TAP CHI Y Dl/gC HQC CAN THg - S 6 13-14/2018
phdn tryc tiep. Ngodi ra, theo y vdn chan doan nhiem giun luan con bdng phuang phap Elisa tim khang thS trong mau benh nhdn [2], [5].
DiSu tri: benh ddp ftng tot vdi diSu tri dac hieu bang albendazole 800mg/ngay trong 05 ngdy. Theo y van dieu tri ddc hieu nhiSm giim luan ngodi albendazole cdn c6 Thiabendazole, tuy nhiSn thuoc nay cd nhieu tdc dung phu nen it dugc lya chgn tren lam sdng. Ngoai ra. Ivermectin ciing dugc dftng de diSu tri giun lucm [5].
V. Ktr LUAN
B?nh nhiem giun luan Strongyloides stercoralis vdn luu hdnh tiong cdng dSng vung Ddng Bdng Sdng Cftu Long. Tam chung nhiem giun lucm co dien la tiSu chdy, dau byng va noi me day. Benh ndng ISn khi bSnh nhdn c6 h0i chftng Cushing, ddp ftng t6t voi diSu tri ddc hieu bdng albendazole 800mg/ngdy tiong 05 ngdy.
TAI LI|:U T H A M KHAO
1. Tran Xuan Mai (2010), KySinh Trimg YHgc, Nha xudt ban Y hgc
2. Triin Thi Kim Dung (2009), Bjnh do giun luan vd giun dua chd meo, Nhd xuat ban Y hoc 3. Chun En Kuo (2017), "Upper gastrointestinal bleeding caused by Stiongyloides stercoralis Highlighting a neglected parasite infection" , Kaohsing Journal of medial sciences 33, 269-270.
4. Ghana A, Saeks, M D (2017), " Strongyloides stercoralis hyper infection". The new England joumal of medicine.
5. Russell H (2017), " Control of chronic Stiongyloides stercoralis infection in an endemic community may be possible by pharmacological means alone: result of a three year cohort study" Plos neglected tropical diseases.
6. Dimitrios S. Politisa, Eleni Triantalyllidib, Konstantinos H. Katsanosa, Dimilrios K.
Christodouloua University Hospital of loannina, loannina, Greece (2017), "Strongyloi^s stercoralis infection: an "exo/zc" cause o/'c/jromcrf/cprA^a" Annals of Gastroenterology 30,467 7. Daijiro Nabeya (20\T)"Pulmonary strongyloidiasis: assessment between manifestation and radiological findings in 16 severe strongyloidiasis cases" Nabeya et al. BMC Infectious Diseases.
(Ngdynhdnbdi: 16/11/2017-Ngdy duyjt ddng: 07/01/2018)
NGHIEN c u t ; DAC D I E M L A M SANG, N O N G D O TESTOSTERONVA MQT S 6 YIEU TO LIEN QUAN DEN B f N H NHAN Ntf M g N TRinVG CA T>^
BENH V I | N TRirOfNG DAI H O C Y DU*Qrc C A N T H O NAM 2016-2017 Phan Hodng Phuc, Trdn Thi Thu Thdo, Hd Thi Thdo Mai*
Trudng Dgi hoc YDugc Cdn Tha
* Email: [email protected] TOM T A T
Bgt van de: Mun trung cdld binh ly cua nang Idng tuyin bd cd the dnh hudng sdu sdc den chdt lugng cugc sdng vd tdm ly ciia bjnh nhdn. Mgc tiiu nghien ciiu: (1) Md td ddc diim ldm sdtig vd ndng dg testosteron a binh nhdn nir mun tiimg cd tgi Bjnh vijn Tnrdng Dgi hgc YDugc Cdn Tha ndm 2016-2017. (2) Tim hiiu mgt sdyiu td lien quan din muc do ndng ciia mm trung ca a bjnh nhdn nii mun ti-Ong cd tai Binh vijn Trudng Dgi hgc Y Dugc Cdn Tha ndm 2016-2017.
TAP CHI Y Dl/gC HQC CAN THg - S 6 13-14/2018
Boi tugng nghiin cuu: 81 bjnh nhdn nH mun trung cd din khdm vd dieu trj tgi Phdng khdm Da liiu Bjnh vijn Tru&ng Dgi hgc Y Duac Can Tha tir thdng 5/2016-5/2017. Phuang phdp nghiin ciiu: nghiin cdu md td cdphdn tich vdi phucmg phdp chgn mdu thudn tijn; ngi dung nghien ciru:
dac diem chung ciia ddi tuang nghiin cuu, dgc diim ldm sdng, ndng dg testosteron. hgi chiing buong triing da nang vd mgt sd yiu td lien quan mice do ngng mun tiung cd. Kit qud: Logi da nhdn chiim li li cao nhdt (49,4%). Binh nhdn cdm thdy ngiia vd dau khi ndi mun chiem ti Ij 25.9%. Sang thuang nhdn tning cd ddng chiem iru the (93,8%). Vi tri sang thuang uu thi a mat (64,2%). Mun tidng cd muc dg nhe chiem ti li cao nhdt (44.4%). Ndng do tnmg binh testosteron mdu cua bjnh nhdn nir mun tiling cd cd hgi chiing budng trimg da nang la 0,47±0,12ng/mL Chua tim thdy mdi liin quan cd y nghia thdng ke giira miic do mun triing cd vai hgi chiing budng tning da nang vd ndng dg testosteron. Ket lu^n: Biiu hiin ldm sdng mun trung cd phdc tgp.Chua tim thdy mdi liin quan cd y nghia thdng ke giiia mirc dg myn tiung cd vdi hdi chung buong tning da nang vd ndng do testosteron mdu.
Tu khda: mi^n trimg cd, hdi chung budng trung da nemg, testosteron.
ABSTRACT
CLINICAL PRESENTATIONS, CONCERNTRATIONS OF TESTOSTERON A N D F A C T O R S R E L A T E D TO F E M A L E PATIENTS
WITH A C N E S IN C A N T H O UNIVERSITY OF MEDICINE A N D P H A R M A C Y HOSPITAL, 2016 - 2017
Phan Hoang Phuc, Tran Thi Thu Thao, Ha Thi Thao Mai Can Tho University of Medicine and Pharmacy hospital Backgroud: Acnes is a disease of sebaceous glands and hair follicle that may critically influence on life quality and psychological heath of patients. Objectives: (1) Describe clinical the presentations cmd the concentrations of testosterone in female patients with acnes; (2) Survey some factors related to the degree of acnes. Materials and method: 81 patients female patients with acnes in Ccm Tho university of Medicine and Pharmacy hospital from 5/2016 to 5/2017.
Descpriptive study with convenience sampling method; substances of research cue general factors, clinical factors, concentrations of testosterone, polycystic avaricm syndrome cmd some related factors to the degree of acnes Results: The most common skin type was oily skin which occupied 49,3% of the cases. Itchy and painful feeling made up 25,9%. Most of the basic lesion genre was blackhead comedone (93,8%). The acnes were mostly in the face skin (64,2%f Mild degree was the most common degree of acnes. The measured levels of testosterone was 0,47±0,12ng/mL. No correlation between polycystic ovarian syndrome, the concemtiations and the degree of acnes was found. Conclusion: There were complex manifestations in patients with acnes. No statistically sigftificant correlation werefourKl between the degree of acnes and concentrations of testosterone as well as polycystic ovarian syndrome.
Keywords: acnes, polycystic avaricm syndrome, testosterone
I. BAT V A N D E ' A •
Mun trftng cd la m^t tinh tiang bdt thudng ttSn da do r6i loan d nang long tiaySn ba. Benh cd thS gap d mgi lfta tudi vdi nhftng thuong tdn da dang: nhdn trftng cd, sdn, mun mu, ndt vd nang [10]. DiSn biSn cua benh cd thS ty gidi ban, nhung nSu benh khdng dugc di^u tri hay diSu tii khdng dung se cd thS dS lgi di chftng \h sau [7], [8]. Mac dft, mun trftng ca, bdn thdn nd khdng gdy nguy hgi dSn tinh mgng nhung nhftng tac d^ng tiSu eye cua nd cd thS dnh hudng nghiSm trpng chat lugng cugc sdng vd gay tdn thuang tdm ly cua benh nhdn [12]. Ddy Id b ^ da thudng gdp d nhdm tudi thanh thiSu nien, chiem tl le khoang tft 60-90% [13]. Tgi Cdn Tha chua c6 nghiSn cftu ndo khao sat chi d benh nhdn nu 235
TAP CHI Y Dl/QfC HQC CAN THg - SO 13-14/2018
va sau ban vS mdt tiong nhung y^u to lien quan dSn benh mun trftng cd do la hdi chftng budng trftng da nang. BSnh nhdn nft myn trftng ca cd hgi chftng budng trftng da nang dugc diSu tri bdng phuang phap hoan todn khdc biet so vdi mun trftng cd dem thudn. Ddng thdi, nham cung cap cho ngudi thdy thuoc da lieu cd them thdng tin vS bSnh ndy dS can thiep, nang cao sy JiiSu biSt vS mun trftng cd nSn chftng tdi thuc hiSn nghien cftu vdi hai muc tiSu:
1. Md td dgc diem ldm sang vd ndng do testosteron d benh nhdn nft mun trftng ca tgi Benh vien Trudng Dgi hgc Y Dugc Cdn Tha ndm 2016-2017.
