ĐẶC ĐIỂM VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI SƠ SINH TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

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Tác giả: Thị Ngọc Mai Khổng, Thị Vững Mai, Thị Xuân Hương Nguyễn

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.263-269

Bộ sưu tập: Metadata

ID: 339677

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu nhằm mô tả đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan đến kết quả điều trị viêm phổi sơ sinh. Phương pháp nghiên cứu mô tả cắt ngang trên 188 trẻ sơ sinh mắc viêm phổi điều trị tại Bệnh viện Trung ương Thái Nguyên từ tháng 10/2020 – 9/2021. Kết quả cho thấy, triệu chứng thần kinh như tỉnh táo: 92,0%
sốt: 26,6%
hạ thân nhiệt: 14,9%. Triệu chứng hô hấp thường gặp nhất là ho, thở nhanh, rút lõm lồng ngực, khò khè, nghe phổi có ran ẩm và gặp chủ yếu ở nhóm trẻ đủ tháng nhiều hơn nhóm trẻ non tháng. Triệu chứng ít gặp là cơn ngừng thở chiếm 6,4%, thở chậm (<
30 lần/phút) chiếm 1,6% và gặp chủ yếu ở nhóm trẻ non tháng. Có 31,9% bệnh nhi có thay đổi số lượng bạch cầu. Tỷ lệ bạch cầu đa nhân trung tính tăng, chiếm 61,2%
CRP tăng, chiếm 16,5%, có hình ảnh tổn thương trên X-quang chiếm 76,1%. Tỷ lệ điều trị khỏi là 87,8%. Các yếu tố: Sinh non, cân nặng khi sinh thấp <
2500g, có bệnh lý tim bẩm sinh, tiêu chảy, vàng da hoặc viêm da mủ… có liên quan đến kết quả điều trị. Sự khác biệt có ý nghĩa thống kê với p <
0,05.The study aims to describe clinical, subclinical characteristics and some factors related to the results of treatment of neonatal pneumonia. A descriptive cross – sectional study was performed on 188 pneumonia patients treated at Thai Nguyen National Hospital from October 2020 – September 2021. The results showed that: Neurological symptoms: awake: 92.0%, fever: 26.6%
hypothermia: 14.9%. The most common respiratory symptoms were cough, tachypnea, chest indrawing, wheezing, auscultation with moist rales and more common full – term newborn than in preterm newborn. Less common symptoms were apnea accounted for 6.4%, bradypnea (<
30 breaths/minute) accounted for 1.6% and encountered mainly in preterm newborn. There were 31.9% of patients with changes in white blood cell count. The rate of increasing neutrophil acounts for 61.2%
Increasing CRP accounted for 16.5%, with lesions on X-ray accounted for 76.1%. The rate succesful treatment was 87.8%. There were some related factors with results of treatment, such as: preterm newborn, birth weight <
2500g, congenital heart disease, diarrhea, jaundice, dermatitis… The difference was statistically significant with p <
0.05.

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