Đánh giá kết quả phục hồi chức năng vận động chi trên ở bệnh nhân tai biến chảy máu não trên lều bằng hoạt động trị liệu

TCNCYH 71 (dJ - 2010

Summay

THE EFFICACY OF A SINGLE INTRAVENOUS DOSE OF RANITIDIN ON GASTRIC pH IN

SURGICAL ABDOMINAL EMERGENCY PATIENT

To evaluate gastric pH in abdominal emergency patient and the efficacy of a single intravenous dose of

ranitidin. Method: gastric pH was measured by pH Hanna instrument. Patients having gastric pH under

2.5 were randomly chosen into 2 groups; ranitidin IV administration (100 mg) and placebo group. Results:

gastric pH in surgical abdominal emergency patients was 2.35 ± 1.62 (0.6 - 7.2). Gastric pH increased

significantly after Ihour and remained higher until 6"' hour in ranitidin group when compared to placebo.

Only 2/34 patients had light downiness or nausea after ranitidin IV administration. Conclusions: 65% of

abdominal emergency patients had gastric pH under 2.5; a single IV dose 100 mg of ranitidin increased

significantly pH in almost all patients.

Keywords: gastric secretion, ranitidin, aspiration

DANH GIA KET QUA PHUC HOI CHL/C NANG VAN DON G CHI

TREN 6 BENH NHAN TAI BIEN CHAY MAU NAO TREN LEU BANG

HOAT DON G TRI LIEU

Le Huy Ctfdng', Vu Thi Bich Hanh'

'Benh vien Diiu difdng Trung dang Thanh Hda, 'Tnfdng Dai hoc Y Hi Ndi

Benh nhin sau tai bien chay miu nio thddng bj cic di chifng ning ni ve van ddng chi tren. Hien nay cdn

rat it nghien cdu ve tic dung cua boat ddng tri lieu (HDTL) trong phuc hoi chdc ning van ddng chi tren.

/\1uc tieu: Dinh gii kel qui phuc hoi chdc ning van ddng chi tren d benh nhin difac can thiep HDTL vi

mot sd ye'u td inh hifdng. Doi tugng va phuang phap nghien ctfu: Nghien cdu 35 benh nhin bi TBMMN the

chay miu tren leu, dinh gii ke't qui hoi phuc chdc ning chi tren sau 3 thing can thiep HDTL bang cic chi

sd chifc ning sinh boat hing ngay (SH13N) theo Barthel va chifc nang van ddng bin tay theo ARA test. Ket

qua: Ty le benh nhin cd diem van ddng ban tay tdt tang len td 17,2%o len 42,8%o (p < 0,05), ty le benh nhin

doc lip trong cic chdc ning sinh boat hang ngiy tang tCf 22%o len 60%o(p < 0,05). Benh nhin difdi 60 tuoi cd

khi nang van ddng bin tay tot han nhdng benh nhan tren hoac bang 60 tuoi (p < 0,05). Thdi gian benh nhin dddc

PI-ICN bin tay dddi 4 tuin ke td khi bi TBMMN cd kha ning van ddng bin tay tdt hdn benh nhin cd thdi

gian Iren hoac bang 4 tuin (p < 0,05). Kit luan: Can thiep HDTL thdc sd cd hieu qui sau 3 thing, tuoi vi

can thiep sdm TIDTL li nhdng yeu td anh hddng.

\\i khoa: Chflc nang ban tay, tai bie'n mach mau nao, Hoat dpng trj lieu

I. DAT VA N DE khoing 5,7 trieu ngifdi tfl vong. Tai bien mach

Tai bie'n mach mau nao (TBMMN) la mpt ml u nao edn dd lai di chflng nang nd, dae biet la

l^cnh phd bidn tren thd gidi, la vi n dd ldn eua y di ehdng van dpng. Cae di ehdng eua TBMMN la

hoc; la nguyen nhan gay td vong ddng hang th'fl g^nh "ang khdng ehi eho ngfldi benh, gia dinh

ba sau ung thfl va elc benh tim mach. Theo Td '^^^ ^dn la ginh nang eho toan xa hpi |1 0|.

chflc Y te The Gidi, nam 2005 tren the gidi ed Trong ele di chdng van dpng, ma't van dpng

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