Đánh giá khả năng đáp ứng của tim đối với các bài tập vận động gắng sức ở bệnh nhân tai biến mạch máu não do hẹp van hai lá

TCNCYH 71 (6J - 2010

Summary

POSTURAL HYPOTENTION UNFAVORABLLY AFFECT A RECOVERY RESULTS

IN PATIENTS WITH SPINAL CORD INJURY

Objectives: 1) to describe signs characteristic of orthostatic hypotention (OH); 2) to evaluate a

effectivness of applied measures in these patients. Method: Cross - sectional and intervention progressive

study have been carried out in 70 spinal cord injury (SCI) patients hoospitalized in BachMai Rehabilitation

center. Results: 91,1 7% of them are of working ages. Mai / femal rate is approximatelly 4. Among them

48,6% had have a clinical symtoms and 82,35% with cerebral hypotentidn. In subjects with FIP there was

67.7% with paraplegia abc)ve T6; 70.69% of them were classified as ASIA A and B; 82.4% of them hadn't

jet leaved their bad. The minimal blood pressure's diference is on midle value 18,03 mmHg. After

rehabilitation programme the cerebral hypoinfusion signs had disapeared in 100% of patients. Recovery

liiTie had depended on SCI severity. Conclusion: Having a patients early to get up and wear the plastic

bandage had evidently affected in treatment of orthostatic hypotention.

Keywords: orthostatic hypotention; spinal cord injury, rehabilitation

DANH GIA KHA NANG DAP L/NG CUA TIM DOI VOil CAC BAI TAP

VAN DON G GAN G SL/C 6 BENH NHAN TAI BIEN MACH MAU

NAO DO HEP VAN HAI LA

Vu Huy Quang^ , Vu Thj Bich Hanh^

'Benh vien Dieu difdng Phuc hoi chifc nang Quang Ninh, "Tnfdng Dai hoc Y Tli Noi

Itc'p v,in hai li (HHL) inh hddng den kha nang chiu ddng ging sdc, kel qui phuc hoi ciia benh nhin tai

hien mach miu nio CI'BMMN). Muc tieu: Dinh gii kha ning dip dng cua tim benh nhin TBMMN do HHL

doi vdi cic hii tip van ddng ging sifc. Doi tugng va phuang phap nghien ctfu: 34 henh nhin TBMMN do

I tl II diiu Iri lai Vien Tim mach - Benh vien Bach Mai td thing 2/2008 den thing 8/2008 ddac lip ging sdc,

ch nhip tim, thd vi huyel ip trddc va sau di bo, dem thdi gian di bd 10m, thdi gian di bo tdi da vi do quing

dddng di tdi da. Kit qua: Tan sd tim vi nhjp thd trung binh cua benh nhin sau khi di bd 10m ting khoang 15

- 18"/,,, huyet ip tim thu vi huye't ip tim tnfdng trung binh cua benh nhan tang khoing 7 - 10°/o so vdi trddc

khi di bd. Sau 20 ngiy tip Iuyen, van tdc di bd 10m, quang difdng di tdi da vi thdi gian di bd ting so vdi khi

vio vien. Kit luan Cd sd thich dng cua tim mach ddi vdi tip Iuyen ging sdc sau 20 ngiy tip.

Td khoa: Tai bicn mach mau nao, hep van hai la, bai tap gang sue

I. DAT VAN DE khi nang phuc hdi van ddng cua benh nhan sau

HHF la benh van tim thifdng gap nhat d nflde TBMMN. Chinh vi vay ma. chifdng trinh tap Iuyen

ta. Day IA mpt benh nang tien trien, ed nhieu chd benh nhan bj TBMMN dd FIHF chfla dflpe

bien chflng ludn de doa tfnh mang cua benh thflc hien mpt each phu hdp. Vi vay, ehung tdi

nhan. FIFIF In h hifdng ra't nhieu den khi nang nghien eflu de tai nay vdi muc tieu: Dan/j g/a/fha

chiu dflng bai tap ging sflc, ket qua tap Iuyen va nang dap tfng cua tim benh nhan TBMMN do

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