Y HOC VrET NAM THANG - s o 2/2015 Ty le BN CO TSAT < % sau dieu trj la 8,9% giam so vdi trUdc dieu tri la 82,2% cd y nghTa thong ke vdl p20% va < % sau dieu trj la 88,9% va chi c6 trUdng hpp chiem 2,2% eo chi so > 50% Mire dienh lech nong dp ferritin va bao hoa transferrin HT TB sau-trUde dieu tri khong eo moi tUdng quan vdi mUc chenh lech nong hemoglobulin sau dieu tri so vdi trUdc dieu trj vdi r = 0,13; p > 0,05 va r = 0,14; p > 0,05 tUdng irng TAI LI|U THAM KHAO Akmal M, Sawelson S, Karubian F & Gadallah M (1994): The prevalence and significance of occult blood loss in patients with predialysis advanced chronic renal failure, or receiving dialytic therapy Clin NephmL 42: 198-202 FIshbane S, Frei GL, Maesaka J (1995): Reduction in recombinant human erythropoietin doses by the use of chronic intravenous iron administration Am J Kidney Dis 26:41-46, Kalantar-Zadeh K, Rodriguez RA, Humphreys MH (2004): Association between serum ferritin and measures of inflammation, nutrition and iron in haemodialysis patients! Nephrol Dial Transplant 19: 141-149 Li H, Wang SX (2008): "Intravenous iron™ sucrose in Chinese iiemo(jialysts patients witti renal anemia" Blood fHjnf.;2S{2):XS\-(> NKF/DOQI (2006); "Clinical practice guidelines and clinical practice recommendation for anemia in chronic kidney disease in adults CPG and CPR" Am J Kidney Dis, 47 (suppi 3):S33-S53 Park L, Uhthoff T, Tierney M, Nadler S (1998): "Effect of an intravenous iron dextran regimen on iron stores, hemoglobin, and erythropoietin requirements in hemodialysis patients" >l/777/r/tf>7e/Z?/5;31(5):835-40 Sunder-Plassman G, HoH WH (1995): Importance of iron supply for erythropoleii^ therapy Nephml Dial Transplant 10:2070-207g| KET QUA KHAM CHITA BENH NHAN DAO CUA HO! CHir THAP D VIET NAM (2007 - 2012) Dinh Hong Du-otig*, TrAn Quoc Hung** Tbivi TAT SUMMARY - He thong kham chiJa benh nhan dao ciia Hpi Chi? th^p Viet Nam: Trong giai doan nSm (2007 2012), Hpi Chi? thap 63 tinh/tiianh da I3p dupe 1.431 do^n hoac dpi kham ehiJa benh luu dpng S5 phong kham nhan dao tay y va dong y lan lupt: 483 va 1.029 phong - Ket qua kham chuS benh nhan dao ciia Hpi Chi? thap Vl^t Nam; da kham chuS benh nhan dao elio 29.199.807 ngUdl Trong do, so di?dc kham mien phi la 13.186.522 ngudl So ngUdi ngheo dUde mo mat mien phi la 77.891 ngUdi (trung binh 1.236 ngUdi/l tinh/thanh pho) TO" khoa: Khim chii^ benh nhan dao; Hoi Chi? thlp THE OUTCOMES OF HUMANITARIAN EXAMINES AND TREATMENTS OF VIETNAM RED CROSS SOCIETY ( 0 - 2 ) The outcomes of humanitarian examines and treatments of Vietnam Red Cross Society: Within years (from 2007 to 2012), 63 Provincial Red Cross Chapters had organized 1.431 mobile delegations or teams of humanitarian examines and treatments The number of medicine clinics and traditional medidne clinics were 483 and 1.029, respectively There were 29.199.807 people who were examined and treated, and among them, there were 13.186.522 people who