Nghiên cứu rà soát và cập nhật danh mục trang thiết bị y tế cho y tế dự phòng tuyến tỉnh của các tỉnh đồng bằng sông Cửu Long

Child - Pugh vdi nhilm Hp. Nhan xet cua chung tdi cung

phu hop vdi nhan xet eua Oang Kim Oanh, Nguyen

Xuan Hien [4],[1].

Bang 5. Kit qua xet nghipm pH djch vj va chi sd

Child-Pugh

pH djch vj

Tang toan

(n=0)

Binh thudng

(n=19)

Thilu toan

(n=21)

Cpng (n=40)

MCrc dp theo Child-Pugh

A

0

1

2

3

B

0

14

17

31

C

0

4

2

6

P

>0,05

>0,05

>0,05

Trong nhdm nghien eCru, chung tdi khdng cd trudng

hgp nao tang toan, pH lue ddi < 1,5. Nhpn xet nay phCi

hgp vdi Tdng Van Luge, 2004, nghien cuu pH djch vj

tren 438 benh nhan viem loet d^ day dan thuan cung

khdng cd trudng hgp nao pH < 1,5 [3]. Bpnh nhan xo

gan mirc dp Child B ed 14/40 (35%) cd pH djch vj tCr 1,5-

3 va 17/40 (42,50%) bpnh nhan ed pH > 3. 0' muc dp

Child C, cd 4/40 (10%) bpnh nhan cd pH 1,5-3 va 2/40

(5%) cd dp pH > 3. Nhu vay, mCre dp tilt acid giam di khi

giai dopn Child - Pugh tang len. Tuy nhien, theo sd lieu

eua chung toi, mdi lien quan nay khdng ed y nghTa thdng

ke vdi p > 0,05.

KET LUAN :

Qua so sanh tripu chCrng lam sang, hinh anh npi soi,

mo bpnh hpc, HP va pH djch vj vdi giai dogn tdn thuong

theo Child-Pugh tren 40 benh nhan xa gan cd viem

va/hoac loet da day, ta trang, chung toi thay :

1. Cac tripu Chung lam sang thudng gap cua viem

loet da day, ta trang d benh nhan xo gan la : Dau

thugng vj (77,50%); edn eao, ndng rat thugng vj

(37,50%). Cac tripu chCrng co nang nay tang len theo

mCre do nang cua xa gan theo chi sd Child-Pugh vdi

p<0,05.

2. Tren hinh anh npi soi : cac typ tdn thuong viem,

hinh anh tdn thuong vi thl da day, ty Ip nhilm HP va dp

pH djch vi khdng cd mdi lien quan vdi ehi sd Child-Pugh,

vdi p > 0,05.

TAI LIEU THAM KHAO

1. Nguyen Xuan Hiln (2005), "Nghien cuu hinh anh

ngi sol eua niem mge thi/e quan dg day - ta tring a

benh nhan xa gan", Luan van chuyen khoa eip II, Hpc

vipn Quan Y.

2. Trin Van Huy, Trin Pham Chi (2001), "Nghien

CU'U rdi lopn chCre nang ddng mau d cac benh nhan xo

gan", Y hpc thuc hanh,

3. Tdng Van Luge (2004), "Khao sat pH djch vj eiia

bgnh nhan viem loet dg day, hanh ta trang", Bao cao tai

Hdi nghj Khoa hpc Tieu hoa lin thCr 10.

4. 0|ng Kim Oanh (2002), "Nghien ciru hinh anh ngi

sol, md bgnh hgc eua niem mac da day d bgnh nhan xa

gan", Lupn an Tiln sT Y hpe, Dai hpe Y Ha Ndi.

5. Balan K. K, Jones A. t , Robert N. B., (1996),

"The effects of Helicobacter pylori colonization on gastric

function and the incidence of portal hypertensive

gastropathy in patients with cirrhosis of the liver". Am

Gastroent, 91 (7), pp. 1400-06.

NGHIEN ClJfU RA SOAT VA CAP NHAT DANH MUC TRANG THIET Dj Y TE

CHO Y TE DO PHONG TUYEN TINH CUA CAC TINH DONG DAN G SONG CUfO LONG

NGO VA N TOAN, Trudng Dai hgc Y Ha Ngi

TRINH YEN BINH, Bo Y te

TOM TA T

Nghien ciru dugc thuc hien tai cac Trung tam Y te

Du phdng cOa 13 tlnh Ddng bang Sdng CCfu Long

nam 2008 nham ra soat danh sach dau tu trang thiet

bj y te eho he thdng y te du phdng cho phu hgp vdi

kha nSng tiep nhan cCia cac ca sd va nhu cau ehSm

sdc sire khde cQa ngudi dan DBSCL va ra soat lai

nSng luc va nhu cau dao tao can bd y te cua cac

trung tam y tedu phong ve nSng luc can bd y te trong

viec sir dung, bao quan va kha nang tiep nhan cac

TTB mdi dau tu. Nghien ciru sir dung ky thuat nghien

cifu djnh tlnh vdi ky thuat phong van sau, thao luan

nhdm va quan sat. Ke't qua cho tha'y danh muc TTB y,

te dugc cac tlnh du tru la phu hgp vdi chirc nSng

nhiem vu cung nhumd hinh benh tat va nSng It/c hien

cd ciia cac tlnh DBSCL. Nhu cau dao tao cho can bd

y te du phdng ta rat Idn ve cap nhat kien thCtc eung

nhu s& dung va bao quan cac trang thiet bj y te.

TCr khda: trang thiet bj y te, y te du phdng

SUMMARY

The study was carried out in the Province

Preventive Health Centers of 13 provinces in the Red

River Delta In 2008 to review medical equipments

that should be appropriate to capacity and community

health need and to review the capacity and training

need ofthe health staff in the usage and maintenance

of equipments In the Mekong River Delta. The study

used the qualitative method with in-depth interview,

group discussion and observation to collect

information. Results show that the list of equipment

proposed by provinces is relevant to Job description,

capacity and disease pattern in this area. The training

need Is quite large and urgent for the use and

maintained of the equipment.

Keywords: medical equipments, health staff

DAT VA'N DE

Y HOC THVC HANH (667) - SO 7/2009 75