. Phan bd trd bgi nSo theo cge nguydn nhan sau smh,
Nguyen nhSn Vgng da Nhiem tmng (Lao/vigm
m^nq nSo}
Xuat huyet nio, can thi^p san khoa Hep h6p so. teo vo nao
Nao unq thuv 06 n 12 04 03 02 01
%
16,2 5,5 4.1 2,7 1,4
Khonq n 62 70 71 72 73
%
83,8 94.5 95,9 97,3 98,6
Tong n 74 74 74 74 74
%
100 100 100 100 100 Nhgn xet: Trong cac nguyen nhan sau sinh thi so tre b! vang da_chldm ty Id eao nhdt (16.2%), tidp d i n cdc nhdm nhiem trung ngo do lao hogc do vi khuan (5,5%), Xuat huylt nao, can thiep san khoa (4,1%) va nao iing thuy ehidm ly lg thap nhdt (1,4%),
Bang 10. Phgn bd tre bai nao theo cgn nang eua tre khi sinh
CSn n^ng (kg)
n
%
<1.5 04 11,8
1,5-1 2-<2,5
<2 1 03 8,8
03 8,8
2.5-<3 08 23,5
£3 16 47,1
Tong 74 100 Nhgn x6t: Hau het tre ed can nang ICic sinh tCr 2kg, trong dd tre bai nao cd can ngng khi sinh ra tu- 3 kg trd len la cao nhat (47,1%).
2. M6t s d ydu t d nguy e o cua tre bai nao trong nghien cCPu
Bang 11, Cae d l u hieu nhgn b i l l sdm Dau hi|u
BO s^c. Bu kh6 Dau ru xuonq ho^c luon nqOa ra sau
Havqudy kh6c Kho bg am Tre ch^m phat tridn
Oo cu-nq Mgm nheo Dgu higu khdc
n 18 40 30 24 39 46 16 7
%
24.3 54.0 40.5 32,4 52,7 62,1 21,6 9,5 Nhan xet, Trong cac tneu chu'ng cua tre bgi nao thi dau hieu trd co ci>ng chilm ty Id cao nhdt (62,1%).
t i l p d i n so Ire khdng kidm sogt duyc d l u , co (54,0%), Tre cham phat triln (52,7 %).
Y HOC THlTC HANH (872) - SO 6/2013
BAN LUAN
1. Mdt s d dgc d i l m cua trg bgi ngo trong nghign eii'u
Trd bgi ngo nam nhilu hun nO', trong dd nam gdp 2,21 ldn no-. Theo mdt sd tgi ligu: ty Id namind \d 1,35/1, Sy khgc bigt ngy cd t h i do tinh trgng mdt cgn bdng gidi Hnh dang xdy ra trong nhO'ng ngm g i n day ty Id trd trai nhilu hun tre gai Hau hdt trd ed edn nang liic sinh tir 2kg, trong dd trd bgl ngo cd cgn n^ng khi sinh ra tCr 3 kg trd lgn lg cao nhit (47,1%) [1], [2],
Ty Id trd bgi nao trong dd tudi 0 - 1 2 thang l u l l la cao nhit (32,4%), trong dd t u l i 46-60 thgng t u l i lg t h l p nhit (5,4%) K i t q u i eho t h l y thdng tin y hpe duye phd b i l n rdng r3i, nhgn thuc cua ngudi dan nang cao, do dd bai nao duye phat hi$n tCr r i t sdm,
Tre bgi nao la con ddu Idng ehidm ty Id eao n h l l 47,3% Ty Id tre bgi nao cd mg sinh trd khi tudi ICr 23- 35 lg cao nhdt 51,4% vg mg Igm nghd ndng la cao n h l l (35,1%). Kdt q u i nay kha phij hyp vdi cae tai lidu va ege d l tgi dg cdng bd [1], [4].
Trd bgi nao do eae nguydn nhan trong sinh chilm ty lg eao nhdt (31%), tidp ddn sau khi sinh (29,7%), trudc sinh (16,3%) va ehua rd nguygn nhgn (22,9%).
K i t qua ngy khg phu hyp vdi eae tgi ligu vg cae dd tgi d a e d n g b l [ 1 ] , [2].
Phgn b l ty 1$ theo nguyen nhgn: Trudc khi sinh' y l u t l me bj m i c bgnh trong 3 thgng d l u eCia thai ky ehilm ty lg eao nhat (21,6%); Trong khi sinh- Ire de ra ed can nang thdp ehiem ty le cao nhdt (27,2%), t i l p den cae nhdm Ire de non ehidm ty le (20,3%), tre bj de nggt (16,2%) va tai bidn khi sinh ehidm ty lg t h l p nhat (1,4%), Sau khi smh thi sd Ire bi vgng da chilm ty lg cao nhat (16,2%), t i l p ddn cgc nhdm nhilm trimg nao do lao hogc do vi khuan (5,5%), X u l t huylt nao, can thigp san khoa (4,1%) vg ngo Ong thuy chilm ty Ig thap nhat (1.4%).
