Nghiên cứu dịch tễ học mô tả một số bệnh ung thư tại Cần Thơ 2001-2004

4. Ve kit qua :

Sau 20 - 30 phut cham te, 100% cac trudng hgp cho

ph6p nin chinh thanh cong. Cac thao tac nan chinh hoan

toan thuan lgi. Khong mpt trudng hgp nao phai thay doi

phu'ong phap vo cam.

Truang lyc co chi gay sau khi ngCrng kich thich xung

ai$n a trang thai thu gian, khong anh hu'dng den thu thuat.

V6 cam d ngudi cao tudi tdt hon ngudi tre; ngudi co the

tang Mn tdt hon ngudi the tang nhiet phu hgp sy nhay cam

vdi dau theo tuoi vS the tgng. Mpt so benh nhan con nhan

mat, lo lang trong qua trinh nSn chinh. Chung toi cho ring:

gay xu'ong la mpt stress de lai an tugng dau don.

5. Viec thay doi mach, huyet ap trong pham vi cho phep

(mach thay doi <20 lan/ phut; HA thay doi < 20 mmHg)

phan inh khach quan hieu qua vo cam bang cham te.

Ve phuc hdi co nang khdp sau dieu tri (bang 6) d 16

dugc v6 cam blng chSm te c6 so lieu tot hon, sdm hon 16

tiem te 6 gay. Chung t6i cho ring can nghien cu'u vdi so

lugng nhieu hon de co ket luSn khSch quan.

;j 6. Nhygc dilm

Phuong phap cham te keo nan gay xuong la phuong

phap chua pho bien. Chung t6i cho rang, viec giai thich de

benh nhan an tam, tin tudng va hgp tac vdi thay thuoc co

vai tr6 quan trpng.

De dat v6 cam cho thu thuat nan chinh, thoi gian cham

t§ d^i gap doi thai gian tiem te 6 gay lai kha phien ha,

nhung del lai ngudi benh sdm phuc hoi chCrc nang chi gay,

sdm trd ve vai lao dpng hang thang, hang nam; lam giam

thap ty le di chCrng, chung t6i cho ring cham te mang lai lgi

ich thiet thye, can tiep tuc theo doi ket qua xa de co ket

luan khach quan ve van de nay.

KETLUAN

Qua 60 trudng hgp gay diu dual xuang quay di lech

dugc cham te vo cam nin chlnh di l$ch cSc doan gSy tgi

B$nh vi$n 198 Vci Khoa Ngoai B$nh vien Y hpc c6 truyen

Hi N6i tCr thing 3 den thing 12 nam 2002, buac dau chung

t6i c6 nh&ng ket luan sau diy:

1. Cham te hai huyet Khuc tri va Hgp coc hai ben bao

dam vo cam de nin chinh thanh cong 96,7% cic trudng

hgp gay dau du'di xu'ong quay di lech. ^

2. LTu diem cua phuang phap: ky thuat tuong doi don

gian, giam dau tu'ong doi tot, an toan, khong gay anh

hudng den sinh hoc 6 gay. Nhuge diem cua: giani dau

chua hoan toan va thai gian cho dgi con lau (20 den 30

phut).

3. Phuc hoi CO nang chi gay sau dieu tri giua hai 16

tu-anq duang nhau.

TAI LIEU THAM KHA O

1. Hoang Bao Chau (1981), Tac dung va ca che tac

dung cue cham te, ThOng tin Dong y (31), tr. 3-5.

2. Pham Thi Minh DUc, Hoang Khanh Hlng (2000),

Nghien ciru sir bien ddi nong do hocmon true tuyen yen- vo

thuang th$n va mot so chat truyen dat than kinh dud'i tac

dung cua di$n cham huyet Hap coc, Bao cio khoa hoc tai

hpi nghi Npi tiet toin quoc.

3. Hoang Khinh Hlng, Pham Thi Minh Due, Le Thu

Lien (1999), Nghien cdu tac dijng ciia dien cham huy$t Hap

coc len mot so ch! tieu ve huyet hgc. Tuyen tap c6ng trinh

nghien cuu khoa hpc cua Nghien cuu sinh, trudng dai hpc

Y Ha Npi, Nha xuat ban Yhge, tr. 220- 226.

