Y HOC VIET NAM THANG - SO 2/2014 IV. KET LUAN Qua nghien cffli ve thffc trang ATVSTP tai eac bep an tap the eua doanh nghiep d Hai Dffdng ket qua eho thay: - Dien tich cac bep an : Chiem % cac phdng che bien cd dien tich 200m^; Dien tich phdng an tff 200-500m^ chiem ty le nhieu nhat (45%). - Chiem 4 % cac BATT chu'a dat yeu eau ve nhffng qui dmh thii tuc hanh chinh . - Cd tdi 17,5% cae BATT khdng dat yeu cau ve cd sd tang ; % cac BATT ed NPV khdng mang day dii bao hd lao ddng lam viee ; % BATT ngffdi phyc vu khdng sff dung dung cu sach che bien. - t r e n cac mau xet nghiem deu thay cd ty ie nhiem VSV dd ty le nhiem VSV tren ban tay NPV la cao nhat: Coliform (72,5%); E.coli (25,0%); S.au reus (32,5%). T A I UEU T H A M K H A O 1. Cue An toan thu'c pham - Bp Y te (2005); "Mdt so cong trinh nghien cffu ve ve sinh an toan thu'c pham. Bp Y te. HNKH an toan ve sinh thifc pham lan thff i l l . Ha Ndi. 2. Bui Vi The (2013), Tht/c trang an toan ve smh thUc pham, cdng tac quan ly va kien thffc, thi/c hanh ciia nhan vien tai cac bep an tap the huyen Thuy Nguyen, Hai Phong nam 2012, Luan van 1^ nghiep bac sT chuyen khoa I I , trUcfng (3ai hpc Y khoa Hai Phong, Hai Phong. J . Pham Duy Tuyen (2010), thUc trang an toan v^ smh thu'c pham va cong tac quan ly mpt so cd sd djch vu an uong cong cpng tren dja ban ph6 Hai DUPng nam 2010, Luan van thac sT y te cong cpng, tn/dng dai hpc Y khoa Hai Phong, Hal Phong. 4. Nguyen Thj Van (2012), thifc trang an toan ve sinh thUc pham, kien thffc, thai dp eiia ngffdi phyc vu tai nha hang an udng quan Le Chan, Hal Phong nam 2012, luan van thac sT y te eong cong, tru'dng dai hoc Y khoa Hai Phong, Hai Phdng. 5. CDC (2000) Foodborne illness, p. 1-17. 6. WHO (1997) Epidemiological Surveillance of Foodborne Diseases, Geneva. CHi s o HUYET AP VA LIPID MAU 6' BENH NHAN DAI T H A O DU'O'NG TYP DIEU TRI NGOAI TRU TAI BENH VIEN KIEN AN H A I PHONG Trinh Thi Ly* va cdng sif T6M TAT Nghien cffu du'dc tien hanh tren 123 benh nhan dai thao dudng typ dieu tri ngoai trii tai benh vien kien An Hai Phong tff 01/2011 den 06/2011. Ket qua: Nhdm nghien cffu cd tuoi trung binh la 60,4 -I- 9,7; nff chiem 66,7%. Ti le dai thao dUdng typ CO tang huyet ap la 48,8%, fang huyet ap gd I: 28,5%, tang huyet ap giai doan I I : 14,6%, tang huyet ap giai doan I I I : 5,7%, Ti le nam bi tang huyet ap nhieu hdn nff (63,4% so vdi 58,2%). Tuoi cang eao ti le t§ng huyet ap cang nhieu; d benh nhan tren 70 tud'i, t9 le tang huyet ap la 60%. Thdi gian mac dai thao dudng cang dai thi ti le bi THA cang cao; d benh nhan mac benh tren 10 nam co ty le tang huyet ap la 66,7%. 52,8% dai thao dirdng typ cd tang Cholesterol; 60,2% cd tang Tryglycerit; 32,5% cd tang LDL; 39,2% benh nhan cd tang Cholesterol va Tryglycerit; 25% benh nhan cd tang Cholesterol, Tryglycerit va LDL. Nhom dai thao dUdng typ ket hdp tang huyet ap cd ty le rdi loan chuyen hoa Lipid mau cao hdn nhom khong cd tang huyet ap. * SdYte Hai Phdng Phan bi0n khoa hgc: PGS.TS. Do Thj Tinh SUMMARY BLOOD PRESSURE AND L I P I D E M I A I N O U T P A T I E N T W I T H TYPE I I DIABETES TREATED I N K I E N AN H O S P I T A L H A I PHONG The study was conducted on 123 outpatient with type diabetes treated in Kien An hospital from 01/2011 to 06/2011. Results: The team has an average age of 50.4 + 9.7; women accounted for 66.7%. The rate of type diabetes have hypertension was 48.8%. Hypertension stage I: 28.5%, hypertension stage I I : 14.6%, hypertension stage I I I : 5.7%. Percentage of men with hypertension is more than women (63.4% versus 58.2%). As the older patients are, as the rate