2. Mdt Sd y l u t d nguy co> ciJa tre bai nao trong nghien CO'U
Trong cgc tneu chi>ng cCia trd bai nao thi ddu hieu tre
CO cimg chidm ty 1$ cao nhit (62,1%), £ l p 3^ s6 tre khdng kilm soat duyc d l u , d (54,0%), Tre chgm phdt triln (52,7 %) va trd bgi nao cd cgc tridu chCrng khdc kfem theo nhu nghe khd, nhin khd, thay d l i tinh nk. (9,5%).
K £ T LUAN
Kdt quS nghidn cCru 74 trd bgi nao tir o-60 thdng t u i i tgi khoa Phyc h l i ehirc nang -B0nh vign Nhi Taing uong nSm 2012 Tre bgi nSo nam g i p 2,21 lln nO", Hdu h i t trd cd can ngng lOc sinh thap, tre du'pc phat hidn b$nh kha sdm, thgm chi tCr 0 - 12 thdng l u l l . Gdn mdt nua lg eon d l u idng, Trd m i e bai nao do egc nguygn nhdn trong sinh ehiem ty id eao nhit (31%), tiep ddn nguygn nhan sau sinh, trude sinh vd edn ty Ig cao ehua rd nguydn nhgn.
Trong ege tridu ehCrng cua trd bgl nao thi d4u hi$ij tre CO eung ehidm ty 1$ cao nhdt, tidp d i n s l tre khdng k i l m sogt d u y e d l u , cd. Trd chgm phdt triln vg trd bgi nao ed cge tridu ehCrng khae kdm theo nhir nghe khd, nhin khd, thay ddi tinh ndt. (9,5%).
TAI L l f U THAM K H A O
1, Trin Thj Thu Hg (2002), "Nghien cdu mdtsd <3§c diim dich ti. Idm sdng vd nhu ciu phue hdi chdc n5ng4 trd bai ndo", Lugn an Tidn sy Y hgc, Trudng Dgi hpc Y Hg NOi.
2, Trdn Trpng Hai (1993), "Bgi ndo vd phue hoi chirc nang". NXB y hgc, 1993, trang 7, 8,10. 64.
3, Trdn Trpng Hai (1990), 'PHCN dua vao cOng^
ddng", NXB gido dye, trang 70, 71. 78.
4, Phgm Thi Nhuyen (2011), 'Gido trinh host A ligu". Trudng Dgi hpc Ky thugt Y te Hai Duong,
^ 5. Werner D. (1992), "Phue hdi tre tdn tdt (g; c ^ ddng", Hg Ndi, nhg xult ban Y hge 1992, chuong 56Jr
685-708. a 6, Werner D. (1987), 'Disabled Village Childrm, A
guide community health iwrfcers, mhabilitaSon workers, and families". First Edition, May, 1987. Part 2, pp.401-52Z
7. Dunin WD, Reweeka TK, Milewska BB (2000).
"Risk factors for cembml palsy in very /ow-6/rt/Jwe^
infants in the 1980-1990". J Child Neurol, United States, 15(6), pp.417-420
KET QUA DIEU TRj U NGUYEN BAD NUOI NGUY 0 0 THAP BANG METHOTREXAT HAM LirarNG 15MG TAI BENH VIEN PHU SAN TRUNG UUNG
TOM T A T :
Muc tidu: dinh gid hidu qud diiu tri bdnh u nguydn bio nudi nguy ca thip bing methotrexate hdm Iwang 15mg vi nhdn xdt tdc dung khdng mong mudn tat B$nh vidn Phu sdn Trung trang ndm 2008- 2010. Phwang phdp: nghien cdu md ti vi hdi cwu Ket qua: ty lg khdi bdnh diiu tn MTX 15 mg li 92,5%, ty Id thit bgi Id 7.5%. Ty Id khdi bgnh tmng bdnh UTNBN Id 97%, trong binh CTXL li 89,2%. Tj Id bit midng 10,5%, tj H giam bach ciu 10,5%, ty Id viem gan 11.9%. Kit ludn: kit qui diiu tri bdnh u
L g HOAl CHl/ONG Benh vl$n Phu sin Trung uvng nguydn bdo nudi nguy co thip bing MTX him lugk 15mg cd ty Id khdi bdnh cao vi it tic di^ng khdng mong mudn
Tip khda: ung thw nguydn bio nudi. chda ir^9 xdm lin
Effectiveness of treatment low risk of Gestational Trophoblastic Diseases by IStns methotrexate at National Hospital of Obstetiic flnrf Gynecology.
SUMMARY:
Objective: Evaluate the effectiveness ol
Y HQC T H V C HANH (872) - SO 6/2013
