ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN THIẾU MÁU THIẾU SẮT Ở BỆNH NHÂN TỪ 2 THÁNG ĐẾN 60 THÁNG TẠI BỆNH VIỆN A THÁI NGUYÊN

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Tác giả: Văn Sơn Nguyễn, Xuân Tuấn Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2023

Mô tả vật lý: tr.22-27

Bộ sưu tập: Metadata

ID: 333163

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Nghiên cứu nhằm mô tả đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan đến thiếu máu thiếu sắt ở bệnh nhân từ 2 tháng đến 60 tháng tuổi. Nghiên cứu mô tả cắt ngang trên 178 bệnh nhân điều trị tại Bệnh viện A Thái Nguyên từ 07/2021 - 06/2022 bằng phỏng vấn trực tiếp bộ công cụ thiết kế sẵn và kết hợp khám bệnh. Kết quả có 74,7% bệnh nhân nam, 25,3% bệnh nhân nữ, tỷ lệ nam/nữ: 3/1
78,1% bệnh nhân ở nhóm tuổi 6-24 tháng. Chủ yếu thiếu máu mức độ trung bình (51,7%). Triệu chứng lâm sàng gặp nhiều nhất là niêm mạc nhợt (91,6%), biếng ăn (59%), da xanh (56,7%), còi xương (35,4%), tiêu chảy (22,5%), suy dinh dưỡng (21,4%). Triệu chứng cận lâm sàng: Huyết sắc tố giảm: 95,69±13,28, thể tích trung bình hồng cầu giảm: 66,09±9,3, phân bố hồng cầu giảm 17,7±12,37. Ăn bổ sung sớm, địa dư, trình độ học vấn của mẹ, bổ sung sắt cho con không liên quan đến tình trạng thiếu máu thiếu sắt. Thiếu máu thiếu sắt thường gặp ở nhóm tuổi từ 6-24 tháng tuổi, biểu hiện lâm sàng thường gặp là niêm mạc nhợt, biếng ăn, da xanh, cận lâm sàng chủ yếu thiếu sắt hồng cầu nhỏ nhược sắc, thường gặp thiếu máu mức độ trung bình, chưa tìm thấy yếu tố liên quan với tình trạng thiếu máu thiếu sắt trong nghiên cứu.This study aims to describe clinical, paraclinical characteristics and risk determinants of iron deficiency anemia among children from 2 months to 60 months. Cross sectional study of 178 children with iron deficiency anemia were treated in Thai Nguyên A hospital from July 2021 to June 2022. 74.7% were boys, 2.3% were girls, the disease was more common in boys than in girls: 3/1. Iron deficiency anemia was more common in the 6 - 24 months group (78.1%) The most common clinical symptoms were pale mucous membranes (91.6%), anorexic (59%), pale skin (56.7%), rickets (35.4%), diarrhea (22.5%), and malnutrition (21.4%). Subclinical: Hemoglobin decreased: 95.69±13.28, Mean corpuscular Volume decreased: 66.09±9.3, Red Cell Distribution With decreased: 17.7±12.37, Red Blood Cell, Hemoglobin, serum iron, and ferritin were decreased. Factors associated with iron deficiency anemia were early supplementation, geography, mother's education level, and iron supplementation for children. Anemia is common in children from 6 to 24 months with clinical characteristics of iron deficiency anemia: pale mucous membranes, anorexic, pale skin, rickets, diarrhea, and malnutrition, subclinical characteristics of iron deficiency anemia were hypochromic microcytic anemia, moderate anemia is common
Among the early supplementation, geography, mother's education level, and iron supplementation for children non significant effect on anemia.

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