TAP CHi Y HOC VIET NAM TAP 459 - THAHG 10 • 302 - 2017 Ty le viem Idi d nhu'ng benh nhan kiem soat
glucose mau tot van con rat cao bdi vi dai thao dddng chi la yeu t d nguy ed cua benh quanh rang, vai trd gay benh ehi'nh v i n thuoc ve vi khuan trong mang bam rang. Cae ddi tu'dng trong nghien cu'u deu cd tinh trang ve sinh rang mieng trung binh hoac kem da tao dieu kien rat CO Idi cho cac vi khuan phat trien va gay benh.
Sd tac dong dong thdi ciia ve sinh rang mieng khdng tot va dai thao dddng eo the gop phan lam tang ty le viem Idi^tren benh nhan. Ket qua nghien ciTu ciia Nguyen Xuan Thdc tren benh nhan dai thao dddng typ 2 cting cho ty le viem Idl rat cao, 100% benh nhan deu bj viem Idi [5].
Tuy vay, benh nhan kiem soat glucose mau tot van ed ty le bi viem Idi thap hdn. Cho nen, van de kiem soat dddng mau van rat can dddc quan tam trong phong va dieu tn viem Idi. Kiem soat tot benh nay se gop phan kiem soat tot hdn benh cdn lai. Ket qua nay cijng dddc xac nhan bdi rat nhieu cac nghien ciru khac nhau ca trong nddcva ngoai nddc [6,7].
V. KET LUAN
Ket qua nghien ciTu khong cho thay cd moi lien quan co y nghia thong ke giu^ mot so yeu to ciia benh dai thao du'dng nhd thdi gian mac
benh, nong dp dddng huyet liic doi va HbAlc len nhd mire dp viem Idi cua benh nhan.
TAI LIEU T H A M KHAO
1. BenhviennDitiet.coni.vn (2014). G'an 64% ngu'di mac benh dai thao du'dng chu'a du'dc chan doan.
2. Neelima S et al {2011).A clinical study of the relabonship between diabetes mellitus and periodontal disease. Journal of Indian Society for PeriodontolDaKl5f4'): 388-392.
3. Karlalainen KM. Knuuttila ML ri996V The onset of diabetes and ooor metabolic control increases ainaival bleedina in children and adolescents with insulin deoendent diabetes mellitus. Journal of Clinical Penodontoioav. 23:1060-7
4. Eun-Kyong Kim et al (2013). Association between diabetes-related factors and clinical Denodontal parameters in type-2 diabetes mellitus.
BMC Ofai Health. 13:64.
5. Nguyen Xuan Thy'c (2011). Nghien ciTu benh quanh rang d benh nhan dai thao du'dng typ 2 tai benh vien Noi tiet Trung LTdng va danli gia hieu qua can thiep. Luan van tien sy y hoc, dai hoc Y Ha NOI. 70-78 * - - . 6. Dao t h j Nga (2010). Thu'c trang va nhu cau dieu tn
benh quanh rang d benh nhan dai thao du'dng typ 2 tren 5 nam tai benh vien Thanh Nhan - Ha Noi. Luan van thac sTy hoc, Dai hoc Y Ha noi. 48-49.
7. Trieu t h j Quyen ( 2 0 i 4 ) . Nhan xet tinh trang s&c khoe viing quanh rang tren benh nhan mac benh dai thao du'dng tai benh vien Da khoa Ddng Da - Ha NOI, 2014. Luan van tot nghiep bac si Rang Ham Mat, dai hoc Y Ha Ngi. 35-39
DANH GIA HANH VI TIT CHAM SOC CUA BENH NHAN D A I T H A O DirffNG TYPE II TAI KHOA N O I TIET BENH VIEN B\ KHOA TINH HAI DUaNG
Tran Thi Minh Tam*, Doan Thi Phirgng*
T O M TAT
Myc tieu: Danh gia hanh vi t d cham sdc ciia benh nhan DTD type II tai khoa Npi het Benh vien Da khoa tinh Hai Du'Ong nam 2015". Phu'dng phap nghien cu'u: mo ta cat ngang tren 111 benh nhan du'dc chan doan DTD type II td 6 thang trd nen va dang dieu trr noi trii tai khoa Noi tiet Benh vien Da khoa tinh Hai Du'Ong (5/2015 - '6/2015). Ket qua nghien cu'u:
48,65% benh nhan thi/c hien tot viec duy tri thoi quen an uong theo hddng dan; 68,47% benh nhan cd thoi quen an nhieu chat xd; 46,85% benh nhan khong an do nggt; 66,67% benh nhan coi che do an uong la quan trpng doi vdi benh DTD. 73,88% benh nhan tham gia cac mon the thao thu'dng xuyen; 61,26%
benh nhan duy tri tot thoi quen tap the due it nhat 30 phiit/ngay; 54,07% benh nhan thu'c hien tot kiem tra
*Tru&ng Dai hoc Ky thuat Y teHal Dddng Chju trach nhiem chinh: Tran Thi Minh Tam Email: [email protected] Ngay nhan bai: 2.8.2017 Ngay phan bien khoa hoc; 3.10.2017 Ngay duyet bai: 10.10.2017
dudng huyet dmh ky hang thang; 65,77% benh nhan thu'c hien chu'a tot thoi quen thir du'dng huyet tai nha.
80,18% benh nhan thi/c hien tot viec rira chan hang ngay; 60,37% benh nhan co thoi quen lu'a chpn giay dep mem de tranh ton thu'dng cho chan; 39,64% va 44,14% benh nhan thi/c hien chi/a tot thoi quen kiem tra ban chan hang ngay va i:h6i quen kiem tra day dep tru'dc khi xd. Nhan du'dc Idi khuyen an it chat beo (74,77%), an nhieu trai cay (79,29%), an han che do ngot (93,29%); Khong nhan dUdc Idi khuyen an nhieu chat xd (51,35%). Nhan di/dc Idi khuyen tap the due hang ngay va tap ft nhat 30 phut/ngay i^n lu'dt la (53,15%), j54,95%). Nhan du'dc l6i khuyen kiem tra du'dng huyet thu'dng xuyen (47,75%); Khong nhan du'dc Idi khuyen ve hoat dong kiem tra du'dng huyet (52,25%).
Tit khoa: Hanh vi ti/cham SDC oja benh nhan DTD SUMMARY
ASSESSMEMT OF SATISFACnON OF TYPE H ROLTTE OF HEPATTTIS I N HAI DUONG HOSPITAL
Purpose:To evaluate a self-care behaviors type 2 diabetes patients at the department of Endocrinology of Haiduong general hospital in 2015, Methods: A
VIETNAM MEDICAL JOURNAL N°2 - OCTOBER - 2017 descriptive cross-sectional study on 111 patients who
diagnosed type 2 diabetes from 6 months onwards and be inpatient treatment at the Department of Endocrinology of Haiduong general hospital from 5/2015 to 6/2015. Results: 48.65% of the patients perform well in maintaining their eahng habits as directed; 68.47% of patients have a habit of eating high in fiber; 46.85% of patients do not eat sweets;
66.67% of patients view diet as important for diabetes; 73,88% of patients participate in regular sports; 61.26% of patients maintain good exercise habits for at least 30 minutes a day; 54.07% of patients perform well monthly blood glucose test;
65.77% of patients undergo poor performance blood glucose testing at home; 80.18% of patients perform a good daily foot washing; 60.37% of patients have a habit of choosing soft shoes to avoid foot injuries;
39.64% of patients undergo routine foot examinations and routine examination of thick slippers prior to piercing (44.14%); 74.77% of patients get advice on eating less fat, 79.29% of eating more fruits, and 93.29% of eating restrictive sweets; 51.35% of patients not get advice of eating high l^ber; patients get daily exercise advice and set at least 30 minutes a day in turn are 53.15% and 54.95% respectively.
47.75% of patients get regular blood glucose test tips;
there is 52.25% of patients is not receiving advice on blood glucose testing activities.
Key words: Infection of the incision.
\. OAT VAN OE
Dai thao dddng (DTO) la benh mang tfnh chat xa hpi cao 6 nhieu quoc gia bdi toe do phat trien nhanh chdng va mifc dp nguy hai den sire khoe ciia nd. Ty le DTO gia tang nhanh chong tren toan the gidi, keo theo nhu'ng hau qua nghiem trpng ve sire khde va kinh te doi vdi toan xa hpi. Ty le benh tang d cac nddc phat trien la 42% trong dd Viet Nam se la 170% [2]. Ty le ngu'di mac benh DTD nam 2011 la 3,2%, nam
2013 la 5,8% va hdn 60% trong sd gan 5 trieu ngu'di mac benh DTD chda dddc chan doan [3], Thieu hanh vi t d cham sdc cd the dan den nhieu bien chirng va lam benh trd nen nghiem trpng hdn doi vdi benh nhan DTD. Hai Du'dng hien nay chda cd nghien cdu chinh thirc nao ve thdc hanh t d cham sdc cua benh nhan DTD, vi vay chiing toi da Ida chpn de tai "Danh gia hanh vi tdchSm soc cua benh nhan Dai thao dddng type n tai khoa Noi tiet Benh vien Da khoa Tinh Hal Ddoiig". Vdi muc tieu.' "Danh gia hanh vl ti/eham soc cua binh nhan DTD type II te/ khoa Noi tiet Benh vien Ba khoa tinh Hai Du'dng nam 2015".
w. OOI TLrgwG vA PHITONG PHAP NGHIEN CU\J 2 . 1 . €)dl tu'dng nghien cu'u: Genh nhan dddc chan doan DTD type 11 tir 6 thang trd nen va dang dieu tri noi trii tai khoa Npi tiet Benh vien Da khoa tinh Hai Du'dng (5/2015 - 6/2015).
*Tleu chuan lu'a chpn
• Benh nhan dddc chan doan DTO type II tir 6 thang trd nen va dang dieu tri npi trii tai khoa.
- Benh nhan dong y tham gia nghien cii'u.
- Benh nhan tir 18 tuoi trd len.
- Benh nhan biet chu', co kha nang tra Icfi nhu'ng cau hdi trong phieu dieu tra.
- Benh nhan khong mac cac isenh tam than kinh.
2.2. Phu'dng phap nghien cu'u 2.2.1. Thiet kenghiin cut/: Nghien eiid mo ta cat ngang
2.2.2. Cdmau: Phddng phap chpn mau thuan tien CO muc dich dddc sd dung de Ida chpn doi tu'dng tham gia nghien ciru. Trong nghien ciiti nay co H I benh nhan DTD type I I dong y tham gia vao nghien ciru.
I. KET QUA NGHIEN CCrU
3.1. Die diem cua benh nhin trong nghien cu'u Bing 1. Die diem cua benh nhin
Dac diem TuoKMin = 3 5 , M a x = 8 5 )
30-49 50-69 70-89 Gidi: Nam
Tinh trang lidn niian: Ciiu'a tutig l<et iion Da l<et hon
Oa cilia tay/ Ly di Ciionq/ vd da mat Trinh do hoc van: Tieu iioc
Trung hoc cp sd Trung hpc pho thong
Dao tao nghe
N (so benh nhan)
20 58 33 73 38 1 76 6 28 32 14 48 1
T y l e (»/o) 18,02 52,25 29,73 65,77 34,23 0,9 68,47
5,4 25,23 28,82 12,61 43,24 0,9
Tong n 111 111 111
111
%
100%
100%
100%
100%
TAP CHi Y HOC VIET NAM TAP 459 - THANG 10 - SO 2 - 2017 Trung cap/ cao dang
Dai hoc va sau dai hoc Tinh tr^ng nghe nghiep: Chu^ co viec lam
Dang lam viec Lam viec ban thcJi gian
Da nghi hu\]
Dpi trp Cong viec khac Thcfi gian mac OTO: 6 thang - 1 nam
> 1 nam - 5 nam
>5 nam d n g ( b a ) co hut thuoc la ithong
15 1 0 49 0 45 16 1 5 48 58 Co: 38 Khonq: 73
13,51 0,9
0 44,14
0 40,54 14,40 0,9 4,5 43,24 52,26 34,23 65,77
111
111 111
100%
100%
100%
Nhin xet: Nhdm tuoi 50 - 69 chiem ty le cao nhat (52,25%). So benh nhan nam (65,77%) chiem ty le cao hdn so benh nhan nu" (31,52), hau het benh nhan da ket hon chiem( 68,47%), gan 50%
benh nhan da hpc het trung hpc pho thong. So benh nhan da ve hull chiem (40,54%) va (44,14%) van dang lam viec, eo hdn 50% mac benh DTD tren 5 nam, (43,24%) mac DTD tir 1 den 5 nam, chi ed (4,5%) so benh nhan bi benh tif 6 thang den 1 nam; 65,77% benh nhan khong hut thuoc.
3.2. Hanh vl tifcham soc Bang 2, Danh gia thoi guen an uong
Thoi quen an uong An uong theo dung
hu'dng dan An cac loai thu'c an
CO nhieu chat xp Thu'c hanh va coi che dp an uong quan trpng chp dieu tri benh DTD type I I An cac Ipai thu'c an
CO nhieu du'dng
Mii'c do Chu'a bao gid
n 0 0
0 52
%
0 00 46,85
Thinh thoanq n 4 0
0 57
3,6
%
0
0 51,35
Thirdnq n 53 35
37 2
47,75
%
31,53
33,33 1,8
Luon luon n 54 76
74 0
48,65
%
68,47
66,67 0
Tong n 111 111
111 111
%
100 100
100 100 Nhan xet: Cd gan 50% benh nhan hang ngay thdc hien an uong theo dung hddng dan, benh nhan t W c hien tot thdi quen an nhieu chat sd (68,47% ). Cd hdn 65% so benh nhan coi che dp an uong quan trong cho dieu t n benh DTD type I I va thdc hien che dp an dd hang ngay. Nhin chung cac benh nhan co y thirc han clie viec an do ngpt de kiem soat dddng huyet cd 46,85% so benh nhan kliong an do ngpt.
Bang 3. Danh gli thoi quen tip the due Thdi quen the
due
MCrcdd Chu'a bao gid Thinh thoang
%
Thu'dng Luon luon Tong
Tham gia cac mon
the thao 0,9
Tap the due it nhat
30 phut moi 12,61
Nhin xet: 73,88% benli nhan deu tham gia ehdi cac mon the thao nhd dap xe, danh bong., duy tri'tot thdi quen tap the due it nhat 30 phiit/ngay (61,26%).
Bang 4. Dinh Thoi quen thiir
du'dng huyet Kiem tra du'dng huyet d nha
glith 61 guen ^hudu dng huy et Mii'c do Chda bao gid
n
73
%
65,77
Thinh thoang n
20
%
18,03 Thddng n
9
%
8,1
Luon luon n
9
%
8,1 Tong n 111
%
100
VIETNAM MEDICAL JOURNAL N°2 • OCTOBER - 2017 Den benh vien
kiem tra du'dng 5 huyet djnh ky
4,5 32,43 54,07 100
Nhin xet: Hdn 50% benh nhan thdc hien tot thdi quen kiem tra du'dng huyet tiieo hen cua Bac sy (mdi thang 113n, hai thang 1 lan...). Thdc hien kiem tra du'dng huyet tai nha thdc hien chu'a tot co (65,77%) chu^ bao gid t h d du'dng huyet lai nha.
Bing 5. Dinh gli thoi quen thu'c hanh cham soc bin chin Thoi quen
cham soc ban Chan Ru^ Chan hang
nqav Kiem tra chan
hang nqay Cat monq clian Chpn giay dep
dunq Kiem tra ben trong giay dep tru'dc khi x6.
Nhan xet: Cd
Mu'c do Chua bao gid
n 0 23 0 2 49 khoan
%
020,72 0 1,8 44,14 g 80% s
Thinh thoanq n 0 44 87 10 36 3 benh
%
039,64 78,38 9 32,43
Th u'dng n 22 31 22 32 19
19,82
%
27,93 19,82 28,83 17,12
Luon luon n 89 13 2 67 7 nhan thu'c hien tot viec ru^ chan
80,18
%
11,71 1,8 60,37
6,31 ang ngay
Tonq n 111 111 111 111 111
%
lOO 100 lOO 100 100 de tranh nhiem triing va giu' cho doi ban chan khde manh, benh nhan cd y thirc kiem tra ban chan (40%). Benh nhan thay dddc anh hddng cua viec de mdng chan dai va thinh thoang cat sda chiem 78,38%. be tranh cho chan bj ton thu'dng cd 60,37% benh nhan thdc hien tot viec Ida chpn giay dep mem, dung kich c3, thdi quen de phong vat sac nhpn lam ton thu'dng cho chan ciia benh nhan chda tot the hien so benh nhan khong kiem tra giay dep tru'dc khi xd (44,14%).
BingB. Ldi khuyen cua nhan vien y te ve che dp in Noi dung
Nen an it chat beo Nen an han che dirdng, tinh bpt
Nen an nhieu loai thu'c an cd chat xd Nen an nhieu trai cay va rau qua
Nen an han che chat ngpt Oiua bao gid nhan dudt Idi khu)^n
ve die do an tir nhan vien y be
Ldi khuyen Nhan du'dc
83 74,77%
97 87,39%
54 48,65%
88 79,29%
104 93,69%
0 0
Khdng nhan du'dc 28 25,23%
14 12,16%
57 51,35%
23 20,71%
7 6,31%
0 0
TSng n = l l l 100%
n = l l l 100%
n = l l l 100%
n = l l l 100%
n = l l l 100%
0 0 Nhan xet: 74,77% benh nhan nhan dddc Idi khuyen ve che dp an it chat beo, khuyen an han che du'dng, tinh bpt (87,39%), khuyen an nhieu trai cay va rau qua (79,29%), khuyen an han che chat ngot chiem ty ie cao nhat (93,69%), nhu'ng so benh nhan khong nhan dddc Idi khuyen an nhieu ehat xd thi ed (51,35%).
Bang 7. Ldi khuyin cua nhin vien y te'ye che dp tap the due
Ndi dung Nhan du'dc
Ldi khuyen
Khong nhan du'dc Tong
Nen tap van dong hang ngay 52
46,85%
Nen tap the due thu'dng xuyen ft nhat 20 phiit/ngay va I't nhat 3 lan / tuan Chda bao gid nhan dddc Idi khuyen ve che
Jo van dong tir nhan vien y te
Nhan xet: 53,15% benh nhan nhan dddc Idi khuyen ve che dp tap van dong; khoang 55% so benh nhan nhan dddc ldi khuyen tap tiie due' it nhat 20 phiit/ ngay va it nhat 3 lan/ tuan.
TAP CHi Y HOC VlgT HAM TAP 459 - THAHG 10 - SO 2 - 2017
Bang 8. Ldi khuyen cua nhan vien y te' ve hoat dong Idem tra du'dng huyet Noi dung
Nen kiem tra du'dng huyet thudnq xuyen ChUa bao gid nhan dUdc Idi khuyen ve hoat dong kiem tra du'dng huyet tCr nhan vien y te
Ldi khuyen Nhan dUdc
53 47,75%
58 52,25%
Khong nhan du'dc 58 52,25%
53 47,75%
Tong n =111
100%
n =111 100%
Nhin xet: 52,25% benh nhan chu^ bao gid nhan dddc Idi khuyen tir nhan vien y te ve hoat dong t d kiem tra du'dng huyet, 47,75% benh nhan nhan dddc ldi khuyen kiem tra dddng huyet thddng xuyen.
IV. BAN LUAN
4.1. Dac diem cua benh nhan trong nghien ed'u. Trong nghien ciru nhan thay so benh nhan nam mac DTD type I I nhieu hdn benh nhan nii', nam (65,77%). So benh nhan mac benh nhieu nhat d nhdm ddi tu'dng 50 - 69 tuoi (52,25%). Nhan thay so benh nhan DTD tang dan theo tuoi, so benh nhan nam trong nhom (50- 69) chiem ty le cao thay ed sd phii hdp vdi nghien ciTu cua Benh vien Noi tiet Trung U'dng nam (2012)[1], To Van Hai[5], Nguyin Thj Hai Hang [6]. Trinh dp hpc van ciia benh nhan d mire trung hoc pho thong chiem ty le cao nhat (42,24%) VI vay ma nhan thu'c ciia benh nhan ve benh cung tot hdn the hien d thdi quen sinh hoat hang ngay. Trong tong so 111 benh nhan cd hdn 50% mac benh DTD tren 5 nam, thdi gian mac benh lau nam cung lam cho benh nhan cd kien thdc, y thdc tot trong thdi quen t d cham sdc hang ngay. Hut thuoc la la mot thdi quen khong tot cho sdc khoe, vi vay hau het cac benh nhan khong hiJt thuoc (65.77%).
4.2: Thdi quen an uong: Co 66,67% benh nhan coi che dp an uong la quan trpng ddi vdi benh DTD type I I , phii hdp vdi nghien ciru ciia Nguyen Van Lanh cd ty le benh nhan cd nhan thu'c dung trong an uong la (64,8%)[7]. Nhdng so benh nhan thdc hien hang ngay thoi quen an uong chi chiem ty le (48,65%). Sd^chenh lech giita nhan thirc va thi/e hanh eo the do phong tuc tap quan trong an uong eua nddc ta la bCTa an hang ngay mpi ngu'di an ciing mot che do an, khong cd bCTa an rieng cho ngddi tieu dddng, cd tdi (44,14%) so benh nhan van dang lam viec nen khong ed thdi gian ehuan bj biJ'a an rieng..., dd la nhutig yeu to anh hddng den thdi quen an uong cua benh nhan.
4.3. Thoi quen tip the due. 73,88% benh nhan thi/c hien thdi quen chdi the thao va duy tri hang ngay. Hien nhu cau cupc song thay doi theo hu'dng tien bp ma mpi ngu'di quan tam hdn tdi cac hoat dong the due the thao hang ngay.
Mpi ngu'di cd y thiTc danh thdi gian cho cac mon
the thao nhieu hdn, va mot phan sd benh nhan tham gia trong nghien cdu d dp tuoi nghi hdu chiem ty le cao nen cting cd nhieu thdi gian hdn, so benh nhan danh I't nhat 30 phiit/ngay tham gia cac mon the thao chiem ty le cao (61,26%), tddng t d vdi nghien ciru ciia Nguyen Van Lanh [7], Chcfi the thao vira giup tang cu'dng sire khde, vira giiip on dinh dddng mau va dac biet eon han che dddc mot sd bien chiTng nguy hiem nhd: tang huyet ap, nhoi mau ed tim, tai bien mach mau nao...
4.4. Thoi quen kiem tra du'dng huyet:
Benh nhan cd y thirc tot trong viec kiem tra du'dng huyet djnh ky theo hen ciia Bac sy, song ben canh do thdi quen kiem tra dddng huyet tai nha eua benh nhan cdn kem. Vi ed tdi (52,25%) so benh nhan chda bao gid nhan dddc Idi khuyen kiem tra du'dng huyet tir nhan vien y te.
4.5. Thoi quen cham soc ban chan. Nhan thay phan Idn benh nhan co y thiTc ve sinh dol ban chan va Ida chpn giay dep de tranh td'n thddng chan khi di the hiem 80,18% benh nhan thdc hien rda chan hang ngay de ngan chan nhiem triing, 60,73% benh nhan cd y thife tot Ida chpn giay dep diing kich ed de khi di tranh ton thddng, phu hdp vdi nghien ciru eua Nguyen Thi Bich Dao ve thai do cham soc ban chan diing (66,1%)[4]. Ngddi benh da biet dddc cac yeu to nguy cd lam xuat hien bien chimg ban chan do benh DTD gay ra, cd y thiTc han che cac yeu t d nguy cd do. Mac du vay so benh nhan chu^ bao gid kiem tra ben trong giay dep trdde khi xd van chiem ty le cao (44,14%).
4.6. Ldi khuyen cua nhan vien y te. Hau het benh nhan deu nhan dddc Idl khuyen eiia nhan vien y te, nhu'ng Idi khuyen dd cd vai tro quan trpng trong viec thay doi thdi quen an uong, tap the due cua benh nhan vi vay ma sd benh nlian cd che dp an diing va tap the due phii hdp vdi tinh trang benh chiem ty le cao.
Thai dp quan tam ciia nhan vien y te giiip cho benh nhan an tam, tin tiTdng va hdp tac dieu trj.
Song ben canh dd cong tac hu'dng dan, t d van
VIETNAM MEDICAL JOURNAL H°2 • OCTOBER - 2017 ve hoat dong kiem tra du'dng huyet tai nha cho
benh nhan cdn kem, the hien so benh nhan chda bao gid nhan dddc Idi khuyen nao ve hoat dong nay tir nhan vien y te chiem ty le cao (52,25%).
Ddi vdi benh nhan DTD thi viec kiem tra dddng huyet tai nha rat quan trpng, nd giiip benh nhan biet dddc chi so du'dng huyet ciia minh de tir do dieu chinh che dp an, tap the due ciia minh cho phii hdp, dong thdi kiem tra dddc dap iTng vdi thuoc dieu trj ed tot khdng, kjp thdi phat hien chi so du'dng huyet bat thddng de den vien dieu tri, kip thdi ngan chan dddc cac bien chu'ng cd the xay ra.
V. KET LUAN
- 48,65% benh nhan thdc hien tot viec duy tri thdi quen an uong theo hu'dng dan; 68,47%
benh nhan cd thdi quen an nhieu chat xd;
46,85% benh nhan khong an do ngpt; 66,67%
benh nhan col che dp an uong la quan trpng doi vdi benh DTD.
- 73,88% benh nhan tham gia cac mon the thao thu'dng xuyen; 61,26% benh nhan duy tri tot thdi quen tap the due ft nhat 30 phiit/ngay.
- 54,07% benh nhan thdc hien tot kiem tra du'dng huyet dinh ky hang thang; 65,77% benh nhan thdc hien chda tot thdi quen t h d dddng huyet tai nha.
- 80,18% benh nhan thdc hien tot viec riTa chan hang ngay; 60,37% benh nhan ed thdi quen lu'a chpn giay dep mem; 39,64% va 44,14% benh nhan thdc hien chda tot thoi quen kiem tra ban chan hang ngay va thdi quen kiem tra day dep trdde khi x6.
- Nhan dddc Idl khuyen Sn ft chat beo (74,77%), an nhieu trai cay (79,29%), an han che do ngpt (93,29%); Khong nhan dddc Icfi khuyen an nhieu chat xd (51,35%).
• Nhan dddc ldi khuyen tap the due hang ngay va tap it nhat 30 phiit/ngay lan Iddt la (53,15%), (54,95%).
- Nhan dddc Idi khuyen kiem tra dddng huyet thddng xuyen (47,75%); Khdng nhan dddc ldi khuyen ve hoat dong kiem tra dirdng huyet (52,25%).
TAI LIEU T H A M KHAO
1. Benh vien Noi tiet Trung iTdng (2013), 8ao cao HOI nghi tdng ket hoat dong cua ddan phdng chdng dai thao dddng.
£. Ta Van Binh (2004) "Bao cao tong ket de tai khoa hpc cdng nghe trong diem cap nha nu'dc ma so KC. 10.15", Dich te hoc benh dai thao dddng tai
Viet Nam, cac phddng phap dieu tri va bien phip dif phong. Nha xuat ban V hoc, tr. 56-57.
3. Ta Van Binh (2007), Nhuhg nguyen ly nen tam benh dai thao dddng, tang glucose mau, Nha xuH ban Y„hoc, tr. 144-147.
4. Npuyen Thj Bich Dao (2012), "Manh vi tt/cham soc ban chan ciia benh Qhan Dai thao du'dng type 11 tai Benh vien Cho Ray". Luan an tien sy hoc Hue, Nha xuat ban Dai hpc Hue. tr. 14-16.
5. Td Van Hal (2006), "Mot so yeu to nc|uy cd gay len benh Dai thao dddng dieu tn ngoai tru tai Benh vl^n Thanh^Nhan", Tap dii Yhoe, so 548, tr. 83-84.
6. Nguyen Thj Thuy Hang (2010), "Benh Dai thao dudng type I", Benh daifhao dddng type I va hoi chuhg da ndi tiet td mien, Nha xuat ban Oai hoc Hue, tr, 150.
7. Nguyen Van Lanh (2010), "Cac yeu to anh hu'dng den hanh vi td cham soc eiia benh nhan Oai thao dddng type 11", Luan an tien syhoc, Nha xuat ban Dai hoc Hue, tr, 32-34,
DANH GIA TAC DUNG CUA THUOC "BO THAN TRANG DU-ffNG HOAN"
6* BENH NHAN MAC CHU'NG DAU THAT LU-NG THE THAN DU-aNG HIT
Doan Quang Huy*T O M TAT
Nghien eifu dieu tri ciia tiiudc "Bo than trang du'dng hoan" cho 30 benh nhan mac chdng i3au that lu'ng the th|n du'dng fiu', sau 30 ngay dieu tn cho thay: Tac dyng giam dau va lam tang bien dp van dong cot song that luhg sau 30 ngay dieu tri dat ket qua dieu trj loai kha va tot la chii yeu (chiem 83,337o). Khong co benh nhan nao cd hieu qua kem.
"* Hoc Vien y dddc hoc co truyen Vn Chiu trach nhiem chinh: Doan Quang Huy Email: [email protected] Ngay nhan bai: 18.8.2017 Ngay phan bien khoa hoc: 4.10.2017 Ngay duyet bai: 13.10.2017
Co tac dung tot vdi ca 3 the benh thu'dng gSp tren larn sang: Than dUOng hiT; Than am du'dng ludng hi/; Ty than du'dng hu' (61.9% so vdi 61.9% so vdi 50.0%).
Thuoc khong gay ra tac dung phu nao tren^lam sang hoac khong lam thay doi ctiiTc nang gan, than, mot so thong so trong huyet thanh.
SUMMARY
AN EVALUATION OF THE REMEDY "BO THAN TRANG DUONG HOAN" ON THE PATIENTS W I T H LOWER BACK PAIN CAUSED BY KIDNEY K4/Vff DEFICIENCY
Research on the treatment of "Renal renal disease"
for 30 patients with renal failure in pain and recovery of lumbar spine movement after 30 days of treatment showed that: The analgesic effect and increase the 62