4. Dinh Van Lyc, Nguyen Manh Phit, Trinh Dinh

Th6ng, Nguyin Van Tuyen (1987), "Di chu'ng sau gay dau

dual xuong quay (hoi churng Sudeck) trong 20 nam 1966-

1986 tai khoa ngoai", Tdm tit nhCmg cong trinh nghien ciru

khoa hoc 1957-1987 - Vien Y hgc dan tdc Ha noi, tr. 120-

121.

5. Chen W., Wang Y., Whu H., Gu. (1991), Analyzing

the effects of tooth extraction under acupuncture

anaesthesia in 825 cases of senior, Chen - Tru - Yen -Chin

16(1), pp.1-3.

6. Bianehi M., Jutti E., Sacalote P., Panerai AE.

(1991), Traditional acupuncture increases the content of

beta-endorphin in immune cells and influences mitogen

induced proliferation, Am-J-Chin-Med. 19 (2), pp. 101-104.

NGHIEN Cl)U DICH TE HOC MO TA MOT SO BENH UNG THlT TAI CAN THO 2001 - 2004

HUYNH QUYET THANG

':; T6M TAT

Ung thu la mgt trong nhifng b$nh gay tan pha nhat

khong chi d c^c nuac phat triin ma cung la mgt van de sdc

khoe quan trgng a nhirng nude dang phat triin. Tai Viet

Nam, ginh nang ung thu ngay cang gia tang tren pham vi

ca nudc va doi hoi su quan tam dac bi$t ciia loan xa hoi.

Muc dich nghien ciru : Gop phan vao chuang trinh ghi

nh$n, phong chong ung thu quoc gia. Trinh bay nhung dac

diim cua tinh hinh ung thw vung Oong bang song Ciru

Long. Gdp phin hinh thinh chien luge phong chong ung

thu cho Can Tha.

6804 tnrdng hgp ung thu duac ghi nhan trong 4 nam

2001 - 2004 bao gom 3173 nam (46,6%) va 3631 nCr

(53,4%). Cac thong tin ve b$nh tat dugc phan tich bing

phan mim CANREG 3.

Xuat dg thd cua ung thu cho hai phai la 91,2/100000; d

nam la 86,7/100.000 vd & nu Id 95,7/100000.

- Doi vdi 2 phii, 10 loai ung thu thud'ng gap la : Gan,

Dai tn/c trang. Da day, Phdi, Vu, Co tir cung. Bach cau.

Da, Lymphom khong hodgkin va Buong trirng.

- Ct phii nam, 10 loai ung thu thudng gip : Gan (ASR :

27): Da day (ASR : 19,1) ; Phdi (ASR : 16,2): Dai tn/c trang

(ASR : 15,3): Da (ASR : 5,2): Lymphom khong hodgkin

(ASR : 4,2) ; Bach cau (ASR : 4) Vdm hau (ASR : 3,8) ;

Bing quang (ASR : 3,6) vi Tuy (ASR : 3,1)

- 0 phii nir, 10 loai ung thu thuang gap: Co iir cung

(ASR: 20,4): Vu (ASR : 19): Dai true tring (ASR : 10,9):

Phoi (ASR: 8): Gan (ASR: 7,8); Da diy (ASR : 6,7); Buong

trdng (ASR: 6,4) ; Bach cau (ASR : 4,4) ; LNH (ASR: 3,6) vi

Tuyen giip (ASR: 3,5j.

+ Cic loai ung thu thudng gap chung^ cho 2 phii la:

Gan, Bai tn/c tring. Da day, Phdi, Vii, Cd tie cung. Bach

cau. Da, LNH vi Buong trirng

+ Dirng dau li ung thu gan, ung thu da day, ung thu

phdi, tiep theo li ung thu dai tn/c trang vi ung thu da co

xuat do kha ding ki a phii nam

+ Doi vdi phii nir, dirng dau la ung thu co tir cung, ung

thu vii vi dai tn/e trang tiep theo li ung thu phdi, ung thu

gan cd xuat dg cao.

TCr khoa: Ung thu,

SUMMARY

Cancer is one of the most devastating diseases not only

in the developped countries but also becomes an important

health problem in the developping countries. In Viet Nam,

Y HOC THVC HANH (667) - SO 7/2009 33