Đặc điểm lâm sàng và cận lâm sàng bệnh nhân HIV/AIDS được điều trị bằng ARV theo phác đồ bậc 1

TCNCYH phu trWdng 71 (6) - 2010

each pattern of hypertension stratified by age group and sex. Method: a epidemiological cross - sectional

survey was done in 2005 at Bavi District on 2374 randomly selected people, aged from 25 - 74, using

standardized protocol with automatic digital blood pressure monitors. Results: Hypertension prevalence

was 15.6% (95%CI 13.3 - 17.9%) in men and 6.9% (95%CI 5.4 - 8.4%) in women. In people with high

blood pressure, only 25.6% was previously detected and 8.6% was treated. Prevalence ISH was 40.3%

(95%CI 34.6 - 45.9%) in men and 49.7% (95%CI 42.5 - 57.0%) in women while prevalence of systolic

and diastolic hypertension (SDH) was 49.1 % (95%CI 43.4 - 54.9%) in men and 35.7% (95%CI 28.7 -

42.6%) in women. Conclusion: Hypertension was neglected issue in community. Prominent burden of

hypertension and required reduction in systolic blood pressure still resulted from SDH, especially in men.

Keywords: prevalence, hypertension. Isolated systolic hypertension, FilaBavi

DAC DIEM LAM SANG VA CAN LAM SANG BENH NHAN

HIV/AIDS DUOC DIEU TRj BANG ARV THEO PHAC DO BAC 1

Nguyen Thj Kim Chuc, Nguyen Phffdng Hoa

Trddng Dai hoc Y Ha Ndi

Mot yeu to quan trong trong dieu trj ARV cho benh nhin HIV/AIDS la benh nhan phai tuan thu viec dung

thuoc mot each chat che. Muc tieu: md ta mot so die diem lim sang, cin lim sang cua benh nhan HIV/

AIDS khi bit dau thu nhin vao dieu tri ARV. Doi tugng va phuang phap nghien ciiu: ddi tuang la benh nhin

HIV/AIDS du tieu chuan dieu tri ARV phac do bac 1 duac thu nhin vao nghien cdu thd nghidm lim sang de

danh gia hieu qua md hinh quan ly dieu tri ARV. Ket qua: td 7/2007 - 11/2009 thu nhin dUac 640 benh

nhin. De danh gia hiSu qua md hinh quan ly dieu tri, cac benh nhin difac chia lam 2 nhdm. Co 308 benh

nhin d nhdm chifng (70,1%, la nam gidi), 332 benh nhan d nhdm can thiep (71,1%, la nam gidi). Han mot

nda sd benh nhin cd giai doan lim sang ban dau la III hoac IV, va khdng cd sU khac biet gida hai nhdm

(55,7 so vdi 54,6; p > 0,05). Luang CD4 trung binh d nhdm chifng va can thiep tuang dng la 115,3 vi 115,4

(p > 0,05). Ket luan: cac die diem lim sang, mien djch va vi rut hoc ban dau cua hai nhdm (can thiep va ddi

chdng) khdng cd sU khac biet.

TO khoa: benh nhan HIV/AIDS, dieu tn ARV

I. DAT VAN DE

D i n nay, tren the gidi van chifa tim dflpc bien

phap dieu tri triet de HIV/AIDS, viee tim ra vac

xin phdng nhiem vi rut HIV ehae cdn phai mat

nhilu nam nfla. Vi vay, viec dieu tri bang d c

thudc khang vi rut (ARV) la phUPng thflc duy nhat

giup d i thien chat lifdng cude sd'ng cho sd ddng

nhdng ngfldi dang sd'ng ehung vdi HIV/AIDS va

lam thay ddi quan niem ve HIV/AIDS [1, 7]. Tfl

chd can benh nay bj coi la can benh chit ngifdi

vd phffpng cdu chfla chuyen sang la can benh

man tfnh cd the quan ly dope. Ddng thdi, viee d i

thien chit Ifldng eupc sd'ng cho nhflng ngfldi cd

HIV se gdp phan nang cao kha nang ddng gdp

eua hp eho xa hpi thay vi thay hp nhfl la mat trai

cua xa hpi. Viee til p can rpng rai vdi thudc ARV

danh cho ta't e l nhflng dd'i tifdng du tieu chLian v l

lam sang va can lam sang se gdp phin quan trpng

eho cdng tac phdng benh trong cpng ddng. Cd the

ndi, chi rieng viec neu bat hieu qua cua viec dieu

tri thudc khIng vi rut se la bien phlp quan trpng

nang eao nhan thdc cung nhfl tac dpng cua eae

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