Tình hình sức khỏe bệnh tật và lối sống của người dân ở huyện Ba Vì - Hà Nội năm 2009

TCNCYH Phil truang 70 (5) -2010

children with acute diarrhea in pediatric ward. Results: The average number of drugs per prescription

is high (4.5; 95% Cl: 4.4 - 4.6). ORT (94.2%), vitamin and enzyme (91.8%), anti - diarrhea (70.7%),

transfusion solutions (66.5%), and antibiotics (49.1%) were common drugs prescribed for children

with acute diarrhea. Mineral was prescribed only in 2.6% of all eases. The rate of antibiotic

prescription for acute diarrhea was 89% in district hospitals, 51.6% in provincial hospitals and 15.1%

in national hospital. Conclusions: Over - prescription of drugs and antibiotics for acute diarrhea among

children persists.

Keywords: prescription, acute diarrhea, antibiotics, hospital at all level

TINH HINH SLfC KHOE BENH TAT VA LOI SONG CUA NCaCfl DAN

5 HUYEN BA vi - HA NOI NAM 2009 • •

Tran Quynh Anh\ Nguyen Phddng Hoa\ Nguyen Van Yen^, Nguyen Ngoc HiJng\ Vu Thj Vdng^

^Trddng Dai hoe Y Ha Ndi; ^Sd Y te Ha Npi

Day la mot nghien cdu phd'i hdp giufa TrUdng Dai hoc Y Ha Noi va TrUdng Dai hoc NU Ewha Han

Qudc. Muc tieu: md ta tinh hinh sdc khde benh tat va mdt so hanb vi nguy cd lien quan den ldi sdng

Ciia ngUdi dan d huyen Ba VI - Ha Ndi nam 2009. Doi ttfgng va phtfang phap nghien cffu: md ta cit

ngang ngUdi trUdng thanh tren 18 tuoi, tong so cd 960 ngUdi da tU nguyen tham gia vao nghien cifu. Sd

lieu dugc thu thap bing bd cau hdi thiet ke sin. Xd ly ya phan tich so lieu bang cac phin mem Access

va SPSS. Thuat toin khi binh phuang (;f) dugc sd dung nhim so sanh sU khic biet gitfa cic nhdm. Ket

qua: (1) Ve tinh hinh sdc khde ciia ngUdi dan: Ty le sdc khde binh thudng 72%. Ty le sdc khde rat tdt

va td't d nam cao ban nO (7,4%o va 12,2% so vdi 2,7%o va 7,2%o), khac biet cd y nghia thong ke vdi p <

0,05. Ty le ngUdi cd bleu hien trieu chdng cua benh hd hap va benh tuin hoan tha'p (6% va 9%). Ty le

tu khai bio dugc chin doin mic tang huye't ap, rd'i loan chuyen hda md mau rat thap (5,3% va 1%),

chUa cd trUdng hdp nao da tdng dugc chan doan li mic dii thio dUdng. (2) Ve cac hanh vi nguy cd Hen

quan de'n ldi sd'ng: 50,5% nam gidi hien tai dang hiit thud'c la. T'y le phu nU hut thud'c la thu dong la

27%. T'y le nam gidi hien dang ud'ng ruau la 77%. Ty le khdng tap the due deu dan cao, gin 90%.

Tif khoa: sdc khoe, benh tat, Idi sdng, hanh vi nguy cd

I n»AT»/A'».i n«r dich mdi nhd cum A H1N1, SARS. Cd nhdng

I. DAT VAN DE ' b

benh tddng ehdng da khd'ng che ddcJc nay lai

Thdng tin v l tinh trang sdc khde v l benh tat bung phat nhd ta. Nguyen nhan eua benh dich

cd y nghTa rat quan trong trong viec dinh gi l dddc cho la do sd bung nd dan sd, d nhilm mdi

thdc trang sdc khde va phan anh nhu clu v l trddng, thie'd cac cdng trinh ve sinh, nddc

cham sdc sdc khde eua ngddi dan. Trong nhdng sach... va ca do xu the toan clu hda hien nay.

nam gin day, eung vdi sd phlt trien eua nln Ben canh dd, d e benh khdng nhilm trung

kinh te - xa hdi cua da't nddc, md hinh sdc eung cd ty le mac cao trong edng ddng nhd tang

khde, benh tat eua ngddi dan da ed nhilu thay huyet ap, di i thao dddng, beo phi. Nhdng van

ddi. CIc benh nhilm trung chda cG cd xu hddng d l sdc khde nay di u cd lien quan den elc thdi

giam, ben canh dd xua't hien them nhdng benh quen trong cude sd'ng nhd thdi quen ud'ng rddu,

3-2