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DOI 10 31276/VJST 64(12) 15 18 Khoa hoc Y DuOc I Y hoc lam sang r r r Mo ta co cau benh, ket qua dieu trj va mot so yeu to lien quan cua ngiroi benh tai Khoa Noi than kinh, Benh vien Trung irong Quan[.]
DOI: 10.31276/VJST.64(12).15-18 Khoa hoc Y - DuOc I Y hoc lam sang r r r Mo ta co cau benh, ket qua dieu trj va mot so yeu to lien quan cua ngiroi benh tai Khoa Noi than kinh, Benh vien Trung irong Quan doi 10$ giai doan 2017-2021 Le Thj Que*, Nguyen Thanh Tung, Dao Th| Thuy Ngoc, Nguyen Bi'ch Phuong, Phan Khanh Ly, Nguyen Thi Kim Ngoc B enh vien Trung ucm g Q uan doi 108 N g a y n h a n b a i /9 /2 2 ; n g a y c h u y e n p h an b ie n /9 /2 2 ; n g a y n h an p h an b ie n /1 /2 2 ; n g a y ch a p n h a n d a n g /1 /2 2 T om tat: Nghien ciiu diroc thyc hien nham mo ta etc cau benh, ket qua dieu trj va mot so yeu to lien quan cua ngiroi benh (NB) tai Khoa Noi than kinh, Benh vien Trung mmg Quan doi 108 giai doan 2017-2021 Nghien ciru sir dung phirong phap mo ta cat ngang trSn 9.401 NB Ket qua cho thay, ty le NB vao dieu tri dupe phan if nhom tuoi, nhom tuoi co ty le cao la 16-59 va >60 tuoi Tuy nhien, tap trung chu y£u o’ nhom >60 tuoi, voi ty le lan luot cac nam tir 2017 den 2021 d£u >50 Ty le mac benh it nam gioi qua cac nam deu cao hon nu gioi va chiem >50% Ty le ngiroi dieu trj sir dung the bao hiem y te co xu hirong tang dan qua cac nam (deu >90%), dac biet nam 2020 dat to'i 96,61% Ty le NB thuoc nhom co chi dinh dieu trj noi khoa chiem c h u y e u (>95%) Ngay dieu trj trung binh o’ nhom >10 co xu hirong giam qua cac nam Ty Ie NB vao Benh vien d ie u t r i c h n y e u «r nhom tuoi tren 60 Ty le khoi, d& giam co chi djnh vien nam deu dat >97% va ty le tir vong tu i, ta p tr u n g c h u y e u cr n h o m > tu o i c o t y le la n l u g t c a c n a m tir d e n 2 d e u > % 108 M ilitary C entral H o spital R e c e iv e d 12 S e p te m b e r 2 ; a c c e p te d 19 O c to b e r 2 Abstract: This study aimed to describe the disease patterns, treatment results and some related factors of patients at the Department of Neurology, Central M ilitary Hospital 108 in 05 years from 2017 to 2021 The descriptive cross-sectional method was used to study 9,401 patients Results showed the rate of patients entering treatment was classified into age groups, in which groups had a high rate of 16-59 and over 60 years old However, it is mainly in the age group from over 60 years old, whose rates from 2017 to 2021 are >50, respectively The incidence in men over the years is higher than in women and accounts for over 50% The percentage of patients using health insurance cards tends to increase gradually over the years, all >90%, especially in 2020, reaching 96.61% The percentage of patients in the group with indications for internal medicine treatment accounted for the main percentage (>95%) The average treatment day in the group >10 days tended to decrease over the years The percentage of patients admitted to hospital for treatment is mainly in the age group over 60 years old The rate of cure and reduction when indicated for hospital discharge in years reached >97% and the mortality rate % (b ie u d o ) N h o m N B d ie u tri s u d u n g th e b a o h ie m y t e c o