Khảo sát một số đặc điểm lâm sàng, cận lâm sàng bệnh nhân suy thận mạn tính có chỉ định làm lỗ thông động tĩnh mạch tại Bệnh viện Bạch Mai

vd khoa hpc. Tuy nhidn mpt s6 chi tidu chua duoc

Idm rd nhu: Mdi trudng canh quan xanh, sgch, dep;

Ddo tgo liSn tgc, vd mOt s6 chi tidu c in dupe b6 sung

nhu: C hit lupng ngudn nhdn luc; C hit lupng xdt

nghi$m; An todn ngudi bdnh; Hieu qua diiu tri; Bao

hiim y tl... D l nghi BO Y t l xem xdt Idm rd hodc b6

sung cdc nOi dung ndy.

TAI LIEU THAM KHAO

1. BO Y t l (2013), Q uyit djnh so 4858/2013/QO￾BYT v l vide Ban hdnh BO tidu chi ddnh gid ch it

lupng bdnh vi$n

2. BO Y t l (2013), Cdng vdn s6 1158/2013/KCB￾QLCL v l vide hudng d in kiim tra, ddnh gid ch it

lupng bdnh vidn ndm 2013

3. Luong Ngpc Khud (2012), Ydu c iu vd dinh

hudng cdng tdc quan ly ch it lupng benh vidn d Viet

Nam, Hdi thdo cdng tdc quan ly c h it lupng benh

vi0n, Bd Y t i

4 Duong Cong Hoat (2012), Cdng cu cho quan ly

ch it lupng benh vien, Hoi thao cdng tdc quan ly ch it

lupng benh vien, Bo Y te

5 Sd Y te Hai Phong (2013), Bang tin g hop ket

qua kiem tra benh vien ndm 2013 theo Quyet dinh so

4858/2013/QD-BYT

6. Kossi T (2006), Mise en place de la demarche

qualite dans les etablissements hospitaliers du Togo

d partir de I'experience franpaise

7. Herve Mignardot (2001), Accreditation et quality

des soins hospitaliers

8. Revue de Santd et medico-social (2012): La

certification ISO 9001 se positionne comme un outil

mdthodologique et un facteur de perennite de la

demarche qualite des dtablissements hospitaliers.

KHAO SAT MOT SO DAC DIEM LAM SANG, CAN LAM SANG

BENH NHAN SOY THAN MAN TINH CO CHI DjNH LAM LO THONG DONG TINH MACH

TAI BENH VIEN BACH MAI

DINH DLfC LONG, L£ THANH BiNH

Benh vien Bach Mai

t 6 m t A t

NhCeng die diim lim sang, c$n lim sing b$nh

nhin suy thin m$n tinh in h hudng den kSt qu i tao Id

thdng ddng tinh mach. Muc tieu nghien ciru: Khiio

s it mdt sd d$c diim 18m sang, c in lim sing b$nh

nhin suy thin man tinh cd chi dinh lam Id thdng ddng

tinh m$ch tai b$nh vi$n Bach Mai. Phuwng phap:

M6 t i c it ngang 446 b$nh nhin. Ket qua v i b in

lu$n: Nguyin nhin suy th in chu ySu viem c iu thin

man (74,9%), tudi trung binh 46,22 +15,34, chu ySu

tir 36-65 tudi (63,2%). Tridu chimg chu ydu li: ThiSu

m iu l i 93,9%, g ii tri Hb trung binh: 78,47±18,34 g/l;

Ty I$ ting huydt ip 86,33%.

Tir kh o i: Suy th in giai doan cuoi; D ie diim lim

sing; C in lim sing; Ld thdng ddng tinh mach.

SUMMARY

Background: The clinical and laboratory data of

chronic renal failure patients effect on outcome of

arteriovenous fistula. Objective: Assessing of clinical

and laboratory data of chronic renal failure patients

who has indicated making arteriovenous fistula at

Bach Mai hospital. Methods: Prospective cross￾sectional design of 446 patients. Results and

conclusions: Cause of renal failure is mainly

glomemlonephritis (74.9%), mean age is 46.22+15.34

and most from 36 to 65 ages (63.2%). Common

Keywords: End stage renal failure, Clinical and

laboratory data, arteriovenous fistula.

DAT VAN 0£

So lupng benh nhdn suy thdn giai doan cudi c in

dieu trj thay th i chuc ndng thdn trdn th i gidi r it Idn

vd khdng ngung gia tdng. Nhung bdnh nhdn ndy d iu

cd nhu c iu lua chpn phuang phdp dieu trj thay th i

thdn khac nhau phu hap vdi hodn canh vd d iiu kidn

cua minh [1][3]. Hien nay, Iqc mdu chu ky (LMCK) cd

xu th i duoc lua chpn vd cung Id phuang phdp pho

biln. Trong phuang phdp LMCK, dudng vdo mach

mdu Id budc d iu tien vd ddng vai trd quan trong

trong dieu tri vd dieu tri loc mdu d iy du, phg thudc

vdo Id thdng ddng tinh mach (DTM).Thanh cOna trong

tao Id thdng DTM phg thudc vdo nhiiu y lu to trong

dd cd dac diem Idm sdng, cdn Idm sdng bdnh nhdn

suy than mdn tinh (STMT) [2], Ode diem nhdm bdnh

nhdn ndy khde so vdi nhdm benh nhdn STMT chua

cd chi djnh loc mdu chu ky. Hien nay, chua th iy cdng

bd ndo tai Viet Nam ve v in de nay, vi vdy chung tdi

thuc hien nghien cuu ndy nhdm mge tieu: Khio s it

mdt sd d ie diem lim sing, c$n lim sin g b$nh nhin

STMT cd chi djnh lim Id thdng ddng tinh m$ch tai

B$nh vidn Bach Mai.

0 6 l TIPONG VA PHIPOWG PHAP NGHIEN CLPU

1. Dja diim , thai gian nghien cu’ti

symptoms are: anemia is 93.9%, mean Hw ioglobin jslnhifen t y 11 du>ac tiin hdnh tai Khoa Thdn nhdn

78.47±18.34 g/l; Hypertension is 86.33%. [ jjq q jjjao, l ^ a Thdn tiet nidu Benh vien Bach Mai.

Y HOC THVC HANH (907) - S6 3/2014 ■TSUNGTAMHOt 17