Sự biến đổi nồng độ Hs-TNT huyết tương trước và sau phẫu thuật ở người bệnh thực hiện phẫu thuật ngoài tim tại Bệnh viện Thanh Nhàn năm 2024=Changes in plasma Hs-TNT concentration before and after surgery in patients undergoing non-cardial surgery at Thanh Nhan Hospital in 2024

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Tác giả: Minh Hiền Nguyễn, Thị Lệ Mỹ Nguyễn, Thị Thu Lê Nguyễn, Văn Cẩn Nguyễn, Khánh Chi Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.53-58

Bộ sưu tập: Metadata

ID: 243816

Thêm vào giỏ

Cardiovascular complications: myocardial injury and myocardial infarction are common complications after noncardiac surgery what was detected by Quantifying hs-TnT before and after surgery. Objectives: Evaluate the change in plasma hs-TnT concentration before and after non-cardiac surgery and the relationship between the plasma hs-TNT concentration after non-cardiac surgery and some risk factors. Materials and Method: Cross-sectional study of 42 patients undergoing elective non-cardiac surgery (gastrointestinal, urinary, trauma). The plasma Hs-TnT levels were measured preoperatively and 2 hours postoperatively. Results: After non-cardiac surgery, there was an increase in hs-TnT concentration (>
14 ng/), accounting for 28,6%. The hs-TnT concentration increased after surgery in all 3 study groups (digestive, urinary, and trauma). There is a correlation between postoperative hs-TnT levels and risk factors such as smoking, with p <
0.05. Conclusions: Increased hs-TnT levels after noncardiac surgery: There is a correlation between postoperative hs-TnT levels and cardiovascular risk factors such as smoking history.Tổn thương cơ tim, nhồi máu cơ tim là biến chứng tim mạch thường gặp sau phẫu thuật ngoài tim có thể được phát hiện nhờ xét nghiệm định lượng hs-TnT trước và sau phẫu thuật. Mục tiêu nghiên cứu: Đánh giá sự biến đổi nồng độ hs-TnT huyết tương trước và sau phẫu thuật ngoài tim và mối liên quan giữa nồng độ hs-TNT huyết tương sau phẫu thuật ngoài tim với một số yếu tố nguy cơ. Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang theo dõi trên 42 người bệnh phẫu thuật ngoài tim (tiêu hóa, tiết niệu, chấn thương chỉnh hình) theo kế hoạch. Nồng độ hs-TnT huyết tương được đo trước phẫu thuật và 2 giờ sau phẫu thuật. Kết quả: Sau phẫu thuật ngoài tim có sự tăng nồng độ hs-TnT (tăng >
14 ng/L), chiếm 28,6%. Nồng độ hs-TnT tăng sau phẫu thuật ở cả 3 nhóm nghiên cứu (tiêu hóa, tiết niệu, chấn thương). Có mối liên quan giữa nồng độ hs-TnT sau phẫu thuật với một số yếu tố nguy cơ như: tiền sử hút thuốc lá, với p<
0.05. Kết luận: Nồng độ hs-TnT tăng lên sau phẫu thuật ngoài tim
có mối liên quan giữa nồng độ hs-TnT sau phẫu thuật với yếu tố nguy cơ tim mạch là tiền sử hút thuốc lá.

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