TAP CHi Y HOC VIET NAM TAP 459 - THANG 10 - SO 2 - 2017 tiiap nhat la t i le TKX tru'dng lUCS Hoang Van
Tliu chiem 26,7%. Ti le TKX d khoi Idp 9 chiem 42,1%; khoi Idp 8 chiem 38,6% va thap nhat la khoi 6 chiem 27,0%, su" khac biet ve TKX 6 cac khoi Idp CO y nghTa thong ke (p < 0,05). Ti le TKX d nu" (38,0%) cao hdn nam (31,6%), c6 ^ nghTa thong ke vdi p < 0,05. Ti le TKX da deo kinh tir tru'dc la 28,8%. Ti le TKX d mat phai chiem 33,2%, cao hdn mat trai (32,0%). Viec day manii truyen thong giao due sire khoe sdm cho hpc sinh trung hpc cd s6 6 thanh pho Thai Nguyen ve phong chong TKX la can thiet.
TAI LIEU T H A M K H A O
1 . Npuyin Kim Bac (2013), Danh gia tinh hinh mic tat Idiuc xa d mgt_ so trudng tieu hoc, trung hoc cd sd, tjvng hoc pho thong d mot sohuyen va hanh phoHai Duhng, De tai Khoa hoc cong nghe cap tinh, Sd Khoa hoc va cong nghe tinh Hai Du'Ong.
i. Dinh M^iih Cu'dng, Nguyin Du<c Anh (2017), 'Thi/c trang tat khuc xa ciia hoc sinh Trung hoc cO
sd va dich vu cham soc tat khuc xa d tinh Bac Kan nam 2014-2015", Tap ehiYhoc d'dphong, 27 (1), U. 161-164.
3. Nguyen Viet Giap, Dd NhU Hdn (2014), "Dii§u tra djch te hoc tat khuc xa d hoc sinh tai tinh Ba Rja Vung Tau nam 2013", Ky yeu Hoi nghi Nhan khoa toan quoc 2014, tr. 2-6.
4. Hoang Hu'u Khoi, Vo Van Thang, Hoang Ngpc Chu'dng (2016), "Nghien cu'u tinh hinh tat khiic xa va cac yeu to lien quan d hoc sinh trung hoc cd sd tren dia ban thanh pho Da rJIng", Tap chi Y hoc thi/e hanh.
3. Hoang Van Linh (2009), Bao cao tong ket de tai: Nghien ciiV thdc trang tat khuc xa va mot sd yeu to nguy cd d hoc sinh pho thong tinh Bac Kan, De tai khoa hoc cap tinh, Sd Y te Bac Kan.
6. Davles L.N. and Mallen E.A. (2009), "Influence of accommodation and refractive status on the peripheral refractive profile", Br 3 Ophthalmol, 93 (9), pp. 1186-1190.
7. Goldschmidt E. and Jacobsen N. (2014), "G^et'c and environmental effects on myopia development and progression". Eye, 28 (2), pp. 126-133.
PHAN BO BENH HO HAP 6" TRi D i r a i 5 TUOI TAI BENH VIEN NHI HAI DITONG NAM 2 0 1 5
T O M TAT
Muc tieu: Nghien culi^nham mo ta phan bo benh ho ha|3 d tre em dudi 5 tuoi tai khoa H6 hap Benh vien Nhi Hai Du'dng nam 2015. f>6i tu'dng va phu'dng phap nghien cu'u: Doi tu'dng gom 418 tre <5 tuoi mac NKHHC. Phu'dng phap nghien ciru mo ta cat ngang. Ket qua va ket Iuan: Nhiem khuan^dudng ho hap du'di chiem da so 69,6%, nhiem khuan ho hjip tren hay g|p d tre 5 tuoi (52,2%) trong khi do nhiem khuan ho hap di^di hay gap d tre du'di 1 tuoi 78,7%.
Tre trai mSc nhiem khuan ho hap diTdi 72,9% nhieu hdn tre gai, trong khi do tre gai mac nhiem khuan ho h ^ tren^ta 35,9_% nhieu hdn tre trai. Tre 6 nong thon mac nhiem khuan ho hap du'di 71,5% la chii yeu trong khi do tre gai d thanh pho mac nhiem khuan ho hap tren nhieu hdn tre trai.Viem phoi (36,1%), viem phe quan (23,9%), viem hong (17^9%), va viem amidal (6,9%) la cac benh nhiern^ khuan_^h6 hap cap gap vdi ty le cao nhat. Doi vdi nhilm khuan ho hap tren, viem amidal va viem hong la benh pho bien 6 cac lira tuoi, pho bien c( ca 2 g,idi va cung pho bien 6 vung nong thon. Ooi vdi nhiem khuari ho hap du'di, viem phe quan pho bien d cac do tuoi nhuhg viem phoi lai pho bien d 1 tuoi (72,2%) va 2 tuoi (13,2%). Tre trai mac
*Trudng Dai hpc Y Dddc Hal Phong
**Benh vien Viet Tiep Hal Phong Oiju trach nhiem diinh: Pham Van Trung Email: [email protected] Ngay nhan bai: 15/6/2017 Ngay phan bien khoa hoc: 7/8/2017 Ngay duyet bai; 12/9/2017
Dang Van Chii-c*, Pham Van Trung**
nhieu hdn tre gai tat ca cac benh nhiem khuan ho hap di/i5i, tre d^nong thon mac cac benh nhiem khuan ho hap du'di deu cao hdn c6 y nghTa so vdi tre em viing thanh pho.
Tij" khoa: Nhiem khuan ho hap cap, viem ph6i, viem du'dng ho hap tren, viem du'dng ho hap du'di.
SUMMARY
THE DISTRIBUTION OF RESPIRATORY INFECTION I N CHILDREN UNDER 5 YEARS AT
HAIDUONG PEDIATRIC HOSPITAL I N 2015 Objectives: The study was conducted to describe the distribution of respiratory diseases in children under 5 years at Haiduong Pediatnc Hospital in 2015.
Population and method: The population included 418 children <5 years old with acute respiratory infection (ARI). The method was descriptive and cross - sectional study. Results and conclusions: The majority of children affected lower respiratory infection 69.6%, upper respiratory infection encountered in less than 5 (52.2%) while lower respiratory infection common in less than 1 (78.7%).
More males affected ARI than females (72.9% versus 35,9%. Children in rural area affected more lower respiratory infection (71.6%). Pneumonia (36.1%), bronchitis (23.9%), sore throat{17.9%), and tonsillitis (6.9%) were the diseases with highest rate. For upper respiratory infection, tonsillitis, and sore throat were common in all age group, in both sex, and in both rural and urban area. For lower respiratory infection, bronchitis was common in all age group but pneumonia in children less than 1 (72.2%) and (13.2%). More males affected all lower respiratory
VIETNAM MEDICAL JOURNAL N°2 - OCTOBER - 2017 infections, in children in both rural and urban area.
Keywords. Acute Respiratory Infection, Pneumonia, Upper Respiratory Tract Infection, Lower Respiratory Tr^ct Infection.
I. OyBkT VAN OE
Tlieo To chirc Y te the gidi (TCYTTG) [1956], qua bao cao ciia nhieu quoc gia thi nhiem khuan ho hap cap tinh (NKHHCT) la benh c6 ti le mac va ty le td vong cao nhat d tre du'di 5 tuoi, trong do khoang 90% tru'dng hdp tir vong la d cae nu'dc dang phat trien. Nam 1982 TCYTTG da xay ddng chu'dng trinh phong chong NKHHCT d tre em nham muc tieu lam giam tOr vong do benh nay gay ra, trong do chii yeu la do viem phoi (VP). N6i dung cua chu'dng trinh la lam sao phat hien tre bj NKHHCT sdm, ngay tai nha va de tre du'dc du:a den cd sd y te (CSYT) sdm, du'dc chii^
tri sdm. Cung theo chu'dng trinh nay can bp y te cung du'dc huan luyen cae ky nang phat hien va xd tri benh theo phac do. Viec truyen thong cho ngu'di cham soc tre la vo ciing quan trpng.
