


BăMÔNăIUăDNG LUăTHăVINH

Mã sinh viên: B00216 KINăTHC,ăTHCăHÀNHăVăKIMăSOÁTă
HUYTăÁPăCAăBNHăNHỂNăTNGăHUYTăÁPăTIă
KHOAăKHÁMăBNH,ăBNHăVINăBCHăMAIăNMă2013
ăTÀIăTTăNGHIPăCăNHỂNăIUăDNGăHăVHVL HƠăNi,ă11/2013ăăăăăăăăăă



BăMÔNăIUăDNG

LUăTHăVINH
Mã sinh viên: B00216

B môn iu dng – Trng i hc Thng Long
Hi đng chm lun vn tt nghip C nhân.



quan.

Hà Ni, ngày 18 tháng 10 nm 2013
Hcăviên LuăThăVinh ii
LIăCMăN










           -     



iv
MCăLC

 i
 ii
 iii
 iv
 vii
 viii
 1
 3
 3
 3
 3
 3
1.3  3
 3
 4
 7
 7
 7
 8
 9
 9
 9
 9
 9
 9

 19
 19
 20
 20
 20
 20
 20
 20
 21
 21 vi
 21
 22
           
 22
 22
 22
 24
 24
 24
 25
 26

  15
 16
 16
 17
 17

 17
 18
 19
 19 viii
DANHăMCăBIUă

STT
Tênăbiuăđ
Trang

 12
 13
  14
 18
 19
Thang Long University Library1

TăVNă
2
“Kin thc, thc hành v kim soát huyt
áp ca bnh nhân tng huyt áp điu tr ti khoa khám bnh Bnh vin Bch
Mai nm 2013” 
1. MôătăkinăthcăvăkimăsoátăhuytăápăcaăbnhănhơnăTHAăđiuătră
tiăkhoaăkhámăbnhăBnhăvinăBchăMai.
2. MôătăthcăhƠnhăvăkimăsoátăhuytăápăcaăbnhănhơnăTHAăđiuătră
tiăkhoaăkhámăbnhăBnhăvinăBchăMai.

Thang Long University Library

- 

+ -
+  4
+ 
- 

+ 
+ 
+ 
+ 
+ 

1.3.2 iu tr THA
1.3.2.1 Mc đích điu tr [1][10]
- 
- 
< 135/85 mmHg)
- 
- 


-  

- 



+        
nhóm Diphenylalkylamine.
+   
sin
+ 
+ 
+ 
- 
+ 
+              giao

+ 
 6

Hình 1: Phác đ điu tr THA theo JNC VII
Thang Long University Library7
1.4. Cácăyuătănhăhngăđnătuơnăthăđiuătr
- 
- nh nhân.
- 
- 


Khách quan


C 


Giá thành





 8
                
[17][19].
Bng 1.1: T l ý thc, điu tr và Huyt áp đc kim soát [19]
TălăỦăthc,ăđiuătrăvƠăhuytăápăđcăkimăsoátăăngiăln
tuiătă18ăđnă74ă(ăNHANES)

Tălăphnătrm
1976-1980
1988-1991
1991-1994
1999-2000

51% Thang Long University Library9
Chngă2:ăIăTNGăVÀăPHNGăPHÁPăNGHIểNăCU

2.1.ăIăTNGăNGHIểNăCU
2.1.1.Tiêu chun la chn đi tng nghiên cu:
       

- 
2.1.2.Tiêu chun loi tr:
-  
2.2. AăIMăVÀăTHIăGIAN
- aăđim:ă
- Thiăgian:ă 8/2013
2.3. PHNGăPHÁPăNGHIểNăCU

2.4. CăMU


2.5. THUăTHPăVÀăXăLÝăSăLIU
2.5.1. Các bc thu thp s liu
- 

- 


90  99


- 
- 
Bng2.2: Thái đ x trí khi theo dõi huyt áp
HAătiăđaă
(mmHg)
HAătiăthiuă
(mmHg)
Tháiăđ
< 130
130  139
140  159
160  179

< 85
85  89
90  99
100  109





    
tùy tình hình lâm sàng.
2.6. OăCăNGHIểNăCU
- 

3.1.2. Cân nng
Bng 3.2: c đim cân nng ca đi tng nghiên cu
n

SD
Min
Max
36
57,44
6,36
46
70
, trong

3.1.3 BMI:
Bng 3.3: Ch s BMI ca các bnh nhân
BMIă(chiuăcao/ăcơnănngă2)
n
%
 24.99)
26
72.2

10
27.8

36
100



100



3.1.6 Ngh nghip:
Bng 3.5: Ngh nghip ca đi tng nghiên cu
Nghănghip
n
%
Công nhân
9
25.0

18
50.0

9
25.0

36
100
Thang Long University Library13


3.1.7.Thi gian b THA:
Bng 3.6: Thi gian b THA ca các bnh nhân trong nghiên cu
ThiăgianăbăTHA

1

9
25.0
2

27
75.0
3
Suy tim
14
38.9
4

2
5.6 14
- 
- 
- 8.9%.
- 
3.1.9.Hút thuc lá:

Biu đ 3.3: T l bnh nhân hút thuc lá


3.2. ánhăgiáăkinăthcăcaăbnhănhơnăTHAăvăkimăsoátăHA
3.2.1. HA mc tiêu:

17
47.2
Hô h
3
8.3
33
91.7

6
16.7
30
83.3

5
13.9
31
86.1

14
38.9
22
61.1


     
              

             

3.2.3. Kim soát THA bng li sng: