Thực trạng tuân thủ điều trị của bệnh nhân lao và một số yếu tố liên quan tại phòng khám ngoại trú Bệnh viện lao và bệnh phổi Bắc Giang năm 2013

si> dgng nep vit d l c6 dinh m£nh ghfep O’ diu xuang

va than xuang. C6 28 BN sau khi b it vit x6p d l phuc

hdi difen khdp, chung tdi si> dyng ky thuat gam dinh

Kirschner tu mdm trdn Idi ciu va rdng rpc, xuyfen

chfeo Ifen diu trung tam Phuang phap nay den gian

nhung 6 gay khdng duac v&ng chic, vi vay phii cd

dinh bdt tang cudng

k £t l u a n

G3y kin diu dudi xucrng canh tay d1 ngudi loai C

theo phan loai cua AO ia gay xiwng pham khdp

phuc tap. Phlu thuat k it xuang bfen trong nhlm nin

chinh phyc hdi v l gidi phiu, cd djnh 6 g3y vung chic,

tao diiu kifen tap phyc hdi chuc nang sdm sau phiu

thu|t. K it qua chung dat tdt va rit tot dat 80%, trung

binh ia 15% va kfem ia 5%. Hai bdnh nhan bj cung

khdp khuyu.

TAI LIEU THAM KHAO

1. Dang Kim Chau (1963), Dieu trj gay xuxmg.

NXBYH-Hanpi, tr.40-51.

2. Nguyen Due Phuc (1999), Benh hpc ngoai khoa,

tap 2, NXBYH - Ha Npi, tr. 73-78

3. Dao Du-c Hoang (2005), Danh gia ket qua dieu trj

gay xirang pham khdp dau dudi xirang canh tay d

ngu’di Idn bing phuang phap ket xuang nep vit tgi

BVDK Xanh-pon, Ha Npi. Luan van chuyen khoa cap II,

HVQY.

4. Jupiter J.B., Goodman L.J. (1992), “The

management of complex distal humerus nonunion in the

elderly by elbow capsulectomy triple planting and ulnar

nerv neurolysis” J shoulder elbow surg, pp. 1-37.

5. Korner J., Lill H. (2004), “Distal humerus fractures

in elderly patients results after reduction and internal

fixation”. Osteoporos int. 16 suppl 2, pp 73-79.

6. Kunden K., Braum W. (1992), “Distal intra-articular

humerus fractures in adults surgical treatment”. Ufall

chirug, 95 (5), pp. 219-223.

7. Lasinger O., et all. (1987), “Intercondylar

T.fractures of the humerus in adults”. Arch. Orthop.

Trauma surg.100 (1), pp 37-42.

THUC TRANG TUAN THU DIEU TRj CUA BENH NHAN LAO

VA MOT SO YEU TO LIEN QUAN TAI PHONG KHAM NGOAI TRU

BENH VIEN LAO VA BENH PH6\ BAC GIANG NAM 2013

t 6 m t A t

Nghiin ciru md t i c it ngang duxyc thi/c h iin tir

thing 1 ddn thing 6 nim 20123 tai Binh viin Lao v i

Binh phdi tinh B ic Giang. Ddi tuxyng nghiin ciru li

151 b$nh nhin lao phdi dang duxyc quin ly didu tri tai

phdng khim ngoai tru cua binh viin trong thdi gian

nghiin ciru. Sd liiu duxyc nhip bing phdn mdm

Epidata 3.1 v i phin tich being phdn mdm SPSS 16.0.

Kdt qui: Ty 1$ binh nhin bidt du c ic nguyin tic didu

trj chidm 11,6%. Ty l i binh nhin tuin thu du c ic

nguyin tic didu tri l i 36,4%. NhCrna ydu td liin quan

ddn khdng tuin thu didu tri gdm: Binh nhin trin 60

tudi (OR= 2,7; p<0,05); binh nhin ngu&i d in toe

thidu sd (OR=5,3; p<0,05); benh nhin khdng sdng

cung vo/chong (OR=2,5; p<0,05); binh nhin thudc

diin ngheo hoic c in ngheo tu in (OR=4,5; p<0,05)

v i binh nhin cd tac dung phu cua (OR=2,4; p<0,05).

Khuydn nghj: g iio due truyen thdng giup binh nhin

ting ctrdng hidu bidt vd nguyin tic didu tri lao, die

b iit li nguyin tic dung thudc deu din. Ddi tuxyng uv

tiin l i nhung nguxyi trin 60 tudi, ngu&i d in tdc thidu

sd, ngudi khdng sdng cung vo/chdng v i nhCrng binh

nhin nghio v i c in ngheo. G iim s it didu tri c in duxyc

duy tri v i ting curyng dd g iio due benh nhin v i p h it

hiin kjp thdi phan ung phu cua thudc.

TCp khda: Binh lao, tu in thu didu tri, nguyin tic

didu tri binh lao, B ic Giang.

HA VAN NHlf - Tru&ng Dai hoc Y te cdng c$ng

NGUYiN XUAN TiNH -S&yte tinh Bic Giang

SUMMARY

This cross-sectional study was conducted in Bac

Giang Tuberculosis (TB) and Lung hospital from

January to August 2013. Toatl of 151 TB patients were

under treatment course in the hospital were included in

this study. Results: very low percentage of the studied

TB patients who knew all TB ttreatment rules (11.2%);

Only 36.4% patients complied with TB treatment rules.

Risk factors for non-comliance with TB treatment rules

include: age: patients from 60 years old and over (OR=

2.7; p<0.05); ethnic nimohty group (OR=5.3; p<0,05);

patients who do not live with wife/husband (OR=2. 5;

p<0.05); poor patients ((OR=4,5; p<0,05) and patients

with TB dmg side effects (OR=2,4; p<0,05). Health

education for TB patients with priority group as

identified in this study should be improved.

Keywords: Tuberculosis, treatment compliance,

Tuberculosis treatment rules, B ic Giang

DAT VAN 0 £

Viet Nam dung thu 12 trong so 22 nude cd sd

benh nhan lao mdi m ic hing nam cao nhit th i gidi.

Ty le hi$n m ic lao cac th i ia 225/100.000 dan, ty l$

m ic lao mdi ia 173/100.000 dan, ty le lao AFB(+) mdi

ia 77/100.000 dan, ty le nguai benh lao mdi nhiim

HIV ia 5%. Ty le lao da khang thuoc d ngudi bfenh

lao mdi ia 2,7%, ty Ife khang da thuic d ngudi bfenh

lao da diiu trj la 19% va ty Ife tu vong do lao ia

Y HOC THUC HANH (905) - SO 2/2014 43