KẾT QUẢ ĐIỀU TRỊ BỆNH VIÊM PHẾ QUẢN PHỔI Ở TRẺ TỪ 2 THÁNG ĐẾN 5 TUỔI TẠI TRUNG TÂM Y TẾ HIỆP HÒA, TỈNH BẮC GIANG

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Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2020

Mô tả vật lý: tr.62-67

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ID: 303606

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Nghiên cứu đánh giá kết quả điều trị viêm phế quản phổi ở trẻ từ 02 tháng đến 5 tuổi tại Trung tâm Y tế huyện Hiệp Hòa - Bắc Giang. Nghiên cứu mô tả, cắt ngang trên 355 đối tượng là bệnh nhi từ 2 tháng đến 5 tuổi được chẩn đoán viêm phế quản phổi. Kết quả nghiên cứu cho thấy tỷ lệ mắc viêm phế quản phổi ở nhóm tuổi 2-12 tháng cao hơn, chiếm 63,7% so với nhóm tuổi trên 12-60 tháng (36,3%), trẻ trai mắc viêm phế quản phổi (55,2%) cao hơn trẻ gái (44,8%). Có 59,4% trẻ vào viện được chẩn đoán viêm phổi, tỷ lệ trẻ bị viêm phổi nặng chiếm 40,6%, triệu chứng ho đã giảm sau 3 ngày điều trị ở cả 2 nhóm tuổi (p<
0,05), tỷ lệ trẻ bị sốt, thở nhanh, phổi có rales trước điều trị và sau điều trị ở cả hai nhóm tuổi 2-12 tháng và trên 12-60 tháng đều có xu hướng giảm nhưng không có ý nghĩa thống kê (p>
0,05), kết quả điều trị khỏi và không phải thay thuốc kháng sinh chiếm 71,0%, tỷ lệ trẻ khỏi phải thay đổi kháng sinh là 12,4%, tuy nhiên vẫn còn 4,5% trẻ sau điều trị nặng lên phải chuyển tuyến hoặc gia đình xin về. Nghiên cứu trên 355 trường hợp viêm phế quản phổi với kết quả điều trị khỏi bệnh trong nghiên cứu của chúng tôi tương đối cao 95,5% (điều trị đơn thuần hoặc kết hợp).This paper evaluated the results of the treatment of broncho-pneumonia in children from 2 months to 5 years old at Hiep Hoa Health Center - Bac Giang province. To describe on 355 patients who were children from 2 months to 5 years old were diagnosed with broncho-pneumonia. The results showed that rate of children 2-12 months groups have a broncho-pneumonia (63.7%) higher than children 12 - 60 months groups (36.3%)
boy’s broncho-preumonia were 55.2% and girl’s broncho-preumonia were 44.8%, children had diagnosed broncho-pneumonia were 59.4% and severe broncho-pneumoni were 40.6%. A statistically significant difference was found (p <
0.05) in terms of percentage of cough cough symptoms decreased after 3 days. The rated of children with fever, tachypnea, rales lungs before treatment and after treatment in both age groups of 2-12 months and over 12-60 months to decreased, although the results were not statistically significant (p>
0.05). The rate of children cured and non-changing antibiotics accounted for 71.0%, the rate of children cured and antibiotic changes were 12.4%, however, treatment failure rates during follow-up were 4.5%. Our study on 355 cases of broncho-pneumonia with cure results relatively high were 95.5% (treatment alone or in combination).

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