2. Tim hiSu mdt so yeu td lien quan den mftc do ngng cua mun trftng ca d benh nhan nft mun trftng ca tai Benh vien Trudng Dgi hgc Y Dugc Cdn Tha ndm 2016-2017.
II. DOI T U Q N G V A PHU'CfNG PHAP NGHIEN CUtJ 2.1. Boi tvong nghien cihi
Boi tvgng nghien cun
Benh nhdn nft mun trftng ca dSn kham va diSu tri tai Phdng khdm Da liSu Benh vien Trudng Dai hgc Y Dugc Can Tho nam 2016-2017.
TiSu chu^n chgn mau
- Tdt cd benh nhdn nft dugc chdn dodn bi b^nh myn trftng cd dya vdo cdc yeu to ldm sang: [2] [3]
+ Vi tri: chu ySu d mat, cdn lung, ngyc, vai thi it han.
+ Sang thuang: da dang gom nhan trung ca, sdn, mun mu, mun bgc, cue, nang, hdng ban.
Tieu chuan loai tru*
Benh nhdn rdi loan tam th&i hay benh nhan cdp cftu, hdn me.
Benh nhdn khong ddng y tham gia nghien cftu.
Thdi gian vd dia diem nghiSn cihi: Tft thang 5/2016-5/2017 tai phdng khdm Da liSu Benh vien Dgi hgc Y Dugc Cdn Tha
Phwoiig phdp nghien cun
Thiet ke nghiSn cihi: NghiSn cftu md ta cat ngang cd phan tich.
Cd mau va phirong phap chgn mSu Cdmdu: 81 benh nhan
Phucmg phdp chgn man: chgn mdu thugn tiSn Ngi dung nghiSn clhi
Dgc diem chung cua ddi tugng nghiSn cftu
Dac diSm ldm sdng (loai da, trieu chftng ca nang, thuang t6n cdn ban, vi tri sang thuang va mftc do mun trftng ca)
Ndng do testosteron, hgi chftng budng trftng da nang
Mgt so ySu td lien quan mftc do ndng mun trftng ca (hdi chftng buong trftng da nang va ndng do testosteron)
III. K ^ T Q U A NGHIEN ClTU
Qua nghien ciiu thuc hien ttSn 81 benh nhan nu mun trftng cd dSn kham vd dieu tn tai phdng kham Da liiu BSnh vien Trudng Dgi hgc Y Dugc Cdn Tha tft thdng 5/2016 dSn thdng 5/2017, chung tdi ghi nhdn cac kSt qua sau:
3.1. B^c diem chung cua doi tirgng nghiSn cun
TiJP CHf Y Dl/pfC HQC CAN THO - SO 13-14/2018 Tuoi
B ^ g 1. Dac diem ve tu6i cua d6i tirong ngliien cuu Tuoi
11-15 16-20 21-25 26-30 Tong
Tan so (D) 2 35 41 3 81
Ti le (%) 2,5 43,2 50,6 3,7 100 Tudi trung bmh cua cac benh nhan trong nghiSn cftu Id 20,99±2,32. Nhd tuoi nhat la 13 tudi, Idn tudi nhdt Id 28 tudi.