x u h u o n g ta n g d a n q u a c a c n a m v a d e u d a t > % , d a c b ie t tr o n g n a m 2 d a t t o i ,6 % ( b ie u d o ) 96,61 Keywords: Central M ilitary Hospital 108, Department of Neurology, disease model, Institute o f Neurology, treatment situation Classification number: 3.2 ■ Bao hiem ■ Dich vu D ia d iem : K h o a N o i th a n k in h t h u o c V ie n T h a n k in h , B e n h v ie n T r u n g uxrng Q u a n d p i X u ly so lieu: S o lie u d ir g e x ir l y b a n g p h a n m e m E x c e l v a Bieu Hinh thirc chi tra cua NB S P S S 0 Dao dire nghien ciru N g h ie n ciim d u g c t h u c h ie n n h a m m u c d ic h k h o a h o c v a d e \ u a t c a i tie n c h a t lir g n g C a c s o li e u d u g c th u th a p tr u n g th u c , KM OAHOC \ w m w sm m \ Nam 64( 12) 12.2022 D a c d i 6m p h a n lo a i c h i d in h d ie u tri c u a N B g ia i d o a n 2 d u g c th h ie n a b a n g T r o n g N B , c h i d in h d ie u tri n o i k h o a c h ie m t y le c h in h ( > % ) k e t q u a n a y p h u h g p v a i d a c d ie m c u a c h u y e n n g a n h n o i th a n k in h 16 Khoa hoc Y - DUtic I Y hoc lam sang Bang Phan loai chi djnh dieu trj cua NB \ - Nam 2017 2018 T ru n g b in h n h o m N B c o n g a y d ie u tri > n g a y c o x u h u d n g g ia m q u a c a c n a m , v d i t y le la n lu g t la ,1 , ,5 , ,5 , ,1 2019 2020 2621 v a ,0 % (b a n g ) Diediem n % n % n % n % n % Ngoai khoa 122 4,78 56 2,46 58 2,86 39 2,4 28 3,02 Noi khoa 2.431 95,22 2.217 97,54 1.968 97,14 1.584 97,6 898 96,98 Tong 2.553 100 2.273 100 2.026 100 1.623 100 926 100 K e t q u a b i l u d d c h o th a y , N B c o d o t u o i - v a > c o c h i d in h d ie u tri n o i k h o a h o a n t o a n c u a c a c n a m d e u c a o h o n Bang Thai gian dieu trj y 8? * , ■ U iv ip M ig ijr ) 2017 2018 2019 2020 2021 1-5 5,14 6,60 4,99 6,46 6-10 20,57 2630 29,88 25,88 24,50 >10 74,17 68,56 63,52 69,13 69,04 s o v d i c h i d in h c a n th ie p n g o a i k h o a d u g c c h u y e n s a n g d ie u trj K e t q u a b a n g c h o th ay, ty le k h o i, d o g ia m k h i c o c h i d jn h n o i k h o a t i e p ta i K h o a N o i th a n k in h , B e n h v i e n T r u n g u o n g v ie n tro n g n a m tir d i n 2 d l u d a t > % C u th e l l n lu g t quan d o i 108 dat: ,2 ,9 ,9 , ,4 ,9 ,7 v a ,7 % , ty le tu v o n g d l u < ,5 % B a n g K e t q u a d i e u tr j \ t t i Ill III 2017 |2018 |2019 j 2020 Noi khoa hoan toan Nam 2017 2018 n % tt % K % ■ * • % Khoi 0,16 031 035 M2 M Do giam 2.504 98.08 2^20 97.6T 1.96' rj» im * » m m 28 1.09 r ! j63 36 U* M US B U Nang hon 0 0 MS • ffc l « Tir vong 0 0J3 M l Ml S V X in v i 17 (167 # 11 034 • • ■ M T6ng 2.553 100 1273 100 u o t m us m m m ■ Nhom >60 |2021 2017 |2018 dm 2019 2020 a n 2020 Ket qua * Nhom 6-15 ■ Nhom I6-59 2019 2021 Da tirng can thi$p ngoai kboa dirp’c chuyen sang noi khoa dieu tri tiep Bieu Moi lien quan gitra tuoi v&i chi di.nh dieu tri cua NB T r o n g c a c b e n h d ie u tri d u g c m a h o a t h e o m a I C D - , c o m a b e n h d u g c d ie u tri n h ie u n h a t, b a o g d m : R ( d a u d a u ), G ( d o n g k in h ) , M ( t h o a i h o a c o t s o n g ) , H (r o i lo a n c h u c Ban luftn n a n g t ie n d in h ) , 163 ( n h o i m a u n a o ) ( b i e u d o ) T r o n g d o , to n g Dae