


HATT

HATTr

THA

TBMMNTHA

: Tai 


TB

TTM
: 
TDD


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 12
1.9 12
C 2.  15
 15
 15
 15
: 15
 15
 15
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 15

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

 xin 
-            
Long         
.
- 

 
 

- 



- 
, khoa A2a- 

- 

-              



2012


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2
- 

 
[1].  
 

 [3], [12].
-  




 [9].
- 



- 
            


 [11].
1.2. 
- 

 
.
-              
        A (Human Leucocyte

              




Formatted: Font: 14 pt
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Formatted: Condensed by 0.3 pt
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Formatted: 222, Left, Line spacing: single,
Widow/Orphan control
Formatted: Line spacing: Multiple 1.45 li



1.3.
- 

- ng, c
 
-  cân (<2,5kg)
- 


ng týp 2
Gen



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Widow/Orphan control, Tab stops: Not at 0.63"
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Widow/Orphan control


Formatted: Condensed by 0.2 pt
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: 222, Left, Line spacing: single,
Widow/Orphan control
Formatted: Vietnamese
Formatted: Vietnamese, Condensed by 0.2 pt
Formatted: Vietnamese
Formatted: Vietnamese, Condensed by 0.2 pt
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: 222, Left, Line spacing: single,
Widow/Orphan control
Formatted: Vietnamese

6
             

- 

-  insulin
- 
        

- 70  75 % 
-

Formatted: 222, Left, Line spacing: single,
Widow/Orphan control
Formatted: Vietnamese

7

toan ceton.
-    dodo    (HHS: Hyperglycemic
Hyperosmolar State)
c t 


ceton.

+ 

-
n 1,5 g/l.
+ 
+ 

+
)2 + G + Urê >
 [6].
- :
 
       




 [10].
+ :
             




Formatted: Vietnamese
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Widow/Orphan control
Formatted: Vietnamese

9
+ 


        
  

1.7.3. 
- :


 [16].
- :
 sau:

                

1.8. 

< 10
> 7
> 10
HbA1c
< 6,2%
6,2 - 8%
> 8%









(mg/dl)

(mg/dl)
< 110
< 120
80 - 120
100 - 140
< 80, > 140
< 100, > 160
HbA1c
< 6%
< 7%
> 8%


100 - 140
< 80, > 140
< 100, > 160
Formatted: Font: 6 pt
Formatted: Centered
Formatted Table
Formatted: Centered

11
HbA1c
< 6%
< 7%
> 8%
1.8.2. 
- 

               

- 
+ 
calo hàng ngày.
+         
Theo d
máu.
- 
* 
+     -30
--30
phút.


- Quan sát và khám :




- 




1.6.2. 
- 
- 
- 
1.9.3. 
- 
+ 

Formatted: 222, Left, None, Line spacing:
single, Widow/Orphan control
Formatted: 333, Left, Line spacing: single,
Widow/Orphan control, Pattern: Clear
Formatted: Font: Not Italic
Formatted: Font: Not Italic
Formatted: Vietnamese
Formatted: 333, Left, Line spacing: single,
Widow/Orphan control, Pattern: Clear
Formatted: Font: Not Italic
Formatted: Vietnamese
Formatted: Vietnamese


-
 

+ Lenirtal 2,5 mg x 2v/24h.


+ 
Formatted: Vietnamese
Formatted: Vietnamese, Condensed by 0.5 pt
Formatted: Condensed by 0.5 pt
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Condensed by 0.2 pt
Formatted: Line spacing: Multiple 1.4 li
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Indent: First line: 0", Line
spacing: Multiple 1.4 li

14
- 
+ 
 
+ 

+ 

TW Q
2.3. 
2.3.1. Th

2.3.2. C
 

n = (Z1-2)
2
x (1-p)/k
2


- 
- Z
2
1-2 Z
2
1-2 
.
-  

- 
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: 222, Left, Line spacing: single,
Widow/Orphan control
Formatted: 333, Left, Line spacing: single,
Widow/Orphan control
Formatted: 222, Left, Line spacing: single,

2.4.1. 


BMI

-  

- 
 .
2.4.2. 
 
6]
- 2.4.2.1.  :

            


1. Glucose + Glucose 
11,1 mm

2. Glucose + Glucose 

3. Glucose + Glucose 

Formatted: 222, Left, Line spacing: single,
Widow/Orphan control
Formatted: Font: Not Italic
Formatted: 333, Line spacing: single,
Widow/Orphan control
Formatted: Vietnamese

HDL-C  -
-
 Bình th-C trong máu > 0,9 mmol/l.
 Khi HDL-
+ - C (Low Density Lipoprotein Cholesterol)
+ Bình th-C trong máu <3,4 mmol/l (<130 mg/dl)
+  4,1 mmol/l (130-159 mg/dl)
+ 
- 2.4.2.3.  :

- 2.4.2.4.  
+ -  
Formatted: Vietnamese
Formatted: Bulleted + Level: 1 + Aligned at:
0.75" + Indent at: 1"
Formatted: Indent: Left: 0.75"
Formatted: Bulleted + Level: 1 + Aligned at:
0.75" + Tab after: 1" + Indent at: 1"
Formatted: Bullets and Numbering
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Vietnamese
Formatted: Indent: Left: 0.5", No bullets or
numbering
Formatted: Bulleted + Level: 1 + Aligned at:
0.75" + Indent at: 1"
Formatted: Indent: Left: 0.25", First line:
0.5"
Formatted: Bulleted + Level: 1 + Aligned at:
0.74" + Indent at: 0.99"

+ - 
+ -            
không
+ - 
+ - 

12



Kém

((((((((((((((mmol/l(mmol/l)
4-6,1
6,2-7
>7
HbA1c (%)
<6,5
 7,5
> 7,5
2.5
-       

- 
Formatted: Bulleted + Level: 1 + Aligned at:
0.75" + Indent at: 1"
Formatted: Bulleted + Level: 1 + Aligned at:
0.75" + Indent at: 1"
Formatted: Bulleted + Level: 1 + Aligned at:
0.25" + Indent at: 0.5"


 
3.


n=165

%


(
X
± SD)
65,3 ± 8,8

94

36


< 40
4
2,43
40  60
60
36,36
> 60
101
61,21
i

21

3.2.
C
ân (n=165)
VM (cm)
93,75  4,75
VB (cm)
96,71  5,99
VB/VM
1,03  0,16

158,18  6,95

57,49  9,07
  cCác 
158,18  6,9557,49  9,07 kg.

1,03  0,16.
3.3.  (Body Mass Index- BMI)


n=165

%

nhân
(n=165)

%

Nam
32
19,39
35
21,21

3
1,82
BMI (
X
± SD)
22,9 ± 2,7
 ,c
BMI trung bình -23). BMI
165 BN là 22,9 ± 2,7.
Formatted: Bb, Left, Indent: First line: 0",
Line spacing: single, Widow/Orphan control
Formatted: English (U.S.)
Formatted: Danish
Formatted: Danish
Formatted: Vietnamese
Formatted: Bb, Left, Indent: First line: 0",
Line spacing: single, Widow/Orphan control
Formatted: Vietnamese
Formatted Table
Formatted: English (U.S.)
Formatted: Space Before: 12 pt
Formatted: English (U.S.)
Formatted: English (U.S.)
Formatted: English (U.S.)