Đánh giá tương tác thuốc bất lợi trên bệnh án điều trị nội trú tại khoa Nội Bệnh viện Đa khoa Trung ương Thái Nguyên

d lu sbm han so vdci tre em nam [1]

Bieu hi$n thieu mau chi la giai doan cu6i cua mot

qua trinh thiiu s it k6o dai va giam du tru s it cua ca

the, so ngubi bi thieu sat nhung chua c6 bieu hi£n

thiiu mau cao hon nhilu so vbi s6 ngu'tb’i da bi thiiu

mau that sy [3].

Nghibn cuu cua Le Thi Huang va cong sy (1999)

thi ty le thiiu mau cua hoc sinh tieu hoc nbi thanh Ha

Nbi ia 14,8%, trong khi d6 ty le thiiu mau cua hoc sinh

truing tilu hoc ngoai thanh Ha Noi ia 18,8 [4] Nhu

vay la ty le thiiu mau O’ tre em hoc duong dao dong

tu’ang doi khac nhau theo cac dia phu’ang [5], O ilu

nay cung du’ac phan anh vbi hinh anh tu’ang ty trong

nghien cyu cua Partnership nam 1997 tren tong so

6308 nu va 6429 nam cua hoc sinh tai cac nubc a

Chau Phi va ChSu A cho thay ty l§ thiiu mau a tuoi 12

din 13 lai ia 54,4% va O’ tre 7 d in 11 tuoi 40,2% [6]

K it qua nghien cuu khlu phan cho thiy nang

luang do protein cung c lp dat 94,3%, cbn thiiu 5,7%

so vbi nhu ciu khuyln nghi. NSng luang do Lipid cung

cap kha thap, chi dat 68,9% so vdri nhu ciu khuyln

nghi. Ngiwc lai, nang luang do Glucid cung clp cao,

dap ung 110,6% so vbi nhu cau khuyln nghi [7].

Luang s it tieu thu trong khau phan hang ngay cua doi

tuang nghien cuu dat 7,74 mg/nguai/ngay, chi dap

ung duac 64,5% nhu cau khuyln nghi. S it trong khlu

phan chi co th i duac h ip thu khoang 10%, viec hip

thu va du tru rlt khac nhau va cdn phu thuoc vao su

co mat cua cac chat dinh duong khac nhu viamin C,

tanin, kern, selen... Vdi khlu phan an hien tai cua doi

tuan^ tai 4 truang tilu hoc tham gia nghien cuu kho

c6 the dap ung duac nhu cau khuyln nghi doi vai hoc

sinh. Day cung chinh la mot trong nhung nguyen nhan

lam tang ty le thiiu dinh duong, thiiu mau cua nhom

doi tuong nay [5],

k £t l u a n

- Ty le suy dinh du&ng can n3ng theo tuAi trftn

hoc sinh tilu hoc 7-10 tu li tai 4 trubng b lu hpc thuOc

2 x3 Thanh Cong va Phuc Thuan, huy6n Ph6 Yfen,

tinh Thai Nguyen cbn cr muc cao chilm 30,7% Ty l$

suy dinh dubng chilu cao theo tu li chilm 24.8% Ty

le suy dinh dubng th i g ly cbm ia 9,9%

- Ty le thiiu mau trbn hoc sinh tilu hoc 7-10 tuli

cbn cao chilm 38,9%, nhung chu y lu la thiiu miu

vua va nhe

- Khau phan an cua cac d li tuang nghiSn cuu cbn

ngh6o nan: nang luong th ip va chua can dli. ham

luang cac vi chat cbn th ip va chua dap ung vbi nhu

ciu khuyln nghi cho tre em Vibt Nam

TAI LIEU THAM KHAO

1 WHO. Health behaviour in school-aged children

International report from the 2009/2010 survey In., vol.

Health Policy for Children and Adolescents Geneva;

2012.

2. Bb Y te - Vien Dinh duang Thong tin dinh dw&ng

nam 2010; 2012.

3. WHO/UNICEF/UNU. Iron deficiency anemia,

assessments, prevention and control: a guide for

programme managers. Geneva: WHO/NHD/O1 3; 2001

4 Le Thi Huong. Tinh trang dinh duang va mpt s6

yeu to lien quan cua hoc sinh hai trubng tieu hoc nty,

ngogi thanh Ha Noi. Truang Dai hoc Y Ha Nqi; 1999

5. WHO. Worldwide prevalence of anaemia 1993—

2005. WHO Global Database on Anaemia In.; 2008

6. Hall A, Bobrow E, Brooker S, Jukes M, Nokes K,

Lambo J, Guyatt H, Bundy D, Adjei S, Wen ST el al

Anaemia in schoolchildren in eight countnes in Africa

and Asia. Public Health Nutr 2001, 4(3) 749-756

7. Vien Dinh duong. Nhu cau dinh duong khuyln

nghi cho ngubi Viet Nam: Nha xuat ban Y hoc - Ha Noi,

2 012.

DANH GIA TlfflNG TAC THUOC BAT LOI TREN BENH AN DIEU TRj NOI TRU

TAI KHOA NOI BENH VIEN DA KHOA TRUNG IflJNG THAI NGUYEN

TOM TAT

Muc tieu: Ddnh gid tuxyng tac thuoc bat loi tren

benh an dieu tri tai khoa noi, tCr do xay dung danh muc

tuung tdc thuoc thuong gSp trong thirc hanh lam sang

tai khoa Noi benh vien Da khoa Trung uong Thai

Nguyen. Phuung phap nghien cuu: Nghien cuu mo ta

cdt ngang thong qua thu thap dCr lieu tir benh an. Phdt

hien tuong tdc trong b&nh bn bdng phan mem tra cuv

tuong tac thuoc dang tin cay: Drugs interaction facts

va sdch tuong tac thuoc cua Bo Y te 2006

Ket qua nghien ciru: Xdc dinh duxyc ty le benh an

cd tuong tdc theo 2 CSDL tra cuu Ty le benh an cd

TTT va cdc TTT cd YNLS la khd cao so vdi nghien

cuv cua tdc gia gan day. Cac tuxyng tac co y nghla

lam sang thuong gdp bao gom: tuxyng tac ux: che

DO LE THUY, VU OiNH HOANG

Trisdmg Dai hoc Y Duwc Thdi Nguyen

men chuyen - muoi kaliAhuoc lo i tieu giOr kali lam gia

tang nong do kali mdu, didu ndy het sue nguy hi4m

Phai thifdng xuyen theo doi nong do kali mau. chirc

ndng than trong qud trinh dieu tri Ket luan Sir dung

danh muc tuxyng tdc thuoc thuxyng gdp nay trong thuc

hdnh lam sang hang ngay nhdm giam thiSu cdc

tuxyng tdc nghiem trong trong dieu tn.

Tlf khoa: Tuxyng tdc thudc.

SUMMARY

Objectives: The study aimed at evaluating drug

interaction in clinical practice the Departement of

Internal Medicine (Thdi Nguyen provincial Hospital),

then developing a list o f important drug interactions in

this department. Methods: The construction of the list

was based on consensus of two drug interaction

Y HOC T ,,,r