Benh vien Nhi Hai Du'dng la benh vien mdi thanh lap mo hinh benh tat chung va tai khoa Ho hap con chu'a du'dc quan tam nghien ciru. Do vay chiing toi tien hanh nghien cii'u nay nham muc tieu: Mo ta phan bo benh nhiem khuan ho hap d tre du'di 5 tuoi te/ khoa Ho hap Benh vien Nhi Hai Du'dng nam 2015.
II. DOI TUpNG VA PHU'CnMG PHAP NGHIEN CUU 2 . 1 . Ooi tu'dng, dja diem va thdi gian nghien cu'u: Tat ca tre tir khi mdi sinh den du'di
< 5 tuoi vao dieu trj tai khoa Ho hap Benh vien Nhi Hai Du'dng tir thang 3 den thang 8/2015.
2.2. Phu'dng phap nghien cu'u 2.2.1. Thiet ke va cd mau nghien cihi: Mo ta cat ngang. C3 mau bao gom 384 fre du'crt 5 tuoi dieu trj tai khoa Ho hap Benh vien Nhi Hai Du'dng.
2.2.2. Qua trinh chon mau: Chon mau thuan tien. Tat ca benh nhan vao dieu tri tai khoa Ho hap ciia Benh vien Hal Du'dng cd do
tuoi til" 0-< 5 du'dc d u ^ vao nghien ciru.Thdi gian chon mau nghien ciru tir thang 3 den thang 8 nam 2015.
2.2.3. Noi dung nghien cihi 2.2.3.1. Phan loai nhiem khuan ho hap cap d tre dddi 5 tuoi: Viem du'dng ho hap tren gom; viem miii, hong, viem VA, amidal, viem xoang, viem tai giife, viem xu'dng chum... Viem du'dng ho hap ddd\
gom viem thanh quan, khi phe quan, viem phoi, viem mang phoi viem tieu phe quan.
2.2.3.2. Phan loai nhiem khuan theo IMG gom: Tre dudi 2 thang c6 3 phan loai: Khong viem phoi/ho hoac cam lanh, viem phoi nang, viem phoi rat nang/benh rat nang
- Tre tir 2 thang tuoi den du'di 5 tuoi c6 3 phan loai: Khong viem phoi/ho hoac cam lanh, viem phoi, viem phoi nang/viem phoi rat nang.
2.2.4. Chi so va bien so nghien cthi -Tuoi, gidi, dja ddtre
- Ty le cac benh nhiem khuan ho hap theo vj tri giai phau, theo tuoi, gidi, dja du'
- Mo hinh bfflih nhilm khuan ho hap: tren va dd&
- Phan bo nhiem khuan ho hap tren theo tuoi, gidi, dia du'
- Phan loai nhiem khuan ho hap dirdi theo tuoi, gidi, dja du*
2.2.5. Xir ly so lieu: Diing phan mem SPSS de xd ly so lieu. Tinh ty le phan tram, so sanh 2 so phan tram, eo su' kliac nhau khi p<0,05 bang testx'.
III. KET QUA NGHIEN CU'U
Trong thdi gian nghien ciru chung toi thu dUdc 418 tre du'di 5 tuoi vao nghien cii'u trong do tre <12 chiem 4 7 , 1 % , 12-<12 thang 22,7%, 24-<36 thang 10,8%, 36-<48 thang chiem 8,4%
va 48-<60 chiem 11,0%. Tre trai chiem 62,7%
va gai 37,3%. Tre tir nong thon chiem 69,7%, tir thanh pho 29,7% va ndi khac chiem 1,2%.
Nhiem khuan ho hap du'di chiem ty le 69,6% cao hdn ho hap tren 30,4%.
