Nhận xét tình hình sâu hố rãnh răng hàm lớn thứ nhất ở trẻ em 6-12 tuổi tại làng trẻ mồ côi Birla - Hà Nội 2014

diAu tri mbt ty 16 Idm cac ca lao ph6i mbi cung dat

nhieu thanh cong, Viet Nam da thyc hi$n chinh sach

h6 trp- dA chu’a bbnh cho ngubi nghbo, tre em dubi 6

tuoi va cdc doi tuang chinh sach xa hoi.... NhOng

th^nh Uru dang khich 16 trbn ia kAt qua cua nhung nA

lyc chung cua x§ hoi, trong d6 c6 vai tr6 quan trong

cua nha nubc diu tu7 trong ITnh vyc y tA. Thyc tA cho

thiy trong ITnh vyc y tA, ngan sach nha nubc vin ia

nguon tai chinh chu dao, chiAm 42% tAng kinh phi

chung vbi mire chi tir 5% ngan sach nhu- hibn nay va

dy kien Ien 8% trong nSm 2010.

Tuy nhibn, hibn nay nAn kinh tA nubc ta dang

chuyAn sang ca chA thj trubng theo dinh hubng

XHCN, trong db c6 cac thanh phAn kinh tA tAn tai,

dan xen, ho’p tac vbi nhau, do d6 cac quan hb lao

dbng va quan hb x§ hbi cung tra nbn da dang va

phuc tap han. Co- chA thj trubng da tac dbng manh

me dAn cac ITnh vyc cua dbi sAng xa hbi, Dac bibt khi

nganh y tA c6 sy tham gia cua cac lyc luyng thj

trubng va vibe c6 nhiAu phuang phap diAu trj hibn

dai, iam cho dich vy y tA d it do hon. Chi tibu tien tui

cho y tA vin mang tinh luy tiAn, tire ia ngubi giau chi

nhiAu hon rit nhieu so vbi ngirbi nghbo, nhung diAu

nay chu yAu ia do ngu-bi nghbo ngay cang tranh cac

ca sb y tA hibn dai. Trong khi db, b Vibt Nam hibn

nay cbn nhieu ngirbi nghbo va giam nghbo vin ia uu

tien hang diu cua Chinh phu Vibt Nam trong nhOng

nSm tbi. KA hoach phat trien kinh tA xa hbi cua Chinh

phu dA ra phai “xba toan bb sA hb dbi va giam dang

kA sA hb nghbo cho dAn nam 2010", bbn canh tang

tru>bng kinh tA, Chinh phu Vibt Nam cbn dA ra myc

tibu “cai thibn tinh hinh tiep can cua ngirbi nghbo dAi

vbi cac djch vy xa hbi ca ban thbng qua cac chinh

sach y tA, giao dye, nu’bc sach, nha a, d it a, ha ting

phyc vy dan sinh...’ . DA dat duac myc tibu db trbn

ITnh vyc y tA rit cin dAn sy d iu tir han nua cua nha

nu’bc cho y tA dA cho ngubi nghbo dirac hubng phuc

lai y tA nhiAu han. Han thA ni>a. bin than y tA cung

cb nhiAu thay dAi: tir ca ciu bbnh tat, nhu ciu chOa

trj. .. cho dAn kinh phi, ca sir v#t chit va nhit ia hb

thAng tA chirc vbi sy tham gia cua cac chu thA, cac

thanh phin kinh tA khac nhau Vdy. kinh tA thj trirbng

tac dbng nhu thA nao dAi vbi v in dA cham sbc sire

khoe, vbi tA chirc hb thbng y tA? Mat tich cue va tibu

cue cua tinh hinh da diAn ra nhu thA nao? Y tA sb

phai chuyAn dAi thA nao cho phu hap khbng chi cham

sbc diAu trj cb hibu qud cho ngubi bbnh ma cbn gbp

phin nang cao sire khoe toan dan, va suy rbng han

ia dam bao chit luang ngubn nhan lyc cho sy

nghiep cbng nghiep hoa, hibn dai hoa d it nubc. Hoat

dbng phiic lyi trong ITnh vuc y tA se v$n hanh ra sao

dA khbng chi hb try cho nhung nguiri khbng cb ca

may ma thuc su phai ia cai lubri an toan cho xS hbi,

cho cbng dAng. Vai trb cua nha nu6c dAi vbi y tA sb

ra sao trong diAu ki$n cua nAn kinh tA thj trubng?

Ddy chinh ia nbi dung quan trpng trong vibe gidi

quyAt mbi quan hb giira san x u it va phdn phAi, gi0>a

lai ich cua cac nhbm xd hbi, giua vai trb cua nha

nubc vbi cac thanh phin kinh tA, giira tang trubng

kinh tA va dam bao cbng bing x3 hbi. Ddy ia nhung

nbi dung rit phirc tap dbi hbi c in phai duac gidi dap

d iy du, khbng chi tir quan diAm ly lu$n ma cbn v$n

dyng gidi quyAt trong thyc tA hibn nay va trong thbi

gian tbi khi Vibt Nam dang duyc thA gidn danh gid ia

nubc da dat duac rit nhiAu tiAn bb trong cbng tac

cham sbc sire khbe, th$m chi vuyt mbt sA myc tibu

phdt triAn thibn nibn ky nhiAu ndm trudc thbi han. /.

NHAN X lT TINH HINH SAU HO RANH RANG HAM LOTN THU NHAT

QT TRE EM 6 -1 2 TUOI TAI LANG THE Md COI BIRLA— HA NOI 2014 ■ a

TOM TAT

DiSu tra trdn 117 tre em tir 6 den 12 tudi t$i Idng

trd md cdi Birla nhiim myc tieu: Xdc djnh ty I$ sdu hb

rdnh rdng hdm l&n thir n h it & tre tir 6 den 12 tu6i

being phuong phdp thdm khdm Idm sdng theo chi sd

ICDAS. Phuxyng phdp nghidn ciru: M6 td cdt ngang.

K it qud: Ty I$ sdu hd rdnh rdng hdm l&n thir n h it Id

39.32 % trong dd ty I$ nhdm tir 6 -9 tuoi Id 33,33% vd

nhdm 9-12 tudi Id 40,86%. Ty 10 sdu rdng hdm l&n

thir n h it R16 Id 11,11%. R26 Id 15,38%, R36 Id

24,79% vd R46 Id 33,33%. K it lu$n: Sdu hd rdnh cua

rdng hdm l&n thir n h it & mire cao, cao n h it Id rdng

46 vd thip n h it Id rdng 16 vd ty 1$ sdu hd rdnh rdng

hdm l&n thir n h it tdng d in theo tudi.

TCr khda: Rdng hdm l&n thir nhit, sdu hd rdnh

NGUYIN VAN HIEP, TONG MINH SON

Vi$n Ddo Tao RSng Hdm M$t

SUMMARY

Survey on 117 children aged 6-12 at the Birla

children’s village Ha Noi aims to: definition of first

permanent molar pit anf fissure decay rate in 6 - 12

years old children by conventional clinical

examination under index ICDAS. Research

methodology: cross- sectional descriptive research.

Results: the rate of pit and fissure decay of first

permanent molar is 39.32% the rat (the childen aged

6-9 years old are 33.33%, 9 -12-year-old group are

40.86%). The rate of the 16 is 11.11%, the 26 is

15.38%, the 36 is 24.79% and the 46 is 33.33%.

Conclusion: the pit and fissure decay of first

permanent molar is high and the highest is in the 46

and the lowest is in the 16. The rate of mandibular first

74 Y HOC THUC HANH (9T7) - s6 3/2014