MỐI LIÊN QUAN GIỮA ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VỚI NỒNG ĐỘ SẮT HUYẾT THANH Ở BỆNH NHÂN SUY TIM MẠN TÍNH

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Tác giả: Thị Hương Lan Lê, Mạnh Tùng Lò, Trọng Hiếu 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.423-429

Bộ sưu tập: Metadata

ID: 339708

Thêm vào giỏ Liên kết toàn văn

Iron deficiency in patients with chronic heart failure is a common condition with an incidence of 30-50%. Iron deficiency is an independent factor in aggravating quality of life, outcomes of heart failure patients. Iron supplementation treatment for patients improves symptoms, quality of life, admission rate. But in clinical practice, iron deficiency in patients with chronic heart failure has not been given appropriate attention. This study in order to analyze the relationship between clinical, paraclinical manifestations and serum iron in subjects. The research method was used is a descriptive, cross – sectional study. Study subjects were 60 chronic heart failure patients at cardiovascular department from August 2021 to June 2022 in Thai Nguyen National hospital. The results showed that the rate of serum iron deficiency in patients with chronic heart failure was 38.3%, which 10.0% was absolute iron deficiency and 28.3% was functional iron deficiency. There is a correlation between serum iron deficiency with the NYHA classification, and many clinical and laboratory features of patients with chronic heart failure are associated with serum iron deficiency.Thiếu sắt trên bệnh nhân suy tim mạn là một tình trạng phổ biến với tỷ lệ từ 30 – 50%. Thiếu sắt là yếu tố độc lập làm nặng thêm tình trạng suy tim, chất lượng cuộc sống và kết cục lâm sàng của bệnh nhân suy tim mạn tính. Điều trị bổ sung sắt cho bệnh nhân giúp cải thiện triệu chứng, chất lượng cuộc sống, tỷ lệ nhập viện, tuy nhiên trong thực hành lâm sàng thiếu sắt trên bệnh nhân suy tim chưa được quan tâm đúng mức. Nghiên cứu này nhằm phân tích mối liên quan giữa đặc điểm lâm sàng, cận lâm sàng với nồng độ sắt huyết thanh ở đối tượng nghiên cứu. Phương pháp nghiên cứu được sử dụng là phương pháp nghiên cứu mô tả cắt ngang. Đối tượng nghiên cứu gồm 60 bệnh nhân suy tim mạn từ tháng 08/2021 đến tháng 06/2022 tại khoa Nội tim mạch Bệnh viện Trung ương Thái Nguyên. Kết quả cho thấy, tỷ lệ thiếu sắt huyết thanh ở bệnh nhân suy tim mạn tính là 38,3%
trong đó có 10,0% là thiếu sắt tuyệt đối, 28,3% là thiếu sắt tương đối. Có mối liên quan đến tình trạng thiếu sắt huyết thanh với phân loại NYHA, nhiều đặc điểm lâm sàng và cận lâm sàng của bệnh nhân suy tim mạn có mối liên quan đến tình trạng thiếu sắt huyết thanh.

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