Các yếu tố ảnh hưởng đến tái hẹp trong stent sau can thiêp ở các bện nhân nhồi máu cơ tim thấp

DTrT«>c

a Sau

DOa xoang

Bieu do 2. dgc diem mde bpnh VXMT theo gidi d

miia mua

Nhdn xet: nam: VX trudc mgn tinh 35,5%; VX sau

mgn tinh 45,2%. Q nO-: VX trudc mgn tinh 40,6%; VX

sau mgn tinh 50%.

Bang 6. So sdnh bpnh VXMT theo tudi

Nhbm tu6i

NhS tre miu gido

Ti6u hoc

Trung hoc co so

Trung hoc ph6 thOng

Tu6i truong thdnh

Cao tu6i

Viem xoang man tinh

n

4

41

21

10

36

6

%

0,78

6,33

5,41

6.02

3,72

3,53

Tong s6

khdm

512

648

388

166

965

171

Nhgn xet: khdng ed sy khdc bipt (x^=26,01; bgc ty

do = 5), dp tin cgy 95%.

Nhdm Nhd tre ml u gido ty lp thap nhat; nhdm Tiiu

hpe eao nhat 6,33%.

Cdc ylu td anh hudng tdi bpnh viem xoang bao gdm

cdc yeu td ngheo ndn, Igc hgu, ehgm phat triln, vp sinh

moi trudng kem, nude thai, rdc thai khdng dupe thu

gom xij ly. 0 nhiem khdng khi trong nhd, lao dpng ngng

nhpc trong dieu kipn tdi tdn, Ige hgu, d nhilm. Nhu'ng

thay ddi v l vi khi hdu noi d, noi lam vipc cd anh hudng

Idn din sire khde vd ndng suit lao dpng, gay cac benh

theo miia, thdi tilt.

0 nhiem khdng khi noi d, noi Idm viec, xu ly chit

thai, thai ra khdi byi, hoi khi dpe, edc logi vi khuan nam

mde gdy benh Idm gia tang benh viem xoang.

K^T LUAN

Ty lp viem xoang tgi cpng ddng dan tpc £ De

Viem xoang elp tinh 0,2%. Viem xoang man tinh

4,77%.

- Cde yl u td lien quan vdi viem xoang:

Miia khd: Viem xoang trudc mgn tinh 31,7%. Viem

xoang sau mgn tinh 44,4%.

Miia mua: Viem xoang trudc mgn tinh 42,6%. Viem

xoang sau man tinh 49,7%.

SUMMARY

Factors affecting sinusitis factors include poverty,

backwardness, slow development, poor environmental

sanitation, sewage, garbage collection is not processed.

Indoor air pollution, hard work in shabby conditions and

backward contamination. Changes in microclimate in

place, work can affect health and labor productivity,

causing the disease seasonal weather.

Air pollution in place, work, waste treatment,

emissions of dust, toxic gas, mold, bacteria that causes

sinusitis increased.

The rate of sinusitis in Ede ethnic communities.

Acute Sinusitis 0.2%. 4.77% chronic sinusitis.

Keywords: sinusitis

TAI LIEU THAM KHAQ

1. Nguyen Hiru Khdi (2005), Phau thupt ngi soi mui

xoang, nhd xuit ban dgi hpc qudc gia tp HCM, tr: 1- 83.

2. Nguyin Tdn Phong (1999), Phau thupt ngi soi

chirc ning xoang, nhd xuat ban Y Hpc, Ha Npi, tr: 7-

200.

CAC YEU TO ANH HlATNG DEN TAI HEP TRONG STENT SAU CAN THIEP

Of CAC BENH NHAN NHOI MAU CO TIM CAP

NGUYI N QUO C THAI , NGUYI N LA N VIET.

Vipn Tim mach Vipt Nam- Bpnh vipn Bpch Mai.

TOM TAT :

Myc tieu: Nghien cdu cic yiu to inh huong din til

hpp trong Stent sau can thipp a nhOng BN bj NMCT

(nhoi mau ea tim) cip.

Phwong phip va doi twgng nghien ciru: Nghien

ciru dya tren phin tich 97 BN (bpnh nhin) NMCT cip

tronq dd 54 tnr&ng hgp duoc can thipp bing Stent phu

thuoc Simlimus (SES) vi 43 tnr&ng hgp dwgc can thipp

bing Stent thuong (BMS), chyp Ipi DMV 12 thing sau

khi can thipp (28 ca til hpp tmng ton thuong vi 69 ca

khdng tii hpp).

Kit qua: Cic yiu td tien Iwgng dgc Ipp cua tai hpp

DMV sau can thipp li tang huyet ip (THA) v&i OR=2,64

(95%CI: 1,06-6,55; p=0,049), dgng mpch thu phpm li

ddng mpch lien thit tmoc (DMLTT) OR=3,36 (95%C/.

1.21-9.31, p=0,03), ton thuong nhieu DMV (OR=3,47;

95%CI: 1,31-9,22; p=0.019), ton thuong can xl hda

(OR=4,27; 95%CI: 1,46-12,33; p=0,013) vi lopi Stent

(OR=3,96; 95%,CI: 1,55-10,08; p=0,006).

Kit lupn: Tiin sir THA, DM thii phpm la DMLTT, ton

thuong nhiiu DMV, ton thuong can xl hda vi can thipp

bang Stent thuong li yiu to tien Iwgng dgc Ipp ciia til

hpp.

Tir khda: Stent, nhoi miu ea tim

SUMMARY

PREDICTIVE FACTORS OF IN-STENT RESTENOSIS

AFTER PERCUTANEOUS CORONARY INTERVENTION IN

ACUTE MYOCARDIAL INFARCTION

Objectives: Risk factors of In-stent restenosis in

acute myocardial Infarction.

Methods: We pedomned a pmspective trial of 97

patients with acute myocardial infarction assigned to

receive SES or BMS. At 12 months angiography follow-up.

we find out the pmdictive factor of mstenosis after PCI.

Y HOC THl/C HANH (755) - SO 3/2011 81