Đặc điểm lâm sàng, X quang sâu răng mặt bên răng hàm sữa ở trẻ em 5-8 tuổi

sinh trong nh6m dung cefuroxim Id 90 Ip, nhdm d6i

chu’ng Id 461 lo), chung ta khong chi tiet kiem dime

tien thuoc md chung ta cdn tiet ki6m dime tieu hao

vdt dung di kem viec tiem thuoc nhu bam tiem, bong

bdng, con... vd giam boi dime cdng viec tiem truyen

cho nhan vien y te, giup giam bdp ap lim cdng viec.

Ngodi ra cdng viec thu gom don rac thai y te cOng

giam bdt han. Dieu ndy ddc biet cd y nghla han khi

benh vien Dai hpc Y Hd Noi ngdy cdng trd1 thdnh dia

diem lua chpn khdm chua benh cua nhieu ngu’d’i dan

han, nen dp lyc Idm viec qud tai tai benh vien cung

ngdy cdng gia tdng han.

Nhu vdy, su dgng khdng sinh dy phdng cd tinh

hieu qua kinh t i cao han nhieu so vdi viec su dung

khdng sinh dieu tri thimng quy.

k £t lu a n

Hieu qua tren lam sang

Khdng benh nhdn ndo trong nhdm khang sinh dy

phdng phai chuyen doi phde d6 sang khdng sinh dieu tri.

Khdng benh nhdn ndo xuat hien s6t sau m6,

93,33% benh nhdn sau m6 a ca hai nhdm vet mo deu

khd.

Then gian ndm vien sau mo cua nhdm dung

cefuroxim Id 3,8 ngdy, nhdm doi chu’ng Id 4 ngay,

khdng cd sy khdc nhau ve thdi gian ndm vien sau m6

giua hai nhdm%

Hieu qua v i kinh t i

Mdi benh nhdn trong nhdm dung khdng sinh dy

phdng da tiit kiem duac khoang 1.000.000 dong chi

phi lien quan din khdng sinh so vai nhdm doi chung,

ngodi ra trong nhdm ndy cdn tiit ki6m du e_n

bdng, bdng, cdn sdt khudn, bam ti6m cho

tiem.

Nhdn vidn y t i tiit ki£m duac 371 idn • cho

benh nhdn.

Giam cdng lao ddng cho nhdn vidr <e sinh do

giam rdc thai v i y t i di kem vide tidm thuoc nhu

bdng, bdng, bam tidm...

TAI LIEU THAM KHAO

1. Ngo Van Toan, Nguyen Trung Sinh (1999), "Nhdn

xet bud’c dau ve su dgng khang sinh dy phdng

(Cephapirine) trong phau thudt chan thi/ong chinh hinh",

Tap chi ngoai khoa so 3, tr.8-12.

2. Dang Quoc Ai, Ha Vdn Quyet (2012), "Ddnh gid

ket qua cdt tui mat npi soi tai Benh vien Oai hpc Y Hd

Npi”, Ngoai khoa so 4/2012, 11 - 18

3. Diem Dang Binh, Nguyen Cudng Thjnh (2009),

"Phau thuat cdt tiii mat npi soi d ngudi cao tuoi", Tap chi

y duoc lam sdng 108, tap 4, so 1/2009, 102 - 105.

4. Tran Bao Long, Nguyen Thj Hd (2008), "Ddnh gid

quy trinh cham sdc b#nh nhdn sau mo cdt tui mdt n$i soi

cd su dgng khdng sinh dy phdng Unasyn tai benh vien

Viet Due", Tap chi Y hpc Viet Nam, Sd 2, tr. 36 - 42.

5. Maryanne McGuckin, Judy A.Shea, J. Sanford

Schwartz (1999), "Infection and Antimicrobial Use in

Laparoscopic Cholecystectomy", Infection control and

hospital epidemiology, voi 20, No 9, pp 624 - 626.

6. Hoang Tuan Viet, Nguyen Hodng Linh, Bui Quang

King (2008), "Kit qua diiu trj cdt tui mat npi soi tai bdnh

vien da khoa Sai Gon", Y Hpc TP. Ho Chi Minh, Tap 12,

Phg ban Sd 4, tr. 81 - 86.

DAC DIEM LAM SANG, XQUANG SAU RANG MAT BEN

RANG HAM SlTA 0 TRE EM 5-8 TUOI

VO TRUONG NHU NGOC, OOAN THANH TUNG, PHAM HOANG TUAN - Tru&ng dai hoc Y Hd Nqi

NGUYiN TAT TUAN - Tru&ng Cao ddng y teHS Tinh

TOM TAT

Muc tieu nghien c lh u: Nhan xet dac diem lam

sang, X quang sSu rang mSt ben rSng ham sCra & tre

em 5-8 tudi. Doi tuxyng nghien cCru: Tre em tir 5-8

tuoi cd sSu mSt ben rSng ham sCra den kham tai

Trung tam Ky thuSt cao - Vien Dao tao RSng Ham

MSt-Tnr&ng DH Y Ha Noi va khoa rSng tre em - Bdnh

vidn RSng hSm mSt trung uxyng Ha Noi tir thSng 4-

10/2013. Phuxyng phdp nghiin ciru: Md ta cSt

ngang. Ket qua nghien ciru: Trong tdng so 119 tre

tir 5-8 tuoi den khSm cd 369 rSng ham sira bi sau mSt

b in (38,76%), hay gap n h it la vi tri giira hai rSng

ham sira (86,3%). RSng ham su-a thir n h it ham du&i

hay gSp n h it chiim 37,9%. Ty le ton thuvng d in tuy

IS 42,8%, da sd cd b iin chirng viem quanh cudng. V i

hinh Snh X quang: Khoang cSch tir Id s iu d in simg

tuy nhd, th uxyng IS 1-2 mm, phim cSnh cSn nhay v&i

sSu rSng s&m & mSt ben. Ket luan: Ty le sau rSng

hSm sira & mSt b§n r it cao, thuvng gSp & ham dtf&i

hon ham trin, ty I$ tdn thuvng tuy cao.

TCr khda: Sau rSng mSt ben, sau rSng hSm sCra,

sSu rSng trd em.

SUMMARY

Research objective: This study was conducted to

assess the clinical features, x-ray characteristics of

proximal primary molar teeth caries in children from

5-8 years. Research subjects: Children aged 5-8

years diagnosed with proximal caries of primary

molars at the hight technic centre of odonto￾Stomatology-Hanoi medical University and

department of peadiatrics of Hanoi National odonto￾Stomatological Institut from April - Oct, 2013.

Research methods: Cross-sectional descriptive

study. Results and conclusions: In 119 patients, we

found that there are 369 primary molars with proximal

tooth caries (38.76%). The majority of caries position

located between two primary molars (86.3%). The

first lower primary molars are the most frequently

occured of this lesion (86.30%). The pulpitis rate is

especialy high (42.8%) and most of its has

64 Y HOC THI/C HANH (905) - SO 2/2014