Ngh4 nghiep
Bdng 2. Ddc diem ve nghS nghiep cfta doi tugng nghien cftu Ngh^ nghifp
Nhan vien van phong Buon ban Hoc sinh Sinh vien Tong
Tau so (n) 1 1 5 74 81
Tile(%) 1,2 1,2 6,2 91,4 100 Smh vien chiem tl IS cao nhdt trong cdc benh nhan nu mun trftng ca (91,4%) 3.2. Bac diem lam sang va nong do testosteron if benh nhan nu mun trumg ca Bgc diem lam sang
Bang 3. Ti IS cac loai da d benh nhdn nft myn trftng ca Loai da
Da kho Da nhon Da hon hop
Tong
Tan so (n) 2 40 39 81
Ti ie (%) 2,5 49,4 48,1 100 Loai da nhdn chiSm ti le cao nhdt vdi 49,4%
Bdng 4. Dac diem lam sang d benh nhdn nft mun trftng cd D
Trifu chiimg cff nang
Thuong ton can ban
ic diem lam saug Ngua
Rat Bau Cam giac kien bo Khong trieu chirng Hong ban tren ton thuong Nhan tnrng ca ma (mun dau den) Nhin trung ca dong (mun dSu trang)
San Mun mu
Cue
Tan so (n) 40
5 39 4 25 21 67 76 58 53 1
Ti le (%) 49,4
6,2 48,1 4,9 31 25,9 82,7 93,8 71,6 65,4 1,2
T»P CHI Y D i r g e HQC CAN THg - s 6 13-14/2018 Dac diem lam s^ng
Vi tri sang thuong
Muc d9 n^ng
Nang Dat tang sac to
See 15m Mat Ngirc Lung Canh tay
Co Nhe Trung binh
Nang Rat nang
Tin so (n) 6 69 20 79 13 24 6 2 36 28 15 2
Ti le (%) 7,4 85,2 24,7 97,5 16 29,6
7,4 2,5 44,4 34,6 18,5 2,5 Trieu chftng dau vd r^fta chiem ti le cao nhdt vdi 49,4% va 48,1%. Nhdn trftng cd dong (myn ddu trang) Id thuang ton cdn ban phd bien nhat vdi 93,8%. Vi tri sang thuong thudng gSp nhdt d mat vdi 97,5%. Mun trung cd mftc do nhe chiSm ti IS cao nhdt vdi 44,4%.
Nong do Testosteron
Bdng 5:.Ndng do testosteron giua benh nhan nft mun trftng ca cd vd khdng cd hgi chftng budng trftng da nang
Hoi chihig buong trirng da nang IChong
Co
Tan so (n) 64 17
Til^
79%
21%
N6ng dd testosteron (ng/mL) 0,42±0,16 0,47±0,12 Ndng do testosteron d 2 nhdm cd va khdng cd hdi chftng budng trftng da nang tuong dirong nhau.
3.3. M$t so yeu to lien quan den mirc do nang cua mun trung ca d b^nh nhdn nir mun tri^g ca
Hgi chung budng tning da nang (hgi chung BTBN)
Bdng 6. Moi liSn quan cfta hdi chftng budng trftng da nang vdi muc do mun trftng cd Hoi chihig
BTDN Khong Co Tons
Mirc do mi Nhe-Trung binh
49 (76,6%) 15(88,2%) 64 (79%)
n trung ca Naug-Rat nang
15(23,4%) 2(11,8%) 17(21%)
T6ng 64(100%) 17(100%) 81 (100%)
p'.> 0,503
Khdng CO lien quan gifta mftc do mun trftng cd va hdi chftng budng trftng da nang Nong dd Testosteron
Bang 7 Mdi lien quan cua nong do testosteron vdi muc do mun trftng cd
Mirc dd muD trirng cS | Tkn so (n) I Ndng do testosteron (ng/mL) p Nhe
Trung binh N5ng Rat nang
36 1 0,41*0,15 28
15
0,43±0,16 0,47±0,12 2 1 0,55±0,07
0,464
TAP CHI Y D i r g e HQC CAN THa - s 6 13-14/2018 Khdng cd liSn quan gifta mftc do mun trftng cd vd ndng do testosteron IV. BAN LU^N
4.1. Bgc diem chung ciia doi tirgng nghien cun Tuoi
Trong nghiSn cftu cua chung tdi, benh nhdn d hai nhom tudi 16-20 va 21-25 tu6i cbiSm ti le tuong duang nhau ldn lugt Id 43,2% vd 50,6%. Nhu vdy, da sd benh nhan cd do tudi tu 16-25 (93,8%). Tuong duong kSt qua cua Tchiu Bich Xudn [7] Id benh mun tning ca nhiSu nhdt tiong hai nhdm tudi tft 16-20 tudi (40,7%) va 21-25 tudi (32,6%), tu6i trung binh Id 2I,5±6.. Theo Huynh Bach Cftc [4], cdc benh nhdn myn trftng cd cd do tuoi tft 25-35 chiem ti IS cao nhdt (56,7%). Hai nghiSn cftu ndy cd do tudi benh nhdn cao han cua chung tdi vi sy khdc biet d doi tugng nghiSn cftu la mun trftng ca tuoi trudng thdnh con ddi tugng cua chftng tdi khdng cd sy gidi hgn ve do tudi, da sd hg la sinh viSn cfta cac trudng cao ddng, dgi hgc tien dja bdn thdnh phd Can Tha nen co do tudi thdp hem.