diem chung s o N B m a c c a o n h a t la m a 163 ( n h o i m a u n a o ) v o i ,8 % v a H (r o i lo a n c h u c n a n g t ie n d in h ) v d i ,4 % S o l u g t N B d ie u trj ta i K h o a N o i th a n k in h , B e n h v ie n T r u n g u c m g Q u a n d o i tr o n g n a m t u d e n 2 la N B v a o d ie u trj d u g c p h a n d n h o m t u o i , tr o n g d o n h o m c o t y le c a o la - v a > t u o i , ta p tr u n g c h ii y e u or n h o m > t u o i, t y l e la n l u g t c a c n a m d e u > % T y le mac b e n h d n a m g id i q u a c a c n a m d e u c a o h o n n u g id i v a deu c h ie m t y l e > % K e t q u a n a y t u o n g d o n g v d i m o t s o n g h ie n c u u t r u d e d a y [ - ] T y le N B d ie u trj n o i t n i c o s u d u n g th e b a o h ie m y te c o x u h u d n g t a n g d a n q u a c a c n a m v a d a t c a o n h a t la n a m 2 v d i ,6 % K e t q u a n a y c h o t h a y d u g c m u c d o b a o p h u c u a th e b a o h ie m y t e td i to a n d a n D a y la m o t xu h u d n g tr o n g q u a tr in h t h u c h ie n b a o h ie m y te , n g u d i b e n h va g i a d in h s e d u g c g ia m b d t g a n h n a n g v e c h i p h i n h i t la Bieu Ty le benh thirong gap nhat theo ma ICD-10 64( 12) 12.2022 b e n h d o i h o i c h i p h i ld n , k e o d a i 17 vdi cac Khoa hoc Y - Dupe I Y hoc lam sang Ve tilth hinh ctieu tri Ket lu$n T r o n g N B d ir g e d ie u tri ta i K h o a N o i th a n k in h , B e n h v i e n T r u n g u o n g Q u a n d o i , n h o m ta c g i a n h a n th a y s o N B d ie u tri n o i k h o a c h ie m t y le c h in h v a d e u d a t > % K e t q u a K 6t q u a n g h ie n c u u N B c h o th a y , t y le N B v a o d ie u trj c h u y 6u a n h o m tu o i - v a > , tr o n g d o ta p tr u n g c h u y 6u a n h o m tu i tren T r o n g n a m , c h ie m t y le c a o n h a t la n a y p h u h o p v a i d a c d ie m c u a c h u y e n n g a n h n o i th a n k in h T y n h o m c o c h i d in h d ie u tri n o i k h o a v a i b e n h l y h a y g a p n h a t la le k h o i, d a , g ia m k h i c o c h i d in h v i e n tr o n g n a m d e u d a t > % , Mn l u o t la , , ,9 , ,4 , ,7 v a ,7 % , t y l e tii n h i m a u n a o v a ro i lo a n c h u c n a n g t ie n d in h T h a i g ia n d ie u tri tr u n g b in h a n h o m > v o n g d e u < ,5 % 10 n g a y c o x u h u a n g g ia m q u a c a c n a m T y le k h o i, d a , g ia m k h i c o c h i d jn h v ie n tr o n g n a m d e u d a t V e th d i g ia n d ie u tr i, n h o m N B ta p tr u n g c h u y e u a n h o m tir 10 n g a y tr a le n , tu y n h ie n c o x u h u a n g g ia m q u a c a c n a m v a i > % v a ty le tir v o n g d e u < ,5 % t y l e la n l u o t la , , , , ,5 , ,1 v a ,0 % S u k h a c b ie t b n h o m n g a y d ie u tri c o y n g h la t h o n g k e ( p < ,0 ) Ve co' cau benh tat theo ICD-10 T a i V ie t N a m , v a i s u p h a t tr ie n n h a n h c h o n g c u a g i a o th o n g , T ir k e t q u a n e u tr e n , c h u n g t o i k h u y e n n g h i t a n g c u c m g g ia o d u e h o t r g t u y e n tr u a c d u p h o n g v a d ie u tri b e n h l y m a 163 (n h i m a u n a o ) v a H (r o i lo a n c h u c n a n g t ie n d in h ) D o n g t h a i t ie p tu c n g h ie n c u u tr o n g k h o a n g t h a i g ia n d a i h a n v a t im c o n g n