Đặc điểm tổn thương và kết quả phẫu thuật gãy kín chỏm xương quay do chấn thương tại Bệnh viện 103

chinh chuang trinh ddo tao, phuang phdp day vd

kilm tra, ddnh gid d l ndng cao muc (Jo ddp ung cua

cdc yiu t6 tai bang 3, phu hop vdi ydu c iu cua thuc

tiin. Tuy nhien vdi nghian cuu nay, ty 16 cdc d li

tuong Id bdc sT c6 thdm nidn vd bac sT mdi ra trudng

tham gia c6n han c h i (8,96% vd 13,06%). Vi vdy can

md rdng pham vi d in cdc <J6i tuong ndy d l k it qua

ddnh aid c6 gid tri chinh xdc hon

KET LUAN

Thuc hi6n nhu c iu dao tao dua trdn ndng luc cua

BS0K Id kha thi trong chuong trinh ddo tao hien nay.

Xdc djnh duoc cdc nhu cau, kT ndng, kiln thuc vd

thdi dd cln th ilt d6i vdi mdt BSDK Id budc quan

trpng de dinh hudng, xdy dung cdc chuin ddo tao

cung nhu ndng luc mong mu6n.

TAI LIEU THAM KHAO:

1. Bp Giao Dgc va Dao Tgo (2007), QUY D(NH ve

tieu chuan danh gia chat lupng giao dgc trudng dai hoc,

Bp Giao Dgc va Dao Tao, chu bien.

2. Bui My Hanh (2013), "Phat trien chuong trinh giao

dgc y hpc djnh hudng nghe nghipp: thyc trang, thach

thuc va giai phap", Y hQC thi/c hanh. 6(872), tr. 34-37.

3. Bui My Hanh, Nguyen Huu Tu va Nguyen Due

Hinh (2013), "Danh gia chuong trinh dao tao bac sT da

khoa vdi tiep c$n phat trien chuong trinh dua tren ndng

luc', Y hoc thi/c hdnh. 5(870), tr 88-92

4. Bui My Hanh, Trin Quic Kham (2013). Nghiin

ciru xay di/ng chuin d iu ra dao tao Bdc sy Da khoa,

Trudng Dgi hpc Y Ha Npi.

5. ThS.Oo Trpng Tuin vd ThS Lucmg Minh Anh

(2012), Nang cao chit tuxyng dao tao thdng qua viQc

hoan thi$n nang li/c nghi nghidp cho sinh viin. Dai hpc

Dong A.

6. Tran Quoc Kham va Bui My Hanh (2013),

"Nghien cuu muc dp dap ung ve ndng luc thuc t l ciia

bac sT da khoa mdi tot nghipp vdi nhu ciu xd hdi" Y hoc

thtsc hanh. 5(868), tr. 57-59.

7. TS. Hoang Thj Tuyet (2013), "Phat tnln chuang

trinh dai hpc theo cach tiep cdn ndng luc Xu th i vd nhu

c iu ”, PHAT TRl£N & HOI NHAP. 9(19), tr 80-87.

8. Luu Ngoc Hoat, Do Van Dung vd E Pamela

Wright3 (2007), "Practicing doctors' perceptions on new

learning objectives for Vietnamese medical schools’,

BMC Med Educ, tr. 7-19.

9. STEPHEN R. SMITH va RICHARD DOLLASE

(1999), "AMEE guide No. 14: Outcome-based education:

Part 2 Planning, implementing and evaluating a

competency-based curriculum”, Medical teacher 21, tr

15-22.

DAC DIEM TON THUDNG VA KET QUA PHAU THUAT GAY KIN CHOM XUUNG QUAY

DO CHAN THUONG TAI DENH VIEN 103

TOM TAT

Hdi ciru kSt hcyp tien cfru 47 BN gay kin chdm

xuxyng quay do chin thuvng chia 2 nhdm, nhdm dieu

tri bing ph iu thu it b io tdn chdm xuxyng quay v i

nhdm p h ii liy bd chdm xuxyng quay tai Khoa Chan

thuxyng chinh hinh B inh vien 103, tir thing 1/2001-

2/2009 chung tdi rut ra kdt luan sau:

- KSt q u i g in : 46/47 bin h nhin (97,9%) vdt md

lidn ky diu, 26/31 binh n hin (83,9%) sau p hiu thuat

duxyc dinh g ii l i kdt xuxyng vCrng. Khdng cd bien

chung Hit nhinh vin dong than kinh quay.

- Kdt q u i xa (theo thang didm Broberg v i Morrey):

nhdm bao tdn chdm xuxyng quay r it tdt 12/30 binh

nhin (40,0%), tdt 13/30 BN (43,3%), 5/30 binh nhin

(16,7%) trung binh va xiu. Diem trung binh 88,6.

Nhdm liy bd chdm xuxyng quay rat tdt 1/12 bdnh

nhin (8,3%), tdt 8/12 b$nh n hin (66,7%), 3/12 binh

nhin (25%) trung binh v i xiu. Diem trung binh 82,2.

Gdc mang nhdm liy bd chdm (7,17 ± 1,67°) I6n han

so vdri nhdm bao tdn chdm (5,43 ± 0,41°) cd y nghTa

thdng k i (p < 0,05).

- Mdt sd binh nhin cd b iin dd g ip dudi khuyu

dwOi 100° ho$c khuyu m it vung nhung v in ti/ phuc

vu duxyc b in thin c ic sinh hoat h in g ngay bing chi

duxyc p h iu th u it nhw: An udng, c h ii diu, m ic quin

io , di g iiy d ip v i v$ sinh c i nhin.

Tir khda: chdm xuxyng quay

NGUYCN MINH TUNG - Hqc v iin Q uin y

DAT VAN O t.

Gdy chdm xuong quay (CXQ) Id hinh thdi gdy m$t

phin chom hodc c6 xuong quay, bong sun tilp hop

d iu trdn xuong quay (d tre em), gdy xucmg hodc

bong sun tilp hop md dudng gdy di qua chom hodc

co xuong quay. Ddy Id tin thuong gdp d ca ngudi

Idn vd tre em, chiim ti Id 1,7-5,4% trong cdc loai gdy

xuong, 17-19% trong s i cdc tin thuang vung khuyu

[10], Gdy CXQ phin Idn do ch in thuang gidn tilp

ndn thudng Id gay kin; n iu do ca c h i ch in thuang

true tiep thi hay co tin thuang k it hap nhu gdy mom

khuyu, gdy d iu dudi xuang cdnh tay.. B iln chimg

thudng gdp cua gdy CXQ Id m it vOng, han c h i gip

dudi khuyu vd s lp ngua cdng tay [11, anh hudng din

kha ndng lao ding, sinh hoat, tham ml cua bdnh

nhan (BN).

Gdy CXQ cb th i duac d ilu tri bdng cdc phuang

phdp ndn chinh - b6 bdt, phdu thudt k it xuang, lly bd

manh gdy hodc lly bo CXQ. Tuy nhidn, d l dat duac

hieu qua d ilu tri t it nhit, vdn c ln cd thdm nhung

nghidn cuu, tim h iiu xung quanh cdc v ln d l v l ddc

diim tin thuana, chi djnh vd phuang phdp d ilu tri,

luydn tdp sau mo.

Nhieu ndm qua, Khoa C hin thuang chinh hinh

Bdnh vidn 103 dd d ilu tri phdu thu$t cho c ic BN gdy

CXQ cd di lech, budc d iu mang lai k it qua kha quan

Chung tdi thuc hidn nghidn cuu nhdm myc tidu tim

40 Y HOC THI/C HANH (902) - SO 1/2014