Nghiên cứu mối liên quan giữa glucose máu với thang điểm glasgow ở bệnh nhân chấn thương sọ não nặng

qua cho th iy ti le hoc sinh co thai do dung la 64,5

[3] Ket qua nghien cu-u cua chung toi kh^c voi cac tac

gia kheic,c6 the ly giai dieu nay do cong t3c truyen

thong tai tung thoi diem, ti>ng vung mien co nhung

dac diem rieng nen ty le tiep nhan thong tin theo noi

dung co sy khac nhau.

k £t lu a n

Nghien cuu trdn 384 hoc sinh ve kien thuc, thai

dd du phong Idy nhidm HIV/AIDS, ket qua cho thiy:

- Kien thuc dung ve duong lay truyen HIV dat:

95,1%;

- Kien thuc dung ve nhung hanh vi nguy ca lay

nhidm la khci cao > 80%;

- Kien thuc ve ph6ng lay nhiim dat > 70%;

- Nguon thong tin tiep nh$n duoc cao nhit la tu

thay co giao: 90,4%;

- Con co 21,6% co thai do ky thi vOi ngudi nhiim

HIV.

TAI LIEU THAM KHAO

1 Cue Phong chong HIV/AIDS Viet Nam (2012), Bdo

cao tinh hinh dich HIV/AIDS tai Viet Nam Ha NO'

2 Khuong V£n Duy va cs (2005) Thuc trang vS ki6n

thuc phong chong HIV/ AIDS cua dcx tirxyng hoc smh

tmng hoc pho thdng d Hai Phong ndm 2005 Ha Nqi

3 Trong Luu (2004), Danh gia muc do kien thuc.

thai do, va thuc hanh ve phdng chong HIV/AIDS cua hoc

sinh pho thdng tmng hoc ndm hoc 2003-2004 tinh Nmh

Thu$n, Ha Noi

4. Nguyen Thi Vu Thanh va CS (2005). Nghidn ci>u

kien thuc, thai do. ky nSng va nguyen vong cua sinh vidn

ve Phong lay nhiem HIV, H£ Noi

5 Nguyin Ba Tong (2006), Danh gia kien thuc, thdi

do, thuc hanh ve HIV/AIDS cua hoc sinh phd thdng

tmng hQC tai thanh pho Phan Thiet, tinh Binh Thudn ndm

2006, Ha Noi.

6. Unaids (2011), C$p nh$t tinh hinh dich AIDS ndm

2010 [email protected].

7 WHO/UNAIDS (2010), Report on the global

HIV/AIDS epidemic.

NGHIEN CliU MOI LIEN QUAN GIUA GLUCOSE MAU VOI THANG DIEM GLASGOW

6 BENH NHAN CHAN THUONG SO NAO NANG

TOM TAT

D it van de: B$nh nhan chan thuxyng so nao cang

nSng thi thang diem Glasgow cang thap. Ngoai ra

tSng glucose m&u c6 the xem la mot dau hieu nguy

hiem cua chan thuxyng so nao nSng. Nong do glucose

m&u Ccing cao thi tien luxyng cung cang nSng Muc

tieu: Khiio Scit nong do glucose m&u dr benh nhan

chan thuxyng so nao nSng va tim moi tuxyng quan

giu’a glucose m&u voi thang diem Glasgow o benh

nhan chan thuxyng so nao nSng. Doi tuvng vi

phuwng phip nghien c lpu : 1 2 0 benh nhan chan

thuxyng so nao nang dieu tri tai Benh vien Trung uxyng

Hue, tudi >18. Ket qua: 120 benh nhan, nam 104, nCr

16, 18-39 tuoi cd 82 benh nhan, 40-60 tuoi cd 31

b$nh nhan, tren 60 tuoi cd 7 benh nhan. Nhdm

Glasgow 3-6 diem cd 35 benh nhan, nhdm benh nhan

Glasgow 7-8 di4m cd 85 benh nhan. Glucose m6u o

nhdm b$nh nhan Glasgow 3-6 diem la 12,65±3,53

mmol/L va nhdm Glasgow 6-7 diem la 10,77±3,04

mmol/L. Ket luan: Nong do glucose m£u cang cao,

thang diem Glasgow cang thap, tien luxyng cang xau.

Tu> khda: chan thuxyng sq nao, glucose m&u,

thang diem Glasgow.

SUMMARY

RESEARCH RELATIONSHIP BETWEEN BLOOD

GLUCOSE CONCENTRATIONS WITH GLASGOW COMA

SCALE IN PATIENTS WITH SEVERE TRAUMATIC

BRAIN INJURY

Background: The patients with traumatic brain

injury have low points of Glasgow coma scale.

Increased blood glucose can be considered as a

NGUYiN V|£'t QUANG

dangerous sign of severe traumatic brain injury. High

level blood glucose relate to the worse prognosis too.

Objectives: Study of blood glucose concentrations in

patients with severe traumatic brain injury and find

the correlation between blood glucose with Glasgow

Coma Scale in patients with severe traumatic brain

injury. Subjects and Methods: 120 patients with

severe traumatic brain injury treated at Hue Central

Hospital, age >18. Results: 120 patients, 104 males,

16 females, 18-39 years old: 82 patients, 40-60 years

old: 31 patients, > 60 years old: 7 patients. Group

patients with Glasgow 3-6 points: 35 patients,

Glasgow 7-8 points: 85 patients. Blood glucose in

patients with Glasgow 3-6 points: 12 65±3 53 mmol/L

and Glasgow 7-8 points: 10.77±3 04 mmol/L.

Conclusions: In severe traumatic brain patients, high

blood glucose level relate to the low Glasgow coma

scale. High level blood glucose relate to the worse

prognosis.

Keywords: traumatic brain injury, blood glucose,

Glasgow.

DAT VAN 0£

Chung ta biet rdng chin thiromg so ndo cdng

ndng, thang diim Glasgow cdng thlp. Ngodi ra, tdng

glucose mau c6 th i xem Id mot d iu hidu nguy hiim d

benh nhan chin thirang sq ndo, ngiriri ta nhdn thiy

ring co moi lien hd giOa ning <36 glucose mdu vdn ti

le ti> vong a bdnh nhdn chin thi/omg so ndo ndng.

0 a co nhiiu bdo cdo cho th iy c6 m6 i lidn quan

giOa tdng glucose mdu vd tidn liromg x lu d6 i vdn

26 Y HOC THUC HANH (907) - SO 3/2014