Bang 3.1. Phan bdbenh nhiem khuan hd hap theo tuoi Benh
Tuoi
<12thang 12-<24 thanq 24-<36 thang 36-<48 thanq 48-<60 thanq
Tong Nhan xet: Nhin
NKHHT n 42 32 17 12 24 127 chung benh
21,3
%
33,7 37,8 34,3 52,2 30,4 NKHHT chien
NKHHD n 155
63 28 23 22 283 n 30,4%, NK
78,7
%
66,3 64,2 65,7 47,8 67,7 IHD 69,6%.
Tong 197
95 45 35 46 4 1 8 Doi vcli NKHH
P
<0,05
T nhom 5 tub!
chiem ty le cao nhat 52,2%,' nhom thap nhat dirdi 12 thang chiem 21,3%. Ooi vSi NKHHD, nhoiti du'di 1 tuoi chiem ty le cao nhat 78,7% va nhom c6 ty le thap nhat la nhom 5 tuoi 47,8%.
TAP CHI Y HOC VIET HAM TAP 459 - THANG 10 - SO 2 - 2017
Bang 3.2. Phan bdbenh nhiem khuan ho hap theo gidi Benh
Gi6i Trai
Gai Tonq
NKHHT n 71 56 127
%
27,1 35,9 3 0 , 4
NKHHD n 191 100 2 9 1
%
72,9 64,1 69,6
Tong 262 156 4 1 8
P
>0,05
tre trai mac nhieu hdn tre gai (72,9% so vdi 64,1%). Tuy nhien, sd khac biet khong c6 y nghTa thong ke p>0,05.
Bang 3.3. Phin bdbenh nhiem khuan ho hap theo dia du"
Benh fiiadu*
Nonq thon Thanh pho Khac Tong
NKHHT n 82 45 0 127
%
28,4 36,3 0,0 30,4
NKHHD n 207
79 5 2 9 1
%
71,6 63,7 100,0 69,6
Tong 289 124 5 4 1 8
P
>0,05
(36,3% so vdi 28,4% va 0,0%). Ooi vdi NKHHD, tre d ndi khac c6 ty le cao nhat sau do la nong thon va thanh photy le lan lu'dt la 100%, 71,6% va 63,7% vdi p>0,05.
Bing 3.4. Cd cau chung benh nhiim khuan ho hap cap d Benh vien Nhi Hil DUdng Benh
Viem phoi Viem phe quan
Viem hong Viem Amidal Viem phoi nanq Viem mui honq Viem tieu phe quan
Viem thanh quan VA Viem tai qiu'a
Tong
Nhan xet: Jrong mo hinh benh nhiem khu n 151 100 75 29 20 16 12 8 5 2 4 1 8 an ho hap d benh vien Nh
Tv ie »/o 36,1 23,9 17,9 6,9 4,8 3,8 2,9 1,9 1,2 0,5 100,0 Hal Di^dng, benh viem pho chiem ty le cac nhat 3 6 , 1 %
Bang 3.5. Phan loai b
^ ^ ^ T u o i Benh ^
VA Amidal
VH VMH VTG Tonq
< 1 2 t h 0 7(24,1) 29(38,7) 6 0 4 2 ( 3 3 , 1 )
benh c6 ty le thap nhat la viem tai giCa 0,5%
inh NKHHT theo tuoi tre 1 2 - < 2 4 t h
3 3(10,3) 21(28,0) 4 1 3 2 ( 2 5 , 2 )
2 4 - < 3 6 th 1 6(20,7)
7(9,3) 2 1 1 7 ( 1 3 , 4 )
3 6 - < 4 8 th 0 5(17,2) 6(8,0)
1 0 1 2 ( 9 , 4 )
4 S - < 6 0 th 1 8(27,6) 12(16,0) 3 0 2 4 ( 1 8 , 9 )
Tong 5 29(100) 75(100) 16
2 127 Nhan xet: Trong so benh NKHHT, viem amidal (29 ca) va viem^hgng (75 ca).Viem hong hay gap 6 tre d'udi 1 tuoi trong khi do viem amidal hay gap d tre du'di 5 tuoi. Cac benh khac gap rai rac d cac do tuoi.
Bang 3.6. Phin loai NKHHT theo gidi Gidi
Binh VA Amidal
VH VMH VTG Tong
Trai n 3 18 41 8 1 7 1
%
60,0 62,1 54,7 50,0 50,0 55,9
Gai n 2 11 34 8 1 56
%
40,0 37,9 45,3 50,0 50,0 4 4 , 1
Tong 5 29 75 16 2 127
P
>0,05
Nhinxet'Tre trai mac viem Amidal (62,1%) va viem hong (54,7%) vdi ty le cao hdn tre gal.
VIETNAM MEDICAL JOURNAL N°2 - OCTOBER - 2017
Bing 3.7. Phan loai NKHHT theo dja dW
Nona thon Thanh p h ^
Benh Dja du'
P/o Tong
80,0 51,7
WG
68,8 >0,05
Tong 35,4
Nhan xet: Nhin chung, tre nong thon mac benh NKHHT cao hdn so vdi tre d thanh pho. Ooi vdi 2 benh pho bien la viem Amidal va viem hong ty le tre nong thon mac lan lu'dt la 51,7% va 66,7%. SiT ktiac biet ve phan bo NKHHT theo dia du' khong eo y nghTa thong ke (p>0,05).
Birig 3.8. Phan lo§ii NKHHD theo tuoi
~~"~-~..,Tu6i B e n n ^ ^ . ^
vpq) VP VPN VTPQ VTQ Tonq
< 1 2 t h n(»/o) 18(18,0) 109(72,2)
17 8 3(37,5%) 155(53,3)
12-<24 th n(«/o) 37(37,0) 20(13,2) 1 3 2(25,0%) 63(21,6)
24-<36 th n(%) 17(17,0)
9(6,0) 1 1 0(0,0) 28(9,6)
36-<48 th n(%) 13(13,0)
8(5,3) 1 0 1(12,5) 23(7,9)
48-<60 th nC/o) 15(15,0)
5(3,3) 0 0 8 22(7,6)
Tong 100 151 20 21 291 Nhan xet: Viem phoi va viem phe quan la 2 benh pho bien trong so benh nhiem khuan ho hap du'di vdi so ca lan lu'dt la 100 va 151. Vjem phoi hay gap dj:re du'di 1 tuoi £72,2%), viem phe quan gap nhieu d tre 2 tuoi (37%). Viem phoi rat nang, viem tieu phe quan pho bien d tre du'di 1 tuoi.
Nhin chung d nhom 1-2 tuoi tre hay mac cac benh nhiem khuan ho hap cap du'di.
Bing 3.9. Phan loai NKHHD theo gidi Gidi
Benh VPO
VP VPN VTPO VTO Tong
Trai n 67 98 15 8 3 1 9 1
%
67,0 64,9 75,0 66,7 37,5 65,6
Gai n 33 53 5 4 5 100
%
40,0 35,1 25,0 33,3 62,5 3 4 , 4
.o
'""**
100 15120 21 8 2 9 1
>0,05
Nhan xet: Nhin chung tre trai mac nhiem khuan ho hap du'di nhieu hdn tre gai. Ty le mac VPQ, VP, VPN va VTPQ, VTQ lan lu'dt la 67,0%, 64,9%, 75,0%, 66,7% va 37,5%.
Bang 3.10. Phan loai NKHHD theo dia dW
~ - ^ ^ ^ Tuoi Benh — - - . ^
VPO VP VPN VTPQ VTO Tong
Nong thon 61(61,0) 117(77,5) 12(60,0) 12(100,0) 5(62,5) 2 0 7 ( 7 1 , 1 )
Thanh pho 37 (37,0) 32(21,2)
7(35,0) 0 3(37,5) 7 9 ( 2 7 , 1 )
Khac 2(2,0) 2(1,3) 1(5,0) 0 0 (0,0) 5 ( 1 , 7 )
Tong 100 151 20 21 8 2 9 1
P
<0,05
/VAa/iJifef;Treem tu'nong thong mac nhiem khuan ho hap du'di nhjeu hdn tre em d thanh pho va ndi khac. Ty le viem phe quan, viem phoi, viem phoi nang va viem tieu phe quan, viem thanh quan lan lu'dt la 6 1 % , 77,5%, 60%, 100% va 62,5%.
IV. BAN LUAN
Theo chuyen gia to chirc Y te The gidi, de phan biet nhiem khuan ho hap tren va nhiem khuan ho hap du'di ngu'di ta lay moc nap thanh quan. Nhilm khuan ho hap tren gom cam lanh, viem miji hong, viem amidal, viem tai giu'a.
Nhiem khuan ho hap du'di gom viem thanh quan, viem khi quan, viem tieu phe quan, viem phoi.
Bang 3.1 la phan bo nhiem khuan ho h§p theo tuoi. Chiing toi nhan thay vdi nhiem khuan ho hap tren tre 5 tuoi mac vdi ty le cao nhat 52,2% va vdi nhiem khuan ho hap du'di thi tre du'di 1 tuoi chiem ty le cao nhat 78,7%.
Ket qua ciia chiing toi cung phii hdp v6i Nguyen Thj Thai [5], cac tre du'di 12 thang mac viem phoi, viem phoi nang va viem phoi rat nang
TAP CHI Y HOC VIET NAM TAP 459 - THANG 10 - SO 2 - 2017 lan lu'dt la 8,3%, 81,6% va 10,1%. Tran Thi
TTiuy Hang [3] (2005) nghien ciTu 300 tre du'di 5 tuoi mac viem phoi vao dieu trj tai khoa Ho hap benh vien Nhi Trung u'dng cung thay ty le tre du'di 1 tuoi mac benh chiem 70%.
Bang 3.2 la phan bo nhilm khuan ho hap theo gidi. Nhin chung tre trai mac benh nhieu hdn tre gai (262 ca so vdi 156 ca va sd khac biet CO y nghTa thong ke). Doi vdi nhilm khuan ho hap tren c6 71 ca la tre trai so vdi 56 ca la tre gai, va doi vdi nhiem khuan ho hap du'di so tre trai mac la 191 ca so vdi 100 ca tre gai. Hasan R va CS. [7] dThai Lan thay tre trai mac viem phoi nhieu hdn tre gai. Ket qua nghien ciTu ciia chiing toi cung phii hdp vdi ket qua nghien ciTu ciia Nguyin Thj Thai [5], ty le tre trai la 60% va ty le tre gai la 40%. Nghien ciru ciia Tran Thj Thuy Hang [3] thay tre trai mac benh viem phoi la 66,3% va tre gai la 33,7%.
Bang 3.4 la cd cau benh nhiem khuan ho hap.Viem phoi, viem phe quan, viem hong, viem amidal va viem phoi nang, viem mui hong la benh hay gap nhat ciia tre em tai day. Ty le mac benh lan lu'dt la 3 6 , 1 % , 23,9%, 17,9%, 6,9%, 4,8% va 3,8%. Ngoai ra eon mot so benh khac nhu^ viem tieu phe quan, viem thanh quan, viem VA, viem tai giii'a.
Bang 3.5-7 la phan loai NKHHT theo tuoi, gidi, va dia du'. Theo tuoi, chung toi nhan thay:
viem amidal va viem hong la 2 benh pho bien.
Tuoi tre hay mac viem amidal la 3 tuoi, tuoi mac viem hong pho bien du'di 1 tuoi. Cae benh khac chiem t / le khong cao va pho bien d cac dp tuoi.
Theo gidi, d tat ca cac benh tre trai deu mac vdi ty le cao hdn tre gai. Viem VA (60%), viem amidal (62,1%), viem hong (54,7%), viem mui hong (50%), viem tai giiJa (50%). €)6i vdi nhiem khuan ho hap dddi theo dia dd, chiing tdi nhan thay: Tre d khu vire nong thon mac cae benh VA, amidal, viem hong, viem miii hong, viem tai giii'a deu cao hdn tre d khu vu'c thanh pho. Ty le lan lu'dt la 80%. 51,7%, 66,7%, 68,8% va 100%.
Bang 3.8-10 la phan loai NKHHD theo tuoi, gidi va dja du". Theo ket qua chiing toi nhan thay, viem phoi va viem phoi nang pho bien d tre du'di 12 thang, viem phe quan gap nhieu d tre 2 tuoi. Cac do tuoi khac deu tre deu c6 mac benh khac nhu' viem tieu phe quan, viem thanh quan r\hdng d ty le thap. Theo gidi chiing toi nhan thay tre trai deu mac cac benh nhiem khuan lio hap du'di vdi ty le cao hdn so vdi tre trai.Theo dia du' (bang 3.10), tre d khu vu'c nong thon mac cac benh nhiem khuan ho hap du'di vdi ty le cao hdn tre d khu vi/c thanh pho. Cac benh viem phe quan, viem phoi, viem phoi nang, viem thanh
quan va viem tieu phe quan ed ty le lan lu'dt la 6 1 % , 77,5%, 60%, 62,5% va 100%.' V. KET L U A N
- Nhiem khuan du'dng ho hap du'di chiem da so 69,6%, nhiem khuan ho hap tren hay gap d tre 5 tuoi (52,2%) trong khi dd nhiem khuan ho hap du'di hay gap d tre du'di 1 tuoi 78,7%. Tre trai mac nhiem khuan ho hap du'di 72,9% nhieu hdn tre gai, trong khi do tre gai mac nhilm khuan ho hap tren la 35,9% nhieu hdn tre trai. Tre d nong ttion mac nhiem khuan ho hap du'di 71,6% la ehii_ yeu trong khi do tre gai d thanh pho mac nhiem khuan ho hap tren nhieu hdn tre trai.
- Viem phoi (36,1%), viem phe quan (23,9%), viem hong (17,9%), va viem amidal (6,9%) la cac benh nhilm khuan ho hap cap gap vdi t^ le cao nhat.
- Doi vdi nhiem khuan ho hap tren, viem amidal va viem hong la benh pho bien d cae lira tuoi, pho bien d ca 2 gidi va cung pho bien d viing nong thon. Doi vdi nhiem khuan ho hap du'di, viem phe quan pho bien d cac do tuoi nhu'ng viem phoi lai pho bien d 1 tuoi (72,2%) va 2 tuoi (13,2%). Tre trai mac nhieu hdn tre gai tat ca cac benh nhiem khuan ho hap du'di, tre d nong thon mac cac benh nhiem khuan ho hap du'di deu cao hdn cd y nghla so vdi tre em vimg thanh pho.
TAI LIEU T H A M KHAO
1. Nguyen Thj^Kim Anh va Pham Thj^ Minh Hong (2009), "Bac diem viem phoi & tre sd sinh tai benh vien Nhi Dong 2 tCr 03/2007 den 10/2007", V hoc thanh pho Ho Chi Minh, tap 13, so 1/2009.
2. Dang Van Chu'c va CS (2006^, "Tinh hinh nhiem khuan ho hap cap tai khoa A benh vien Tre em Hai Phong nam 2006", V hoc Viet Nam, tap 35 so 2 tr 321-326.
3. Iran Thj Thuy Hang (2005), "Nhan xet mot so yeu to nguy cd ciia benh nhan viem phe quan phoi d tre em du'di 5 tuoi tai benh vien Nni Trung UOng", Luan van tot nghiep bac sy da khoa-Dai hoc Y Ha Noi.
4. Dang Thj Ngoan (2013), "Nghien ciTu tir vong do viem phoi d tre sd sinh tai benh vien Tre em Hal Phong (1/2010-6/2013)", Luan van to't nghiep bac sy npi tJitbenh vien, Dai hoc Y Du'dc Hai Phong!
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