N^h^ nghiSp
Hdu bet cdc benh nhdn tiong nghiSn cftu cfta chung tdi la sinh viSn (91,4%). Dieu nay dugc giai thich Id do sinh viSn dang tiong do tudi chuySn tiSp sang tudi trudng thdnh, tinh trgng cang thdng tinh than, dp lyc cao tiong hgc tdp va chS d6 an udng khdng hgp li khi xa nhd cua cdc sinh vien nSn de mdc b?nh mun trftng cd hom tudi trudng thanh. Ngodi ra, viec lay mau tiong gid hanh chinh nen cdc ddi tugng c6 thdi gian lam viec cd dinh kho CO tbS thu xSp thdi gian dS di khdm dugc nen ket qud ndy tuang ddi phu hgp.
4.2. Bac diem lam sang vd nhng do testosteron d benh nhan nir mun trung cd Bac diem lam sang
Loai da
Benh nhan tiong n ^ e n cftu cd loai da nhdn chiem ti IS cao nhdt (49,4%) vd tucmg duong vdi logi da hon hgp chiem 48,1%, thdp nhdt la loai da khd vdi ti IS 2,5%. Ket qud ndy phii hgp ghi nhdn cfta Trdn True Linh tbi ti IS da nhdn chiem 43,2% va da hoii hgp chiSm 28% [5]. DiSu nay phu hgp vdi ly thuySt Id benh nhan cd da nhdn se tiSt nhieu ba nhdn han cdc logi da khdc va la ySu td thudn lgi phat trien myn trftng cd.
Trieu chung cv nang
Theo kSt qud nghiSn cftu cua chung tdi, benh nhan cd cam gidc ngfta chiem ti IS cao nhdt (49,4%) va tuang ducmg vdi cdm giac dau (48,1%). Huynh Bgch Cftc [4] cung ghi n h ^ 83,6% benh nhan cd cdm gidc ngfta vd 35,8% benh nhdn cd cam giac kien bd.
Thirong ton can ban
Thuang t6n can ban nhdn trftng ca ddng chiSm ti IS 93,8% cao nhdt tiong doi tugng nghien cuu cua chung tdi, kS den la dat tang sdc td (85,2%), nhan trftng cd md (82,7%), sdn (71,6%), mun mu (65,4%), hdng ban (25,9%), seo ldm (24,7%), nang (7,4%) va thuang tdn cue chiSm ti IS thap nhdt chi 1,2%. Khdc vdi nghien cftu cfta Vd Nguyin Thuy Anh [1] thi sdn va nhdn tiftng cd ddng chiSm ti IS cao nhdt vdi 86% vd 81,3% va ttong kSt qud cfta chftng tdi khdng cd thuang tSn seo loi vd ddt gidm sdc td.
Vi trf sang thvong
Theo chftng tdi, benh nhdn cd mun trung ca d mat chiSm ti IS cao nhdt vdi 97,5%
tuong duang vdi kSt qud cua Vo NguySn Thfty Anh Id vi tri mat chiem ti IS cao nhdt vdi 91,5% vd 98,9% [I].
Mirc dg nang
239
TAP CHI Y Dl/qyC HQC CAN THO - s6 13-14/2018
Theo ket qua ciia chung tdi, benh nhdn cd mun trftng ca mftc do nh? chiem ti IS cao nhdt vdi 44,4%. KSt qua ti Ie mftc d0 mun trftng cd cua Nguyen Thi Hdng TuySn tuang duong vdi kSt qud cfta chung tdi, tiong do, mun trftng ca mftc do nhe chiSm ti le cao nh^
(65,3%) [6].
