Nghiên cứu biểu hiện tổn thương thần kinh ngoại vi ở người trưởng thành suy thận mạn tính giai đoạn 4

TCNCYH 64 (5) - 2009

Kinh's people (22.8%), lowest rate in Giay's people (13.5%) and Tay's people (10.2%). The frequency of

HCV infection was 6.6% with lowest rate in Kinh's 0% and highest rate Mong's people 9.7%. The preva￾lence of CO - infection HBV/HCV in the study was 1.3% aind 82.1% of population study was positive with

IgG anti - HBc. The prevalelcne of HBV genotype B and genotype C was 54% and 46%, respectively.

Conclusion: The prevelence of HBsAg positive is very high in all ethnics of people in Ba Xat, Lao Cai prov￾ince. Most of population living in the region has a medical history of HBV infection and two major HBV

genotypes are genotype B and genotype C. The prevalence of HCV in fection is intermediate and not the

same between ethnis of people.

Keywords: hepatitis B virus, hepatitis C virus, Lao Cai, Vietnam

NGHIEN CL/U BIEU HIEN TON THLfONG THAN KINH NGOAI VI 6

NGUdl TRU'DNG THANH SUY THAN MAN TINH GIAI DOAN 4 • • •

Nguyen Cong Hoan

,,,, ;,. ! ,'; , ; , ; :, :. .; .^ ; Bg mdn Than kinh - Trtfdng Dai hgc Y Fla Ngi

Ton thuang thin kinh ngoai vi trSn benh nhin suy thin man li mgt biin ehifng thifdng gap. SU hoi phuc

tdn thuang thin kinh ngoai vi trong suy than man HSn quan den chi djnh dieu trj Igc miu chu ky sdm hay

mudn. Muc tieu: (1) Md ta bieu hien lim sing tdn thttang than kinh ngoai vi d ngttdi trtfdng thinh suy than

man tinh giai doan 4. (2) Md ta bleu hien dien sinh ly tdn thuang thin kinh ngoai vi d ngifdi trudng thinh suy

than.'man tinh giai doan 4. Bdi tUgng va phuang pbap ngbiSn cdu: nghiSn cdu md ti dt ngang 36 benh

nhin suy thin man tlnh giai doan 4 dieu trj ngi trii tai khoa Than - Tiit nieu benh viSn Bach Mai tif thing

3/2008 den 11/2008. Benh nhan dugc kham lam sing, xet nghiem, ghi dien sinh ly tai phdng ghi dien ca

cila vien Lao khoa Qud'c Gia. Kit qua va kit luan: benh nhan cd td'n thttang tren lam sing li (41,7%o). Nhdm

tneu chdng rdi loan cam giac chiim ty IS cao nhat (38,9%o), glim phan xa gin xuang (33,3%o), benh nhan cd

bat thifdng trSn dien sinh ly (72,2 %o), ty IS nay cao han bat thitdng trSn lam sing (41,7%a). Ty le giam bien

dd dip dng ciia diy hdng khoeo trong van ddng (62,5%o), Hep theo la giam bien do dip ifng hdng khoeo

ngoai (50%). Giim td'c do din truyin thin kinh (TDDTTK) hdng khoeo trong van ddng cd ty IS cao nhai, tiep

theo li giim TD DTTK hdng khoeo ngoii vdi ty IS tuang itng li 56,9% va 41,7%o. Ty IS giim BD DIJcao ban

ty IS giam TD DTTK d cic diy than kinh nghiSn cdu.

Tii khoa: Benh than kinh ngoai vi, Suy than man tinh

I. D-AT VA N D E chu ky sdm hay mupn. 0 Viet Nam, mpt sd ti c gi l

Ton thflong than kinh ngoai vi tren benh nhin dd I p dpng phtfong phip ghi dien sinh ly nghien

Suy th|n man (SThM) la mpt bien cht'fng thifdng ct'fu bien cht'fng than kinh ngoai vi d benh nhin suy

gap. Bien cht'fng nay cd ty le khi cao, theo Bolton than man giai doan cudi, ket qua cho biet hau he't

II 60%, Cosmo la 65%, Lai 73,68%, Liblom 83% , ci c benh nhin da cd bien cht'fng TKNV [2]. Chung

Krishnan II 93%, Nguyin Trpng Hflng 100% [2, 5]. tdi nghien cflu tren nhdm benh nhan SThM giai

Sfl hdi phuc tdn thflpng than kinh ngoai vi trong Suy doan 4 (int'fc Ipc cau than 1 5 - 29ml/phut) nham

than man lien quan den chl dinh dieu trj Ipc mlu muc tieu:

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