TAP CHl Y HOC VigT NAM TAP 459 - THANG 10 - SO 1 - 2017 cd nhieu khd khan, bCTa an thieu nang lu'dng,
leu chat dinh duSng, nen b/ le thira can, beo li rat hiem gap hoac ty le thap.
'. KET LU^N
Trong giai doan tCr 2010 tdi 2016, chieu eao ung binh ciia sinh vien nam Y2 tai thdi die'm )16 ldn hdn khdng dang ke so vdi nam 2010;
lieu eao trung binh cua sinh vien nCi' giu'a hai ldi diem hau nhu" khong khac biet. Chieu cao ung binh ciia sinh vien nam va ntT den tir khu ic thanh phd cao hdn so vdi khu vi/e ndng ton. "HiLTa can, beo phi, thieu nang lu'dng u'dng dien da xuat hien tren sinh vien Y2 dai 3e Y Ha Npi trong giai doan 2010-2016.
Al UEU T H A M KHAO
. Bo Y te- Vien Dinh difSng, Unicef (2010). Tdng dieu tra dinh duSng nam 2009-2010. Nha xuat ban y hoc. Ha Noi.
2. Tr^n Thiet Sdn, Nguyen Doan Tuat, Le Gia Vinh va cs (1993). Mot so dac diem hinh thai va the lu'c ciia sinh vien Y Ha Noi. Tap chi hinh thai hpc; 3(l):19-22.
3. Hoang Thu Soan, Nguyen Van Tu* va Trjnh Xuan Dan (2007). Mot so d§e diem ve hinh thai the luc va dmh du'dng ciia sinh vien Tru'dng Dai hoc Y khoa Thai Nguyen. Tap chi smh ly hoc;llil);42-46.
4. Nguyen Ai Chau, Ph^m Van Phu, Ha Huy Khdi (1997). Tinh trang dinh du'dng ciia sinh vien mot sd trudng dai hoc Y khoa phia Bac. Tap chi y hoc dUph6ng;7(4):54-60.
a. L4 Thj Tuye]t Lan va cong su" (2009). Danh gia tinh trang the lUc ciia thanh nien Viet Nam. Tap ehi y dUdc hoc quan SU; 34(l):18-23.
6. Nurul Huda and Ruzita Ahmad (2010).
Preliminary Survey on Nutritional Status among University Students at Malaysia. Pakistan Journal of Nutrition;9(2): 125-127.
7. Abdelhamid Kerkadi (2003). Evaluation of nutritional status of United Arab Emirates university female students. Emir 1 Agric Sci;15(2):42-50,
TINH TRANG DINH DlTaNG vA BENH MAN T I N H (y NGlTCn T i r 7 5 TUOI T R a LEN TAI P H i r a N G PHiraNG MAI,
QUAN DONG DA, H A N O I N A M 2 0 1 7
Nguyen Thi Quynh*, Lg Thu Hoa**, Nghiem Nguyet Thu*
OM TAT
Nghien culi du'dc thu'c hien vdi 296 ngu'di cao tuoi i 75 tudi trd len, dang sdng tai phu'dng PhUdng Mai, uan Dong Da, Ha Ngi nam 2017. Muc tieu: Mo ta 'nh trang dinh du&ng va benh man tinh d ngu'di td 75 uol trd len tai phUdng Phu'dng Mai, quan Dong Da, ia Noi nam 2017. Ket qua: Da sd doi tu'dng trong ghien cuU co do tudi tiT 75-89 tudi (92,9%). Ti le am/nu': 130/166. Tien sir hut thuoc la gap d 25,7%;
ong rUdu bia gap d 30,1% ngu'di tham gia nghien LTU. Can nang trung binli eiia nhdm nam gidi la 57,1 : 7,8kQ; nliom ni? gidi la 51,6 ± 8,1kg. Chi sd BMI d am va ni? la tu'dng du'dng (nam: 23,3 ± 2,7; nu':
3,6 ± 3,2). Chi sd MNA d nhom nam la 12,7 ± 1,3;
if la 12,8 ± 1,4). Cd 20,9% ngu'di b| thiTa canj beo hi va 4,4% ngu'di gay, thieu dinh dUShg. Benh ly gap ngucfi cao tuoi trong nghien culi la tang huyet ap 59,5%); Benh tim mach (29,7%); Benh xu'dng khdp 28,9%), Dii thao dudng (21,3%); Ro\ loan m9 mau 16,5%)... Kit luan: Khoang 1/3 so ngu'di cao tuoi
•ong nghien cirtj c6 tinh trang thiTa can beo phi, ho3c ay, thieu dinh dUdng. Ngu'di cao tudi c6 nhieu benh ', thu'dng gap nhat la tang huyet ap.
'Benh vien Nong nghiep '* Trudng Dai hoc YHa Ngi '** Vien lao khoa Trung ddng hju trach nhiem chinh: Nguyen Thj Quynh mail: [email protected] gay nhan bai: 11.7.2017 gay phcin bien khoa hoc: 5.9.2017 gay duyet bai: 13.9.2017
SUMMARY
THE NUTRITION STATUS AND CHRONIC DISEASE I N THE ELDERS WHO ARE ABOVE 75 YEARS OLD AT PHUONG MAI WARD, DONG DA
DISTRIC, HA NOI CITY I N THE YEAR 2017 The research has been done on 296 elders who are above 75 years old, these people was living in Phuong Mai ward, Dong Da district. Ha Noi city in 2017. Our targets: Describe the nutrition status and chronic diseases in people who are above 75 years old at Phuong Mai ward, Dong Da district. Ha Noi city in the year 2017. The result: Almost the objects in the study are in the range of age 75-89 (92,9%). The ratio male on felmale 130/166. 25,7% people has pre - history of smocking, drinking alcohol liquid is 30,1%. The average of body weight of the male group is 57,1 ± 7,8 kg and the female group is ± 7,8 kg. The BMI index between male and female is similar (male: 23,3
± 2,7; female: 23,6 ± 3,2). The MNA index of group's male is 12,7 ± 1,3 and female group is (12,8 ± 1,4).
It IS 20.9% over-weight and obese and 4,4% are thin and malnutrition person. The most popular disease in the elder of study is hypertension (69,5%);
cardiovascular diseases (29,7%); muscular skeletal diseases (28,9%); diabetes (21,3%); dyslipidemia (16,5%)..The conclusion: About 1/3 elder in the studv have problem with their nutrition (over weiqht, obesity, thin, malnutrion). The elder has many illness and the most common is hypertension.
VIETNAM MEDICAL JOURNAL N°1 • OCTOBER - 2017
I. DI}J VAN DE
Qua trinh lao hda d ngu'di gia la qua trinh gia hda mdt each he thdng cac cd quan trong cd the, dac tru'ng bdi siT suy giam nghiem trong ve mat ehire nang ca ve sinh ly l l n tri tue, giam kha nang de khang dan den xuat hien tinh trang da benh tat. Dae biet d eac cu tren 75 tudi la doi tu'dng gia va ngu^di gia sdng lau, kha nang mac benh eao hdn va tinh trang phu thude nhieu hdn.
Pliai ke den dau tien la tinh trang dinh duSng cua ngu'di gia, suy dinh duQng ngu'di gia keo theo rat nhieu he luy, la mot trong nhii'ng nguyen nhan gay nen eae benh nhu' tieu chay, benh tim mach... Vi vay, viec nang eao siTc khoe, ddi song tinh than, eting nhu' dam bao cupe sdng cd chat lu'dng tdt, giam thieu tdi da benh tat d ngu'di eao tuoi la mong mudn ciia toan xa hdi ndi Chung, eua nganh y te ndi rieng. Tren cd sd dd, de gdp phan bu'dc dau du'a ra mdt sd net ve che do dinh duSng hdp ly, each an udng dung dan nham muc dfch nang cao siTc khoe ngu'di eao tu6\, Chung tei tien hanh nghien culi de tai nay vdi muc tieu: A/d ta tinh trang dinh dudng va benh man bnh d ngddi td 75 tudi trd len tai phi^ng Phu'dng Mai, quan Ddng Da, Ha Ngi nam 2017.
II. 0 6 l n r p N G VA PHU'aNG PHAP NGHIEN CLTU 2.1. Ddi tu'dng nghien cuXi: Ddi tu'dng nghien edu la cac cu tiT dp tudi tren 75 tudi, sinh sdng tai phu'dng Phu'dng l^ai, quan Ddng Da, Ha Ndi
2.2. Thiet ke nghiin edu: Phu'dng phap nghien culi md ta vdi dieu tra eat ngang.
2.3.Cdmau[l]
n = 7^ P U , - P )
• n: cd mau. Tinh du'dc n= 282 ngu'di
• Z: he so tin cay diTdc lay du^ vao nguang xac suat a. Tinh a = 0,05
• p: ty le thieu nang lu'dng tru'dng dien;
p=24,2 (Pham Thj Tam va cdng siT, 2009)
• e: sal sd mong mudn, e=0,05
• ThiTc te de tai du'dc tien hanh trin 296 ngiTdi cao tudi de dam bao cd mau toi thieu .
2.'I. Cong cu
- Can dien td SECA ed kha nang can du'dc 120 kg va chinh xac den 0,1 kg.
- Thu'de do chieu eao diTng; thu'de SECA oi dp chinh xac 0,lem.
- Dung may do huyet ap thuy ngan bang tay eua Nhat
- Suf dung bo cau hoi du'dc thiet ke va phong van tru'c tiep doi tu'dng nghien culi.
2.5. Xdly sdlleu: Sd dung phan mem phan tic^
sd lieu epidata 3.1, ket qua du'dc trinh bay duS dang tan xuat xuat hien, ty ie % va x" ± SD, Cac test thdng ke sir dung la x^ - test va T- test.
2.6. Dao ddc trong nghien cuXi: Ddi tuWng tham gia du'dc gial thich day dii ve nghien c\i)i.
Ddi tu'dng ky vao ban ddng y tham gia nghleo ciTu. Toan bd thdng tin ca nhan ciia ddi tu'dng du'dc ma hoa va chi sijr dung trong nghien ciAi.
Nghien culi khdng lam anh hu'dng den ldi ich cua ddi tu'dng trong cham sdc siTc khoe.
III. KET QUA
Ket qua du'di day md ta nhifng dac diem chung cua nhdm ddi tu'dng tham gia nghien cihi, cu the la 296 ngu'di eao tuoi ed dp tudi tir 75 tuoi trd len tren dia ban phu'dng Phu'dng Mai, quan Ddng Da, thanh phd Ha Ndi, trong dd co 130 nam va 166 nu".
Bang 3.1. Ddc diem chung cua ddi tddng nghiSn cihi
D | c diem
Ngu'di cao tuoi43,9 56,1
Tien sir hut thude laKhdng TTen siJT udng ru'du bia
Khdng
89 30,1
69,9
Nhin xet: Nhdm ngu'di cd dp tudi tir 75-89 tudi chiem 92,9%. Ti le narn/niJ kha ddng dIu (nam=43,9%; nu'=56,l%). Cd 25,7% ngu'di cd tien siT hiit thuoc la. Ti le cd tien sif udng ru'du bia chiem 3 0 , 1 % so ngu'di tham gia nghien eiru.Bang 3.2. Chi sd nhan trie cua dSi tu'dng nghiSn edu Cac chi so
Can nang
X ±SD 57,2 ± 7,9
NO*
X ±5D 51,6 ± 8,1
Chung
X zfcSD
54,1 ± 8,4
TAP CHl Y HOC VIET NAM TAP 459 - THANG 10 - SO 1 - 2017
Chieu cao BMI MNA
156,6 ± 5,9 23,3 ± 2,7 12,7 ± 1,3
147,6 ± 6,2 23,6 ± 3,2 12,8 ± 1,4
151,6 ± 7,5 23,5 ± 3,0 12,8 ± 1,3
Nhin xet: Nhom nam gidi co can nang trung binh 57,1 ± 7,8 kg, trong khi do can nang trung ih d niJ gidi la 51,6 ± 8,1kg. Chieu eao trung binh d nhiJng ngiTdi eao tuoi la nam gidi la 157,6 ± I em va d nd gidi la 147,6 ± 6,2 cm. Chi so BMI d nam va nii' la tu'dng du'dng (nam:23,3 ± 2,7; nu":,6 ± 3,2. Chi sd MNA (chi so danh gia dinh du'dng tdi thieu) cijng tu'dng ddng giu'a hai nhdm (nam;
,7 ± 1,3; nu": 12,8 ± 1,4).
Bang 3.3. Phin bdty IS tinh trang dinh du'dng cua cae ddi tu'dng nghiSn edu
^ u - "
chi so l<hoi cd the
Beo phi Thu'a can Binh thu'dng
CEDI CEon CEWII
Nam n 1 33 90 5 1 0
%
08 25,4 69,2 3,9 0,8 0Nu' n 5 47 107
4 1 2
%
3,0 28,3 64,5 2,4 0,6 1,2Chung n 6 80 197 9 2 2
%
2,0 27,0 66,6 3,0 0,7 0,7 Nhin xet: Phan Idn ngu'di cao tuoi co tinh trang binh thu'dng (66,6%), co 29,0% ngu'di cao tuoi mg irong tinh trang thda can beo phi. Co 4,4% ngu'di cao tuoi co tinh trang gay, thieu dinh dddng.Ill • l i ,11 R l ^ «-^P i i
Bieu do 3.1. Phan bdty IS ngu'di cao tudi mSc cae benh man tinh Nhanxet'Ty le benh ly gap d ngu'di cao tudi trong nghien ciTu la tang huyet ap (69,5%); Benh Tl mach (29,7%); Benh xu'dng khdp (28,9%), Dai thao du'dng (21,3%); Rdi loan md mau ,6,5%)...Ngoai ra,- cd 9,2% so ngu'di mac cac benh khac chu yeu la^cae benh viem dai trang, tuyen h liet..15,6% sd ngu'di cao tudi tham gia nghien cii'u hien khdng mac benh gi.
r. BAN LUiOLN
Ooi tu'dng ciia nghien cuU la nhii'ng ngu'di cd D tuoi tiT 75 tudi trd len, la nhdm ngydi cd siTc ide va chii'c nang sinh ly cua ed the da bj gia Ja va suy giam. Khdng nhii'ng the, day edn la idm ddi tu'dng ehinh mac cac benh man tinh lu'tang huyiet ap, dai thao du'dng,..day eting la lu^g benh cd lien quan chat che den tinh trang nh duSng cua doi tu'dng. (\lghien cu'u nay du'dc lu'c hien tren 296 ddi tu'dng ngu'di eao tudi cd D'tudi tir 75 tudi trd len thuoc phu'dng Phu'dng ai, quan Ddng Da, thanh phd Ha Npl. Ket qua 10 thSy nhdm ngu'di cao tudi tiT 90-99 tudi
Theo thong ke eiia Bd Y te nam 2015 thi Viet Nam cd 38,7% ty le ngu'di dan hut thude la, trong dd thi ty ie hut thude la d nam gidi chiem 45,3% [ 2 ] , day v i n la mdt ty le kha eao so vdi the gidi. Tuy nhien, trong nghien edu nay chi cd 25,7% sd ngu'di cao tuoi thude ddi tu'dng nghien cull ed tien sd hiit thude la. Su' khac biet nay ed the du'dc giai thi'eh la do nghien ciTu chi thu'c hien tren nhdm doi tu'dng la ngu'di cao tudi tu" 75 tuoi trd len. Ket qua nghien cii'u cd ty le sd ngu'di eao tudi ed the trang binh thu'dng (66,6%) tu'dng tu' vdi nghien eiTu cua Phan VTnh Thjnh tai Lang Ha, Ha Ndi (67,9%) [3]. Trong khi phan bo ty le tinh trang dinh du'dng ciia chimg tdi lai khac so ong nghien culi (7,1%) chiem ty le cao hdn so y^j nghien ciTu cua Nguyen Xuan Tu tai Thanh ii ty le chung cua ca nu'de (6,4%), dieu nay rat Qai, Ha Ndi cho ket qua 45,5% cu cd the trang I hieu do quan Ddng Oa la 1 quan ndi thanhJHa bjnh thu'dng [4].
61 nen nhu'ng ngu'di cao tuoi d day c d ^ d i s d n g chi sd ve BMI la mot chi sd quan trpng de id hdn va du'dc hu'dng eac dich vu y te tot hdn ,janh gia tinh trang dinh dddng ciia ddi tu'dng ) vdi mat bang chung ca nu'de. nghien cij'u. Chi sd BMI trung binh ciia quan the
VIETNAM MEDICAL JOURNAL N°1 - OCTOBER - 2017 nghien cull la 23,5 ( ± 3). Cd the thay khdng cd
nhieu su' ehinh lech ve ehi so BMI d nam va niT (d namla 23,3 ( ± 2,7) va d niT gidi la 23,6 ( ± 3,2). Ddi vdi chi sd MNA (ehi sd danh gia dinh dudng tdi thieu), ed the nhan thay gan nhu"
khdng ed SLT khac biet nao ve ehi so MNA trung binh d hai gidl. MNA trung binh cua quan the nghien eiru la 12,8 ( ± 1,3), trong dd MNA trung binh d nam gidi la 12,7 ( ± 1,3) va d nu" gidi la 12,8 ( ± 1,4). Nhin ciiung, da phan ngu'di cao tudi trong nghien ciTu cd tinh trang binh thu'dng (66,6%), ed 29,0% ngu'di cao tuoi dang trong tinh trang thii^ can beo phi, dac biet trong dd nhii'ng ngu'di d tinh trang beo plii chiem 2,0% (6 ngu'di cd tinh trang beo phi tren tdng sd 296 ngu'di eao tudi tham gia nghien culi). Tuy nhien, chi cd 4.4% ngu'di eao tud'i cd tinh trang gay, thieu dinh du6ng, dac biet nhu'ng ngu'di cd tinh trang CED I I I (qua gay) chiem 0,7% (2 ngu'di tren tong sd 296 ngu'di).
Trong nghien ciTu nay ehiing tdi cae benh man tinh thanh 7 nhdm ehinh bao gdm: tang huyet ap, dai thao du'dng, benh xu'dng khdp, benh hd hap, benh tim mach, rdi loan md mau va eae benh khac. Trung binh mot ngu'di cao tud'i mac 1,8 benh, thap hdn ket qua cua tae gia Pham Thang nghien eiru tai Sdc Sdn, Ha Ndi (2,96 benh nam 2007) [5]. Dieu nay cd the ly giai bdi trong nghien eiTu cua tac gia Pham Thang du'dc tien hanh tai 3 xa thude ba mien Bac Trung Nam cd ket hdp vdi cac bac sy xuong kham benh eho cac cy ngay tai dia phu'dng.
Trong nghien ciili nay, chiing tdi tien hanh tai thanh phd Ha Ndi vd^ phu'dng phap thu thap la phdng van trdc tiep ngu'di eao tudi, vay nen cd the xay ra tru'dng hdp mdt sd eu ehda dddc biet ve tinh trang benh cua minh dan den bao eao chu^
du'dc (^y dil ve mdt sd benh eua ngu'di eao tudi.
Ket qua nghien eiru chi ra rang: ed tdi 69,5%
sd ngu'di eao tudi tham gia nghien ciTu hien mac tang huyet ap, eao nhat trong sd nhu'ng benh man tinh du'dc khao sat, eao hdn kha nhieu so vdi mdt nghien ciTu khac ve tang huyet ap tai ciing dia diem phu'dng Phu'dng Mai, quan Ddng Oa cua tac gia Nguyen Thanh Ngpc nam 2007 [6]. SlT chenh lech ve t / le nay cd the du'dc giai thich do dp tuoi tham gia nghien culi (d nghien ClTu nay la nhulig ngu'di cd dp tudi tir 75 tuoi trd len trong khi vcfi nghien cu'u cua giao su" Nguyen Lin Viet, Hdi Tim Mach Viet Nam thi nghien culi tren nhii'ng ddi tu'dng cd dp tuoi thap hdn nhieu), eung nhu' 2 nghien cdli d 2 thdi diem each xa nhau. Ngoai ra, ty le mac tang huyet ap trong nghien cii'u nay edn eho thay ed SLT khac biet rd rang d hai gidi nam va niT, dieu nay cd
jp
the du'dc giai thich la do cac tae nhan, yeu to nguy cd nhu" thdi quen uong ru'du bia va'ftfit thude la d hai gidi la khac nhau.
Ddi vdi cac benh ve xu'dng khdp, dai Uiao du'dng, tim mach, rdi loan md mau deu eotyle mac tir i 6 % - 3 0 % trong tong quan the nghigii ciTu. Day la nhu'ng benh man tinh thu'dng gapj hau het nhu'ng ngu'di cao tuoi d Viet Nam va tren the gidl, nhij'ng benh nay mot phan nguyen nhin do tudi cao,j:ac chuyen hda sinh ly trong ctJthe suy giam dan den mac benh. Dac biet trong nghien edu nay ed the thay rd sir chenh lech ve ty le mac benh ve xu'dng khdp d 2 gidl nam va nii' (20-3% va 6,7%). SiT chenh lech nay cung du'dc d i cap trong nghien eiTu eiia tae gia Pham Thang - Vien Lao Khoa TW, trong do benh thoai khdp la hay gap nhat, niT chiem ty le 42,2%,so vcli nam gidl chiem ty le 20,8% [5]. Ket qua nayglmg vdi nhieu nghien ciilJ khac ve ty le mac eac biiih ve xu'dng khdp ed lien quan den gidi tinh, trongdd thi gidi nd ed ty le mac cao hdn nam gicfi.
Thira can/ beo phi dang gia tang va trd thanh mdt van de siTc khde d Viet Nam. Day la dau hieu canh bao ve cac benh man tinh khong lay tai cdng dong. Theo sd lieu thdng ke eiia Vien dinh du'dng Viet Nam ve "tinh trang thiTa can beo phi va mpt vai yeu t d lien quan tren toan qudc" thi trong tdng sd hdn 17 nghin ddi tu'dng tham gia nghien eiTu trong dp tuoi tiT 35-64 tai 64 tinh/thanh phd thi ty le thife can/beo plii (BMI > 23) la 16,3%, trong dd t / le tien beo phi la 9,7% va ty le beo phi la 6,6% [7]. Trang khi dd, ddi vdi nghien eiru nay thi ty le sd ngu'di beo phi chi chiem 2 % , 27% so ngu'di cd tinh trang thife can (tien beo phi).
V. KET LUAN
- Tinh trang thieu nang lu'dng tru'dng dien chiem 4,4% tdng sd cae eu, ed 29% ngu'di cao tudi dang trong tinh trang thira can beo phi, dac biet trong dd 2 % du'dc xep vao beo phi thu'c su".
- Chi so BMI trung binh tu'dng du'dng d nhom nam gidi va nu' gidi (23,3 ± 2,7; 23,6 ± 3,2).
- Cd 69,5% ngu'di tham gia nghien cCrti lil&i mac tang huyet ap, ngoal ra cac benh ve xiTdng khdp, dai thao du'dng, tim mach, rdi loan m3 mau cd ty le mac tiT "16% den 30%.
TAI U | U T H A M KHAO
1. Lull Ngoc Hoat, Nghien ciTU khoa hoe y hoc, t^P 1 (2015), Dai hoe y Ha Noi, Nha xuat ban y hpc, tr 126.
z. Global aduH:tDbaco^,GATS_^fldnam_2015_f^dshe*W http:// gkibal. tobaco3fFed<ids.otg lfi\Es/ pdl^en /GWS _vietnam_ 2015_faelsheetpdf Truy cap ngay 27 thang 8 nam 2017.
184
TAP CHl Y HOC VIET NAM TAP 459 - THANG 10 • SO 1 - 2D17 Nguyen XuSn Tii (2004)j^ Tim hieu thUe tran^
dinh dU8ng va tap tinh an uong ciia ngu'di cao tuoi tai xa Tam Hulig, Thanh Oai, Ha Tay, Luan van tdt nghiep bac sy y khoa tru'dng Dai hpc Y Ha Npi.
Phan VTnh Thjnh (2000), ttm hieu tinh trang dinh duSng va tap tinh an uong ciia cac cu cao tudi tai mot phu'dng ngi thanh Ha Noi, Luan van tot nghiep bac sy y khoa triTdng Dai hoc y Ha Noi.
Pham Thang, Tap chi DS&Pf (so 4/2007), Website Tong cue DS-KHHGO.
6. "Cap nh^t ve thu'c tr^ng va mot so yeu to lien quan den tang huyet ap d ngUdi eao tuoi tai phu'dng PhUdng Mai, quan Dong Da, Ha Noi" - 2007 - Nguyen Thanh Ngde, Ta Manh CUdng 7. Vi6n dinh dUSng (2011), "K§t qua dieu tra Thu^
can - beo phi va mot so yeu to lien quan d ngu'di Viet Nam 25-64 tajoi", accessed 08/2016, from http://viendinhduong.vn/news/vi/150/62/a/ket- qua-dieu-tra-thua-can—beo-phi-va-mot-so-yeu-to- lien-quan-o-nguoi-viet"nam-25-64-tuoi.aspx.
NGHIEN CirU DAC DIEM CUA TON THiraNG VIEM PHOI KE TRONG BENH VIEM DA CO TIT M I I N
Nguyen Thi Thoa , Nguyen Thi Phu-ong Thuy 3 M TAT
MMC tieu: 1. Tim hieu dac diem lam sang va can Tl sang cua viem phdi ke trong benh viem da ed ty ien. 2. Khao_sat mdi lien quan ciia viem pho'i ke vdi ot so dac diem lam sang va can lam sang cita benh sm da cd tiT mien. Doi tu'dng va phu'dng phap jjhien cihi: Nghien ciTu tien cufu, mo ta eat ngang
=r\ 67 benh nhan du'dc chan doan viem da cd tU iin, dieu tri tai khoa Cd xu'dng Widp, benh vien Bach ai tiT 8/20i6 den 6/2017^ Ket qua va kSt luin:
3nh hay gap nhat d lufa tuoi tir 40 - 60 tudi vdi ty If '3c benh eiia nU/nam = 1,3/1. Ton thu'dng viem ph6i 5 gap d 37/67 benh nhan (chiem ty le 55,2%), tronj 3, lihutig dae diem lam sang thu'dng hay gap nhat im kho thd (67,6%), ho khan (56,8%), sot (37,8%), lies d phdi (18,9%) va dau ngi/c (16,2%). Khi do lire nang ho hap, 26/37 benh nh§n cd roi loan thdng li ban che, chiem t9 le 70,3%. NhOTig hinh anh ton lUdrig phdi hay gap nhat_^tren phim CT.Seanner phoi Ja cac BN ed viem phoi ke gom day to chii'c ke '5,7%), gian phe quan (1.3,5%) va hinh anh dong pc dang kinh md (5,4%). CT nhdm benh nhan cd ton iiTdng viem phS ke. do tuoi Idn hdn, thdi gian mac 2nh keo dai hdn va ndng do men CK trong huyet ianh tang cao hdn so vdi nhdm BN khong ed viem hoi ke. Tang cac chi so viem trong huyet thanh va nh frang thieu mau cung gap nhieu hdn^ d nhdm
§nh nhan cd viem phoi ke so vdi nhdm benh nhan nong cd viem phoi ke.
Td khoa: Viem da ed t y mien, ton thu'dng vi§m hoi kg, rSi loan thong khi han che.
UMMARY
INTERSTITIAL LUNG DISEASE AMONG PATIENTS W I T H POLYMYOSITIS Objectives: l.To explore the eharaeteristics of inical and sub - clinical of interstitial lung disease in atients witii polymyositis. 2. To determine the S^nh vien Bach Mai
Trddng Dai hgc Y Ha Ngi ^ hiu traeh nhiem ehinh; Nguyen Thj Thoa niail: [email protected] gay nhan bai: 28.7.2017 gay phan bien khoa hoe: 8.9.2017 gay duyet bai: 15.9.2017
association of interstitial lung disease with other eharaetenstics of dinical and sub - clinical polymyositis. Subjects and methods: A cross- sectional study was conducted in 67 patients diagnosed with polymyositis from 8/2016 to 6/2017 at Department of Rheumatology, Bach mai hospital.
Results: The most common disease was in the age group of 40-60 years old with a female/male prevalence of 1,3/1. Interstitial pneumonia was reported in 37 out of 67 patients (55,2%), with the most common dinical features including dyspnea (67,6%), dry cough (56,8%), fever (37,8%), rales (18,9%) and chest pain (15,2%). When measuring respiratory function, 26/37 patients had limited ventilation, accounting for 70,3%. The most common signs from high - resolution computer tomography {CT scan) of patients with interstitial pneumonia were think organization interstitial lung (75,7%), bronchiectasis (13,5%), and blurry opacification (5,4%). In the group of patients with interstitial pneumonia, higher age, longer duration of disease and serum concentrations of serum CK increased more than pabents without interstitial pneumonia.
Increasing serum inflammation and anemia were more common in patients with interstitial pneumonia than in patients without interstitial pneumonia.
Keywords: polymyositis, interstitial pneumonia, limited ventilation.
\. DJSIT VAN OE
Viem da cd du'dc xep vao nhdm benh td mien vdi ton thu'dng ed ban la tinh trang viem man tinh ciia cac bd cd van. Tren lam sang, benh nhan thu'dng cd bleu hien yeu cd viing gde chi ddi xdng hai ben, lam benh nhan di lai khd khan.
Benh gap nhieu hdn d nD' gidi, do tuoi trung nien tir 40 - 50 tudi. Benh cd ton thu'dng d nhieu cd quan khac ngoai ed nhu": hd hap, khdp, tieu hda va tim mach. Nhu'ng ton thu'dng phoi hay gap trong benh viem da ed gdm viem phoi ke, viem phdi do sac, suy hd hap do yeu cae ed hd hap, trong dd viem phoi ke la mdt bien ehiTng thu'dng gap nhat va ed tien lu'dng xau. Khoang 30 - 75%
benh nhan viem da cd cd viem phdi ke va d mdt
