Khảo sát một số đặc điểm lâm sàng, cận lâm sàng bệnh nhân tăng huyết áp có tiền đái tháo đường

thai khi sinh diroi 28 tuan trong nghien clpu cua chung

toi rat cao va co the so sanh vai ket qua nghien clpu

cua nhom Cryo-ROP va cua Reinsner (bang 4 1). Bieu

do 3.1 va 3.2 cho chung ta thay ty le mac benh va ty le

benh nhan can dieu tri trong nghien clpu cua chung toi

giam dan khi c£n nang va tuoi thai luc sinh cua tre tang

len. Dieu nay phu ho’p vdi ket qua nghien clpu cua cac

tac gia khac trong va ngoai nLPbc cho ring can nang

va tuoi thai khi sinh ty le nghich vai ty le BVMTDN,

nghla la ty le BVMTDN cang cao va cang co nhieu

benh nhan phai dieu tri khi can nang va tuoi thai khi

sinh cua tre cang thap va ngu’O’c lai.

Khi nghien clpu ve can nang trung binh khi sinh va

tuoi thai trung binh khi sinh (bang 3.1 va 3 3) chung

toi nh|n thay nhom benh nhan bi benh co can nang

trung binh v i tuoi thai trung binh khi sinh thap hon so

v6i nh6m kh&ng bi benh va nhom benh nhin bi benh

can dieu tri thap hon nhom bi benh nhung khong can

phai dieu tri. Ket qua n iy cung c6 ket luan cua Flynn

va cua cac tac gia khac la can nang va tuoi thai khi

sinh cang thap thi nguy ca bi benh va kha nang phai

dieu tri cang cao[2],

k £t l u a n

- Ty If mac bfnh v6ng mac tre de non va ty le

bfnh c in dieu trj a khoa sa sinh benh vien Phy san

Trung LPang kha cao Ian IlpoI la 37,8% va 24,1%.

- Benh v6ng mac tre de non c6 Ii6n quan chat ch§

den tuoi thai va can nang khi sinh Tu6< thai vd can

nang khi sinh cang th£p. ty If mac bfenh cang cao,

cang co kha nang phai dieu tn va nguac lai

TAI LIEU THAM KHAO

1. Cryotherapy for Retinopathy of Prematurity

Cooperative Group (1988), 'Multicenter tnal of

Cryotherapy for retinopathy of prematurity Preliminary

results’ , Arch Ophthalmol 106, pp. 471-479

2 Flynn J.T., Bancalan E , (1987), ‘ Retinopathy of

prematurity. Diagnosis, severity, and natural history',

Ophthalmology 94, pp. 620-629

3. Lermann V.L., Filho J B F . Proaanoy R S (2006),

“The prevalence of retinopathy of prematurity in very low

birth weight newborn infants”, Jomal de pediatna 82(1),

pp. 27-32.

4. Mai H P., Phuong N.N., Reynold J D (2003) "

Incidence and severity of retinopathy of prematunty in

Vietnam, a developing middle income country", J

Paediatr Ophthalmol Strabismus 40. pp 208-212.

5. The Committee for the Classification of

Retinopathy of Prematurity (1984), ‘An International

Classification of Retinopathy of Prematunty', Arch

Ophthalmol 102, pp. 1130-1134.

6. Shapiro M.J., Biglan A.W. and Miller MM (1995),

Retinopathy of prematurity, Kuhler Publications,

Amsterdam / New York.

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

BENH NHAN TANG HUYET AP CO TIEN DAI THAO DtfftNG

LE THANH BiNH*, DINH DLfC LONG*, l £ OLfC QUYgN**

*Benh vien Bach Mai, ** Benh vien 175 - BQ quoc phdng

TOM TAT

Benh nhan tdng huyet dp kem theo tien ddi thdo

dwdng cd nhCrng dac diem Idm sang va can Idm sang

khdc v&i nhisng binh nhan chi cd tang huyet dp. Muc

tieu nghien cCru: Khao sdt mot so ddc diem Idm

sdng, can Idm sdng cua benh nhan tdng huyet dp cd

tidn ddi thdo duvng. Doi tuong vd phuong phap

nghien c lpu : Mo td cdt ngang 93 benh nhan tang

huyet dp c6 tidn ddi thdo duvng. Ket qua va ket

luan: C6 81,7% benh nhan cd tdng it nhat mot chi so

nhdn trdc, ty le hut thuoc la la 37,6%, uong ruvu la

23,7%, tdng acid uric mdu la 22,6%. 06 33,3% benh

nhdn cd hdi chirng chuyen hoa, 81,7% roi loan it nhat

mdt thanh phan lipid mdu. Ton thuvng tim, thdn, nao

lin luxyt Id: 37,6%, 26,9%, 6,5%.

Tip khod: Tdng huydt dp, Tien dai thdo du&ng,

Roi loan lipid mdu, Hoi chirng chuyen hda.

SUMMARY

Background: Clinical and laboratory data of

hypertensive and pre-diabetic patients are differently

from those of hypertensive patients only. Objective:

Accessing on laboratories and clinical features of

patients with pre-diabetes and hypertension Patients

and Method: Prospective cross-sectional design with

93 pre-diabetic and hypertensive patients Results

and conclusions: There is 81.7% patients with at

least over one of morphological index, smoker is

37.6%, drink alcohol is 23.7%, high serum uhc acid is

22.6%. There are 33.3% patients with metabolic

syndrome, 81.7% patients with serum lipid disorder.

Rate of complications: heart is 37 6%. kidney is

26.9% and brain is 6.5% respectally

Keywords: Hypertension, pre-diabetes, semm

lipid disorder, metabolic syndrome.

DAT VAN 0 £

Bfnh nhan tang huyet ap (THA) nguydn phat c6

nhung dac diem lam sang va cfn Idm sang r£t ngh&o

nan, thLPang la dac diem nhung y£u t6 nguy ca. Tuy

nhi£n khi c6 bi6n chung cac bi£u hifn ISm sang

phong phu han. Tien dai thao diTOng (DTD) la nhung

bfnh nhan c6 giam dung nap glucose va r6i loan

glucose mau luc dbi. Nhi&u nghifen ctru trong nhung

nim gan d£y chi ra ring h£u h&t nhOng ngLriri c6

dirong huv£t n3m trong ngu-fing ti&n dai thdo dLrdng

se tien trien thanh dai thao dirong typ 2 trong vdng

10 nam va khoang 50% s6 ngLriri mdc ti&n ddi thao

28 Y HOC THUC HANH (905) - SO 2/2014