g h ie p h o a v a d o th i h o a , m o i tru em g d a n g p h a i c h iu lie n c a c m o i lie n q u a n k h a c v a i c a c d a c d ie m d o i t u g n g n g h ie n c u u tie p n h u n g ta c d o n g t i e u c u e T a t c a d e u a n h h u o m g k h o n g n h o d e c o h u a n g t o c h u c c h u y e n k h o a v a c h i d a o t u y e n v e c o n g ta c d e n s u e k h o e v a g a y c a c h e lu y tr o n g c u o c s o n g T r o n g c a c d ir p h o n g b e n h b e n h d ie u tri d u g c m a h o a t h e o I C D - , c a c ta c g ia n h a n t h a y c o m a b e n h d u g c d ie u trj n h ie u n h a t b a o g o m : R (d a u d a u ), TKl I lC l H U M KHA0 G ( d o n g k in h ) , M ( t h o a i h o a c o t s o n g ) , H ( r o i lo a n c h ii c [1] https:^enhvienl08.vn/gioi-thieu-khoa-noi-than-kinh.htm n a n g tie n d in h ) v a 163 ( n h o i m a u n a o ) T r o n g d o , t o n g s o N B [2] Bo Y tg (2020), m a c c a o n h a t la m a 163 ( n h o i m a u n a o ) v a i t y l e la ,8 % v a H (r o i lo a n c h u c n a n g tie n d in h ) veri t y le la ,4 % Q u y i t d in h 4 0 /Q D -B Y T , n g a y /1 /2 v i v ie c b a n h a n h " B a n g p h a n lo a i q u d e te m a h o a b e n h ta t, n g u y e n n h a n t i t v o n g I C D - ’’ v a “H u o n g d a n m a h o a b e n h ta t th e o I C D - ” ta i c a c c o s o k h a m Mot so yeu to lien quan T r o n g m o i li e n q u a n g iu a c a c a u b e n h c u a n h o m m a c c a o n h a t t h e o I C D - : R (d a u d a u ), G ( d o n g k in h ) , M (t h o a i h o a c o t s o n g ) , H (r o i lo a n c h u c n a n g t i e n d in h ) v a 163 ( n h o i ben h , c h u a b en h [3] Trin Trung Dung (2007), “Tinh hinh chan thuong chi tai nan giao thong tai Benh vien Viet Due tir nam 2000-2004”, T a p c h i N g o a i k h o a , 1, tr.97-102 m a u n a o ) th i ty le m a c b e n h a n a m c a o g ia i h a n n u g ia i S u k h a c b ie t c o m u c y n g h ia t h o n g k e v a i p < ,0 T r o n g m o i li e n q u a n g i u a c a c a u b e n h c u a n h o m m a c c a o [4] Le Ngan (2016), N g h ie n k h o n g c o y n g h la t h o n g k e ( p > ,0 ) 64( 12) 12.2022 Luan van chuyen khoa I, Truong Dai hoc Y Dugc Can Tho [5] Nguyen Van Xang, Ngo Nhat Vu, Vo Dinh Hoa (2012), “Nghien cuu n h a t t h e o I C D - v a h in h t h u c c h i tra v i e n p h i th i a n h o m b a o h ie m y te c a o h a n n h o m d ic h v u y te T u y n h ie n , s u k h a c b ie t c im tin h h in h c h a n th u o n g c o q u a n v a n d o n g tq i K h o a C h a n th u o n g c h in h h in h B en h v ie n D o n g N a i , cong tac cip cuu va dieu trj tai nan giao thong tai Khanh Hoa”, T a p V iet N a m , 5, tr 173-180 18 ch i Y hoc ... lu g t quan d o i 108 dat: ,2 ,9 ,9 , ,4 ,9 ,7 v a ,7 % , ty le tu v o n g d l u < ,5 % B a n g K e t q u a d i e u tr j \ t t i Ill III 2017 |2018 |2019 j 2020 Noi khoa hoan toan Nam 2017 2018... ■ Nhom >60 |2021 2017 |2018 dm 2019 2020 a n 2020 Ket qua * Nhom 6-15 ■ Nhom I6-59 2019 2021 Da tirng can thi$p ngoai kboa dirp’c chuyen sang noi khoa dieu tri tiep Bieu Moi lien quan gitra tuoi... some related factors of patients at the Department of Neurology, Military Central Hospital 108 from 2017 to 2021 Thi Que Le*, Thanh Tung Nguyen, Thi Thuy Ngoc Dao, Bich Phuong Nguyen, Khanh Ly Phan,