Hiệu quả tiêu thụ bột mỳ/mỳ tôm tăng cường 5 loại vi chất đến tình trạng thiếu máu, thiếu kẽm, thiếu Acid Folic trên đối tượng công nhân nữ bị thiếu máu

TCNCYH 71 (dJ - 2010

Summary

FIRST STEP RESULT OF 5 - FU AUGMENTED TRABECULECTOMY IN TREATMENT OF

GLAUCOMA WITH PREVIOUS FAILED FILTERING SURGERIES

Objectives: To evaluate the effectiveness of the 5 - FU augmented trabeculectomy in treatment of Glau￾coma with previous failed filtering surgeries. Methods; Prospective clinical trial involving 51 glaucomatous

eyes with previous failed filtering surgeries which were treated with trabeculectomy + intraoperative or

postoperative 5 - FU. An necessarily additional injection. Patients were followed up for VA, lOP, filtration

bleb status, VF, optic disk at 2 weeks, 1 month, 3 months, 6 months, and 1 year postoperatively. Results:

After 1 year, 100% of success rate were achieved (complete or relative) with the mean lOP of 14.94 ±

1.59, godd filtration bleb of 58%, and few ecmplications. Conclusion: 5-F U augmented trabeculectomy

gave a good result.

Keywords: Glaucoma, 5-F U

HIEU QUA TIEU THU BOT MY/MY TOM TANG CLfCfNG 5 LO/\l VI

CHAT DEN TINH TRANG THIEU MAU, THIEU KEM, THIEU ACID

FOLIC TREN DOI TUON G CONG NHAN NLf Bj THIEU MAU

Nguyen Tu Anh, Nguyen Xuan Ninh, Pham.Thj Thuy Hoa

Vien Dinh Difdng

Muc tieu: Nghien cdu hidu qua tieu thu bdt my/my tdm tang cddng 5 loai vi chat din tlnb trang thidd

mau, thieu kem, thidu acid folic tren ddi tddng cong nhan nd bj thiiu mau. Ddi ttfgng va phtfang phap

nghien ctfu: 148 dd'i tdang cdng nhan nd, bj thiiu mau (Hb < 120g/L) ddac chia ngiu nhien ra 3 nhdm:

nhdm chdng (CTR, n = 49), ddac nhin vien sit/folic theo phac do dd phdng hang tuan (2 vien/tuin); nhdm

sit i (ELEC, n = 49): in my tdm, che bien td bdt my tang cddng 5 loai vi chi't, trong dd chit sit sd dijng dddi

dang Electrolytic; Nhdm sit 2 (FUMA, n = 50): dd'i tddng ddac an my tdm, chi bien td bdt my tang cddng 5

loai vi chi't, trong dd chat sit sd dung dddi dang Fumarate. Nhdm sit 1 vi sit 2 ddac an lOOg my tdm hing

ngay vio buoi sang, trong 6 thing. Nhdm 1 nhan thudc hing tuin tai phdng y te cua nhi miy. Cic chi sd xet

nghiem, nhin trie ddac thdc hien khi bit diu va ket thuc nghien cdu. Kit qua: tieu thu my tdm cd vi chat

trong thdi gian 6 thing da Tam tang y nghTa (p < 0,01) nong dd Hb (tang 6,4 - 7 l,7g/L), kem thuyit thanh

(14,2 - 18 mg/dL); lam giam rd rdt ty le thieu mau thieu sit (giam 60,5 - 65,9%o), t'y le thieu kem (giam 9,1 -

11,6%o); tuy nhien chda rd hidu qua eai thien tinh trang folate. Bdt my tang cddng sat Fumarate cd hieu qui

td't han so vdi tang cddng sit Electrolytic trong viec cai thien tlnb trang sit vi kem. Bd sung vien sit/folat

hing tuin cai thidn tdt han vi tinh trang sit va folate so vdi hai nhdm an bdt my, tuy nhien khdng hieu qua

cai thidn tlnb trang thiiu kem. Kit luan, khuyin nghi: Sd dijng bdt my cd tang cddng vi chai theo khuydn

nghj ciia Bo Y Te li bi$n phip cd hiSu qua,cao cai thien tlnb trang thidu miu, thieu kem hien nay. Trong

chien lUdc tang cddng vi chat vao bdt my d Vidt Nam, nen ebon sit Fumarate, cd thS tang nong dd Folate

len cao han, phu hap khuyen nghi mdi cua WHO 2009.

Tii khoa: bpt my, my torn, tang cUdng vi chat, thie'u mau, thie'u kem, phu nO

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