of hypertension is higher; in patients over 70 years of age, the rate of hypertension is 60%. As the duration of diabetes is longer, as the rate of hypertension is higher; in patients over 10 years of diabetes, the rate of hypertension is 66,7%. In patients had type diabetes: 52.8% have Cholesterol increased; 60.2% have Triglycent increased; 32,5% have LDL increased; 39.2% have Triglycerit and Cholesterol increased; 26% have cholesterol, Triglycerit and LDL increased. The Y HQC VI$T NAM THANG • SO 2/2014 type diabetes combined with hypertension have the rate of blood lipid metabolic disorders is more than the group without hypertension. I. DAT VAN DE Tang huyet ap (THA) va dai thao du'dng (DTD) la hai benh ly phd bien va hay gap phdl hdp. Tai Viet Nam, ty le benh nhan DTD dong thdi mac THA khoang 50-70%, Nhieu nghien cffu cho thay THA va DTD thu'dng song hanh vdi vi cd cung cac yeu td nguy cP. THA la mpt yeu td lam tang bien chffng ciia DTD, va ngu'de lai DTD cung lam cho THA khd kiem scat hOn. O tienh nhan DTD typ 2, THA cd the xuat hien trffdc DTD dffdc chan doan hoac ca hai dffdc phat hien dong thdi benh eanh eiia hpi chffng chuyen hda. So vdi ngffdi DTD ddn thuaii, ngffdi DTD kem THA se tang % nguy ed benti than kinh, tang gap lan nguy cd benh vdng m?c, benh than man va tff vong mpi nguyen nhan, t^ng gap ian nguy cd benh mach vanh va tSng gap lan nguy cd dot quy, Theo trung tam phdng ngffa va kiem soat benh tat Hoa Ky cho thay cd khoang % - % benh nhan dai thao dffdng tip ed rdi loan lipid mau. Chinh vi vay, viec kiem soat huyet ap, lipid mau cung nhi/ du'dng huyet la nhffng van de then chdt ddi vdi benh nhan DTD typ 2, giiip lam cham tien trien ciia benh va ngan ngffa nhffng bien chihig mach mau. II. DOI TUONG VA PHU'OTSJG PHAP NGHIEN CUD . . O O I t u ' d n g : 123 benh nhan DTD typ dieu tri ngoai tru tai benh vien Kien An tff 01/2011 den 06/2011, 2.2. Phu'dng i^ap nghien cffu: Md ta cat ngang Benh nhan dffdc lay mau tTnh mach luc ddi de dinh lu'dng: Glucose mau, Cholesterol toan phan, triglycerit, HDL, LDL Oo huyet ap liie sang sdm (tff 4-6 gid sang), liic cdn dang nam chffa day hoae ban 6if6c nam tinh tff 15-30 phiit. Do huyet ap lan, moi lan each - phiit, lay trung binh eua huyet ap. 2.3. Mot so t i e u c h u a n d u n g nghien cffu: - Chan doan dai thao dffdng theo WHO 1999; - Chan doan THA: theo phan loai eua Uy ban phdng chdng huyet ap Hoa Ki (JNC VI)-1997 2.4. Xff ly so lieu nghien cu'u: Xff ly sd lieu tren phan mem Epi - info. III. K I T Q U A NGHIEN CLTU Bang 1. Phan bd doi tffdng theo nhdm tud'i va gidi Nhom tuoi 70 Tuoi trunq binh So benh nhan 13 46 38 25 123 60,4 -I- 9,7 Ti ie % 0.8 10.6 37.4 30.9 20.3 100 Nh$n x6t:l\iO\ trung binh eiia nhdm nghien effu la 60,4 - 9,7; hiem gap d tud'i < 40, it gap d tuoi 40 - 49, chu yeu la d tudi tren 50. Bieu 1: Phan bd ddi tffdng theo gidi Nh$nx4t:r\ le nff (66,7%) gap lan nam (33,3%). Y HOC VIET NAM THANG - SO 2/2014 Bieu 2: Chi so HA theo gidi Niian xet: Ti le benh nhan cd THA chiem 48,8%. Ti le nam bi THA nhieu hdn nff bj THA (63,4% so vdi 58,2%, p . (n = 123 ) 90 33 65 74 11 40 49 32 Ti le «/o 73 ,2 28 ,8 52, 8 60 ,2 8,9 32, 5 39 ,2 26 % Nh$n xet: 52, 8% benh nhan dai thao du'dng typ 2 c6 tang Cholesterol; 60 ,2% benh nhan. dffdng typ 2 Nhom tuoi <49 50-59 60-69 > 70 So benh nhan dai thao du'dng (n = 123 ) 14 46 38 25 Benh nhan STS co THA So BN (n = 60) 3 22 20 15 Ti ie »/o 21 ,4 47,8. VA PHU'OTSJG PHAP NGHIEN CUD 2. 1. OOI tu'dng: 123 benh nhan DTD typ 2 dieu tri ngoai tru tai benh vien Kien An tff 01 /20 11 den 06 /20 11, 2. 2. Phu'dng i^ap nghien cffu: