Nghiên cứu hội chứng chuyển hóa ở bệnh nhân tăng huyết áp nguyên phát tại bệnh viện đa khoa khu vực tỉnh Phú Thọ

cyu Idn nhdt ty hinh anh cdng hudng ty nao cQa 27

phu nD sSn giat chua sinh Idn nao ma khdng cd bdnh

vd thdn kinh. Trong sd ndy cd 25 phu nS xudt hidn phu

nao, thudng lien quan den chdt trang va chat xam dudi

v6 nao, 6 phu nvt c6 ddu hl&u goi y nhdi mdu va 5 trong

6 phu nQ ed bdt thudng vd hinh anh keo ddi 6 - 8 tudn

sau dd, nhung kiem tra thdn kinh ciia ho v3n binh

thudng. Cac tac gia dua ra gia thuyet rang tang huydt

ap d nao d§n ddn phtj gian mach, tdn tiiuung ndi md

gay ra cac con co giat chilr khdng phai la co thdt, vd

cudi cCing nhdi mau trong cdc tnidng hop nghidm trong

nhat la tCf vong [9].

Mot bao cao dien hinh cOa vide kham nghidm t^ thi

dudc thye hidn trdn nhOng phu nCf sdn giat bj tit vong.

Nao cOa hdn 50% nhijrng ngudi phu ny tiJr vong trong

vdng nay cd bidu hien xudt huydt nao. Xudt huydt vd

nao la phd bidn nhdt, dac biSt lien quan ddn thCiy

cham. Huydt khdi tTnh maeh nao la pho bidn b phu nil

san giat sau smh [8].

Nhu vay ta thay dau ddu la tridu chflng cO nang

thudng gap tnJdc khi benh nhan lgn con san giat, day

cd the coi nhu mdt ddu hidu bdo trUdc trong san giSt,

do dd cdn tuydn truyen, tu vdn cho benh nhdn bao cho

bac sT biet cac ddu hieu nghidm trong. Hon nOa eae

nhan vidn y td nen cd y thye tim kidm tridu chflVig ndy

ngoai cac ddu hidu truyen thdng la ehi sd huydt ap va

protein nieu de phat hien sdm, didu tri kjp thdi nham

giam ty Id san gidt,

3. Trieu chflng thye the.

TJ le THAGD2 chiem t j Id cao trong san giat chidm

86,4%, THAGD1 chidm 13,6%, khdng cd benh nhdn

nao khdng THA, Kdt qua nay eung tuong ty nhu kdt

qua cCia Hoang Van Vidt (2005), Ngd Van tal (2003)

[43], [2], HA cang tang cao bdnh cdng nang. THAGD2

la ydu td nguy cd cao ddi vdi tai bien efla me vd con.

Dieu nay ehCing tdi se bdn ky hon b phan sau.

Trang nghidn cflu cfla chflng tdi ed 86,4% ngudi

benh ed phu va phCi nSng chiem 45,7%. Kdt qua eua

etiung tdi tuong ty nhii kdt qua cfla Le Thien Thai la

84,3% cd phu trong do 43,3% phtJ nang, thdp hon cfla

Ngd van Tai la 91% cd phfl, thap hon cfla Hoang Van

Viet la 91.1% cd phCi trong do 54/' .

[4]. Khi ngudi bdnh phu nang tUdng nUcJL i

nhidu thi tinh thdm mach mau cang cao va uc,y. •

CO dUn den phij phdi cap.

Ke'T LUAN

Ty le benh nhan san giat cd tneu chflng dau dau

bao trudc chidm ty Id 82,7%, md mat eung chiem ty le

cao 27,2%, Thieu nidu ehiem 19,8%, dau thUdng vi

ehidm ty Id 9,9%. Budn ndn. ndn chidm tj le 4,9%.

THAGD 2 chidm ty le cao 86.4%. Ty le benh nhan phu

nang ehiem ty Id cao nhat 45,7%.

TAI LI$U THAM KHA O

1, Le Thj Dung. Pham Thi Thi (2002) "Nhan xet ve tai

bien san giat trong 2 nam (1999-2000) tai bSnh vifin Phu

san Thanh Hda", Ndi san sin phu khoa, 24 - 25.

2. Ngd van Tai (2003), "NhOfng yeu td tien lUOng cho

thai phu va thai nhi trong san giat". Tap chi nghidn cUu Y

ftoc 24 (4), 63-68.

^ 3. Le Thidn Thai (1999). "Nhan xet qua 83 bSnh an

san giat tai Vidn Bao vd Sa me va Trd sd sinh nam 1991 -

1995. Tap chi thdng tin Y dUOc, Sd chuydn de san phu

khoa, 149-152.

4. Hoang Van Viet (2005). 'Nghien citu tinh hinh sSn

giat tai mot sd benh vien b Ha Ndi trong 10 nam ty

01/01/1995 ddn 31/12/2004", Luin vdn tit nghidp bic sT

chuydn khoa dp II chuydn ng^nh phu sin.

5. Douglas KA, Redman CW (1994), "Eclampsia in

the United Kingdom", BMJ; 309:1395.

6. Mattar F, Sibai BM. (1990), "Eclampsia: risk

factors for matemal morbidity. AM J Obstet Gynecol. 163:

1049 - 55.

7 O. Aklnola, A. Fabamwo, A. Gbadegesin, A, Ottun

& O. Kusemiju (2008), "Improving The Clinical Outcome In

Cases Of Eclampsia: The Experience At Lagos State

University Teaching Hospital, Ikeja ", The Internet Journal

of Third Worid Medicine, 6(2).

8. Sheehan, HL. Lynch, JB. (1973), "Phathology of

toxaemia of pregnacy". William and willdn, Baltimore.

9. Zeeman GG, Fleckenstein JL, Twich Dm,

Cunningham FG. (2004), " Cerebral in farction in

eclampsia" Am J Obstet Gynecol; 190:714.

NGHIEN Cliu HOI CHl)NG CHUYEN HOA 0 BENH NHAN TANG HUYET AP NGUYEN PHAT

TAI BENH VIEN OA KHOA KHU VUC TINH PHO THO

TOMTAT

H6i ChCrng chuySn hda (HCCHJ td ySu t6 nguy co

cao bSnh tim mach vd tCr vong. Tuy nhlSn, nghiSn

cilu licCH d binh nhin ting huySt ip (THA)

nguyin phit chua €U(fc quan tim nhiiu d lihu vi/c

miin nOi Vi^t Nam.

Trong nghiin cOu niy, 341 binh nhin THA nguyin

phit (nam 170, n0171) duac do chiiu cao, cin ning,

vdng bung, vdng mOng, huyit ip, glucose, TC, LDL-c

HDL-C, TG miu lOc ddi. Chin doin HCCH theo tiiu

chuin cOa Liin doin Dii thio dudng QuSc tS (iDF:

Lt Qu6c TUAN, TRINH XUAN TRANG

Tru6ng BH Y dupe ThU Nguyin

Intemationai Diabetes Federation) ip dung cho Ithu

vuc chiu A-Thii Binh Duong (2005). Kit qui ciia

nghiin cCtu cho thiy:

Tili HCCH li: 49,9%: tl$ HCCH d nam (34,7%)

thip han so vdinO(Be,7%) vOlp< 0,001.

Jll$ HCCH a nhdm cd BMI > 23 Itg/nf: Ung WHR

f86,6% vi S6,1%) cao hon so vdi nhdm a

BMK23kg/rtf: khdng ting WHR f27,6% vi 2,5%) vdi

p<0,001: OR = 15,4 (a: 8,7-27,4); 49,9 (Q: ftMeftZ;.

Y HOC THirc HANH (843) - Sd 10/2012