Nong do Testosteron
Theo ghi nhgn cua chung tdi, nong do testosteron tiong mdu cua b^nh nhdn nQ raun trftng ca cd vd khdng cd hgi chftng BTDN ldn lugt la 0,47±0,12ng/mL va 0,42±0,16ng/mL. Trong khi dd, N. Cinar vd cdng su [ I I ] ghi nhdn ndng do testosteron tirong ftng Id 0,68±0,33ng/mL vd 0,39±0,18ng/mL.
4.3. Mgt so yeu to lien quan den mi^c do ndng cua myn trirng ca if bSnh nhan nft mun triing cd
H8i chung buong trirng da nang
Theo ket qud cua chftng tdi, ti IS mun trftng cd mftc do nhe-trung binh d nhom bSnh nhan cd hgi chftng BTDN (88,2%) cao hon nhdm khdng cd hgi chftng BTON (76,6%). Ngugc lai, ti IS mun trftng cd mftc do nang-rdt nang d nhdm benh nhdn khong c6 hOi chftng BTDN (23,4%) cao ban nhom benh nhan cd hcii chftng BTDN (11,8%). Va sir khdc bigt ndy khdng cd y nghia thdng kS. K^t qud cfta chftng tdi thdp han ket qua cua Gulsum Uysal (39,6%) [9].
N&ng dd Testosteron
Benh nhdn nft mun trftng cd mftc do rat nang cd ndng do testosteron cao nh^t (0,55±0,07ng/mL), kS dSn la muc do ndng (0,47±0,I2ng/mL), mftc do trung binh (0,43±0,I6ng/mL) vd mftc do nhe cd ndng dO testosteron thdp nhdt (0,4I±0,I5n^mL).
Tuy nhien, sy khdc biet ndy khdng cd y nghia thdng ke. Gulsum Uysal [9] ciing ket ludn rdng khdng cd mdi lien quan giua mftc do mun trung ca vd ndng do testosteron.
V.KET LUAN
- Logi da nhon chiem ti le cao nhdt (49,4%). Trieu chftng ngfta vd dau chiem ti IS 25,9%.
- Sang thucmg nhan trftng ca ddng chiSm uu thS (93,8%).
- Vi tri sang thucmg uu thS d mat (cao nhdt d vftng md) - Myn trftng cd mftc do nhe chiem ti IS cao nhdt (44,4%).
- Nong do tnmg binh testosteron mdu cfta benh nhdn nft mun trung cd co h6i chftng budng trftng da nang Id 0,47±0,12ng/mL.
- Chua tim thay moi liSn quan cd y nghia thong kS gifta mftc do mun trftng ca voi hdi chftng buong trftng da nang vd ndng do testosteron mdu
TAI LIEU THAM K H A O
1. Vo Nguyen Thiiy Anh (2011), Ddc diem ldm sdng vd cdc yiu td lien quan den mm tning cd d phu nir tnrdng thdnh, Luan van thac sT y hgc, Trudng Dai hgc Y Dugc Thanh phd H6 Chi Minh, Thanh pho H6 Chi Minh.
2. Huynh Van Ba (2015), "Mun trftng cd", Binh da miia ndng ndng: Chdn dodn hinh dnh - Xit tri ban ddu - Chdm sdc vd Tu vdn phdng bjnh, Nha xudt ban Y hgc. Ha Ngi, tt. 49-60.
3. Bp Y te (2012), "Thuong t6n can ban", Da liiu hgc - Diing cho ddo tgo bdc si da khoa, Nha xuit ban Giao dgc Vi?t Nam.
4. Huynh Bach Cue (2015), Nghien ciht tinh hinh nhiim vi ndm vd Demodex tien bjnh nhdn mm tiimg cd tudi tru&ng thdnh din khdm tgi Bjnh vijn Da lieu Cdn Tha ndm 2014-2015, Luan van tot nghi?p bdc sT da khoa, Trudng Dgi hgc Y Dugc C§n Tho, Ch\ Tha.
TAP CHI Y D l / g C HQC CAN THOf - SO 13-14/2018
5. Tran Triic Linb (2015), Nghien cdu kien thiic, thgc hdnh vd mdt sd yiu td liin quan vi chdm sdc, diiu trj a bjnh nhdn mgn tning cd trong dg ludi 18-30 tgi Bjnh vijn Da lieu Cdn Tha ndm 2014, Luan van Thac sT Y tS cdng cpng, Trudng Dai hgc Y Dirge Can Tha, Can Tha.