were free-examined and freetreated The number of free-eye surgeries were 77.891 people Keywords: Humanitanan examine and treatment; Red Cross Society * Hpc vi§n Quan y **HplChi?thapd6VletNam Chiu tr^ch nhiem ehinti: Dinh Hong DUdng Email: ndhduonghvqy(§)gmail.com Dt: 0989057998 Ngay nhan bai: 18/1/2015 Ng^y phan blen khoa hoe: 5/2/2015 Ngay duyet bai; 10/2/2015 18 I DAT VAN DE Bon ITnh vUc Uu tien cong tae chO" thap ciia Hpi Chu' thap Viet Nam bao gom: Y HOC VI$T NAM THANG - s62Q015 (i) Cong tae xa hpi: tang bo, tang qua Tet, hpe bong, quy nhan dao, tang dung hpc tap, sinh hoat; to ehUc eae bep an mien phi cho benh nhan va cpng dong ; (II) Hien mau nhan dao, hien mo - tang nhan dao; (Hi) Cham soe sUc khoe ban dau: kham chiJa benh, cap phat thuoe, sd cap cull ngUdi bi thUPng, bi tai nan ; va (iv) Phong ngira, irng tham hoa: phong ngCra tai nan, thUdng tfch, tai nan bom min; phong ngira nhiem, nUdc sach va ve sinh tinh huong khan cap, uTig ph(3 vdi eae dai djeh nguy hiem; phong ngira va irng vdi thien tai [1], [2], [3], [5] Trong nhutig nam qua, nganh Y te Viet Nam da dat dUdc nhieu tUu quan trpng, dap irng mpt tot hdn nhu cau eham soe sire khoe ciia nhan dan Tuy nhien, d vung sau, viing xa, viing dan toe thieu so, bien gidi, hai dao, ngUdi dan ngheo van chUa dUdc tiep can day dii vdi eae djeh vu y te dieu kien di lai kho khan, mpt so benh vien, tram y te thieu nhan lUc, cd sd vat chat, trang thiet bi, ky thuat Trong dieu kien bien doi hau se gay hau qua thien tai, tham hoa hoac hien tUdng thdi tiet eye doan kho lUdng Hdn nCa, vdi dac diem khf hau nhi§t ddi nhu d Viet Nam la dieu kien cho djeh benh phat trien thi eong tae eham soe sire khoe ban dau cang quan trpng hdn [4] Chfnh vl vay, cong tae cham soe sire khoe ban dau, kham ehu^ benh nhan dao luon dUde Hpi Chi? thap cac tinh/thanh quan tam chi dao va trien khai eae hoat dpng Chung toi tien hanh eong trinh nghien cUu nham muc tieu danh gia ket qua kham chiTa benh nhan dao eua Hpi ChCT thap cac tinh, tren ba mien Bac, Trung, Nam giai doan 2007 - 2012 II OOITUONG VA PHUaWG PHAP NGHIEN CUTJ 2.1 Soi tiidng nghien CU'U - Hpi Chi? thap 63 tinh/thanh tren ea nUdc 2.2 Phu'cfng phap nghien CU'U - C9 mau; Chiing toi sir dung phUdng phap chpn mau toan bp (63 Hoi ChD" thap tinh/thanh pho) - PhUdng phap nghlen ciru: Sir dung phUdng phap mo ta cat ng&ng de danh gia ket qua kham chiici benh nhan dao ciia Hpi Chi? thap cac tinh, tren ba mien Bac, Trung, Nam - Cong cu nghien ciru: Thiet ke bp cau hoi phong van de danh gia ket qua kham ehua benh nhan dao eua cac tinh, Hpi tren ba mien Bac, Trung, Nam va girt cho cac tinh tU dien 2.3 Xit ly so li§u: So lieu dUpe nhap va xii ly bang phan mem EPIINFO 6.04 III Kit QuA NGHiiN CU'U vA BAN LUAN 3.1 H$ thong kham chQ-a benh nhan d^o eua Hoi Chu' thap Viet Nam Bang 1: So doan, dpi kham chC?a benh lUu dpng ciia Hpi Chu* thap cac tinh/thanh tai ba mien Bac, Trung va Nam TT Mien Bic Trunq Nam Cpng B o i n , doi l