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lan 2", thang 6/1997

6. Nguyen Van Lo, Tran Thj Trung Chiln,

(2003),"Mpt sd ylu td hanh vi nguy eo nao pha thai d tre

vj thanh nien", Tgp ehi Y hgc thinh phd Hd Chi Minh,

thang 03/2003

7. Trin Thj Lyi, (2000),"So bp khao sat tinh hinh

nhilm Clamydia trachomatis trong viem sinh dye", Tgp

chi Y hgc thinh phd Hd Chi Minh, thang 01/2000

8. Nguyen Ngoc Phyong Tam, (^997).'Tin suit

benh Iwu hinh eua cic tic nhin giy nhiim thdng

thw&ng vi eie yiu td kit hgp cua vidm nhiim Sm dgo 6

phg nir tmng dd tudi sinh di tgi xi Bi Diim- Hdc Mdn￾TPHCM, 199T, LuSn van tdt nghidp bac sT Trung tam

oao tgo va Bdi dy&ng can bd Y t l TPHCM

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trydng thanh, kiln thii-o- thai dp va hanh vi tinh dye cua

hpc sinh- sinh vien TP Hd chi Minh", Tgp chi Y hgc

Thinh phd Ho Chi Minh, thang 1/2000.

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(2001),"Preterm ruptured mambranes", Williams

Obstetrics; 21th ed; USA: Mc Grawhill. pp. 669- 700.

NGHIEN CUU TY LE Rfil LOAN LIPIT MA U

Of BENH NHAN Bj TAI BIEN MACH MA U NAO GIAI DOAN CAP

TRUONG TH| CHl£U - Dal Hgc YDugc C4n Tha

DINH QUANG TA M • BVDKTW Cin Tha

L^ VAN TAM , HOANG KHAN H - D^l Hgc YDugc Hug

TOM TAT

Mgc tieu: NhSm xic djnh ty lg rdi logn lipit miu a

cic bgnh nhdi miu nio cip vi xuit huyit nao dp. Doi

twgng va phwang phap nghien cCru: Cic dCr. lidu dwgc

phin tich qua 143 bgnh nhin TBMMN, chia thinh 2

nhdm: NMN: 106 bgnh nhin, XHN: 37 bgnh nhin. Kit

qua: Roi logn lipid miu chiim ty lg 79,72%, a nhdm

NMN 79,2 %, a nhdm XHN: 70,2%,. Ting cholestemi

chiem ty lg cao nhit 57,7%) tmng dd NMN 60,4%> XHN

48,6%,.Tang LDL-C chiem ty lg 56,6%, tmng dd NMN

59,4% XHN 58,6%,. Ting Triglycerid chiim ty lg 48,9%,

trong dd NMN 52,8 XHN 37,8%o. Giam HDL-C ed ty lg

thip nhit 28,0%, trong dd NMN 32,1% XHW 16,2%,. Rot

logn lipid miu ddng th&i 3 chi so chiim eao nhit

41,22%). Kit lugn: Ndn kiim tra lim xdt nghigm bilan

lipit dinh ky ddi v&i nhung ddi tirgng cd yiu td nguy ca

mac TBMMN. Doi v&l ddi twgng bj TBMMN ein phai lim

xdt nghigm bilan lipit thtr&ng quy.

Tir khoi: Tai bien mgch miu nio, xuit huyet nio, nha

miu nao, rdi logn lipit.

SUMMARY

STUDY OF DYSLIPIDEMIA IN ACUTE STROKE

Objectives: To detemnine the pmvalence of

dyslipidemia of acute Ischemic cerebral stmke(ICS) and

acute heamorrhagle cerebral stroke(HCS).

Patients and method: Data fmm 143 stmke

patients, they am divided into 2 gmups: ICS (106

patients), HCS (37 patients).

Results: - Dyslipidemia: 79.72%,, ICS was

pmportionately higher than HCS (79.2%o vs. 70.2%,)

The pmpotion of hypemholestemlemia is highest

among them, ICS: 60.4%); HCS: 58.6%,. The second one

is hypertriglyceridemia with 48.9%, (ICS: 52.8%,; HCS:

37.8%)). The lowest one is decmased plasmal HDL￾eholesterol with 28%o (ICS: 32.1%o; HCS: 16.2%>).

Dyslipidemia with 3 indexs is

highest(41.22%o).Conclusions: It's should be done lipid

pmfile mgulariy for high risks candidates with stmke. In

stmke cases, we should do lipid pmfile as a routine.

Keywords: Stmke, ischemic cembral stmke,

heamorrhagle cembral stmke, dyslipidemia.

DAT VAN ee

Tai biln mgch mau nao (TBMMN) la bgnh thin kinh

thu'dng gap, tir vong cao d Vigt Nam va trSn thi gidi.

Nhdm bgnh nay thydng d l Igi di churng kao dai va la

ganh ngng cho gia dinh va xa hpi. Cho din nay, giai

phdp phdng ngu'a dpt quj vin la chiln lyyc higu qua

nhit d l lam giam hgu qua v l kinh t l va siPC khoe cua

bgnh mgch mau nao[1],[2],[10].

Hau hit cac khao sat djch t l hpc deu xac nh|n rli

logn lipid mau (RLLP) la mpt trong nhu'ng YTNC chinh

gay xo vu'a dpng mgch (XV£)M)[2].

Tgi Vigt Nam nhilu nghien curu d l cUp din tin suit

rdi logn lipid mau (RLLP) eua tai biln mgch mau nao, tuy

nhien sd tru'dng hyp rdi logn lipit mau mpt hay nhilu chi

sd cdn it tac gia d l cgp tdi. Vi vgy chiing toi chpn dl tdi

tr§n nhim 2 myc tieu sau:

1. xac djnh ty lg rdi logn lipit mau d bgnh nhSn

TBMMN theo thi nhdi mau nao va xuat huylt nao giai

dogn dp .

2. Khao sat sd trudng hyp rdi logn lipit mau mpt hay

nhilu chi sd.

D 6 I TU'ONG NGHIEN CU'U

1. Ddi tu'Q'ng nghien ciru

Tat ea cac truong hyp TBMMN duyc dilu tri tgi

khoa Hdi SiPC d p eiru, Npi Than Kinh BVDKTW Cin

Tho tu' thang 7/2009 din thang 7/2010 thoa man tieu

chuin ehpn bgnh.

1.1 Tieu chuin chgn bgnh

- Thoa man tieu chuin lam sang chin doan TBMMN

cua td churc Y T l Thi Gidi.

- Cd hinh anh chyp nao d t Idp vi tinh.

1.2. Tieu chuin logi trir

- cac trydng hyp XHN a b$nh nhan u n§o, XHN thi>

phat sau NMN.

- cac trydng hyp xuit huylt dudi nh#n.

2. Phu'ang phdp nghien cu-u

- Nghi§n curu d t ngang mo ta

106 Y HOC THirC HANH (751) - S6 2/2011