6. Nguyen Thi Hong TuySn (2015), Nghiin cuu tinh hinh. kien thtic vd thuc hdnh chdm sdc mun triing cd cua nii sinh truang Trung cdp Pham Nggc Thgch Cdn Tha nam 2015, Luan van thac si y te cong cpng, Trudng Dai hgc Y Dugc Can Tha, Thanh pho Can Tha.
7. Tchiu Bich Xuan, Chdu Van Trd va Vu Hong Thai (2013), "Dac diem djch tl hpc va lam sang cua benh nhan mun trung ca den kham tai Benh vien Da lieu Thanh ph6 Ho Chi Minh", TgpchiYhgc Thdnhphd Hd ChiMinh. 17(3), tt. 23.
8. BologniaJean L. (2Q\4), Dermatology essentials, Saunders elsevier. pp. 252-271.
9. Uysal G., Sabin Y. et al (2017), "Is acne a sign of androgen excess disorder or not?", European Joumal of Obstetrics. Gynecology cmd Reproductive Biology, 211, pp. 21-25.
10. Zaenglein LA, Graber ME et al (2008), "Acne Vulgaris and Acneiform Eraptions", Fitzpatrick's Dermatology in General Medicine, 7th edition, pp. 690-703.
11. Cinar N., Cetinozman F. et al (2014), "Comparison of adrenocortical steroidogenesis in women with post-adolescent severe acne and polycystic ovary syndrome", Europecm Academy of Dermatology and Venereology, pp. 1-6.
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13. Shen Y, Wang T and Zhou C (2011), "Prevalence of Acne Vulgaris in Chinese Adolescents and Adults: A Community-based Study of 17,345 Subjects in Sbt Cities", Acta Dermato Venereologica, 91, pp. 1-5.
(Ngdy nhdn bdi: 17/11/2017 - Ngdy duyit ddng: 08/01/2018)
BANH GIA C A C C H i S O K E D O N T R E N C A C BENH NHAN NGOAI TRU CO T H A M GIA B A O H I £ M Y TE TAI KHOA K H A M -BENH V l f N B A KHOA C O N G LAP T R E N ©JA B A N Q U A N NINH KIEU - T H A N H PHO
C A N T H O N A M 2016-2017
Nguyin Phuc Hung*, Nguyin Thi Kim Thanh, Ngityin Thi N^gc Van Trudng Dgi hoc YDugc Cdn Tha
* Email:[email protected] TOM TAT
Bgt vdn di: Sir dung thudc khdng hgp ly dang Id vdn de dgc biit nghiem trgng tron^ cdng tdc chdm sdc sue khde. Do do, cdng tdc ki dan vd hu&ng ddn su dung thudc buac ddu cdn thirc hiin cdn tigng vd chinh xdc. Muc tiiu nghiin cuu: Xdc dinh vd sg sdnh cdc chi sd ki dan chu yeu d bjnh nhdn ngogi trii cd tham gia bdo hiim y te tgi khoa khdm cua cdc bjnh vijn da khoa cdng lgp Qugn Ninh Kiiu Thdnhphd Can Tha ndm 2016-2017; Xdc dfnh vdso sdnh cdc chi sd ke dan bd sung a bjnh nhdn ngogi tru cd tham gia bdo hiim y te tgi khoa khdm cua cdc bjnh vijn da khoa cdng lgp Qudn Ninh Kieu Thdnh phd Can Tha ndm 2016-2017. Boi tirgng va Phuang phdp nghiin ciru: md td cdt ngcmg trin 1203 binh nhdn ngogi tru tgi khoa khdm cda cdc bjnh vijn da khoa cdng lap true thugc Qudn Ninh Kiiu ciia thdnh phd Cdn Tha giai dogn 2016-2017. Ket qud:
khdo sdt 1203 trudng hgp binh nhdn khdm ngogi tru cd BHYT dugc bdc siki dem tgi khoa khdm cua cdc BVDK cdng lap true thudc Qugn Ninh Kiiu cua thdnh phd Cdn Tha gdm binh viin Dgi Hgc YDugc Cdn Tha (BVDHYD), bjnh vijn da khoa Thdnh Phd Cdn Tha (BVDKTP). bjnh vijn Ba Khoa Trung ucmg Cdn Tha (BVDKTU) ldn lugt Id. Sd thudc trung binh tien mdi dan la 3,68.
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