Kết quả điều trị và một số yếu tố liên quan đến mức độ nặng của bệnh tay chân miệng tại bệnh viện trẻ em Hải Phòng năm 2021

Kết quả điều trị và một số yếu tố liên quan đến mức độ nặng của bệnh tay chân miệng tại bệnh viện trẻ em Hải Phòng năm 2021 - 2022

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Tác giả: Thị Hà Chu

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Sức khỏe, 2024

Mô tả vật lý: tr.142

Bộ sưu tập: Metadata

ID: 341951

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Nhận xét kết quả điều trị và một số yếu tố liên quan đến mức độ nặng của bệnh tay chân miệng (TCM) tại bệnh viện Trẻ em Hải Phòng năm 2021-2022. Đối tượng nghiên cứu: 174 trẻ dưới 15 tuổi được chẩn đoán mắc TCM dựa trên tiêu chí lâm sàng và/hoặc cận lâm sàng theo hướng dẫn của Bộ Y tế năm 2012. Thời gian nghiên cứu: 01/2021 đến 05/2022. Phương pháp: mô tả hồi cứu. Kết quả: Bệnh có xu hướng tăng cao vào hai thời điểm từ tháng 3 đến tháng 5 và từ tháng 8 đến tháng 10. Tỉ số nam/nữ là 1,52
độ tuổi từ 12 tháng đến 36 tháng chiếm 61,5%. Lý do vào viện vì sốt, loét miệng hoặc cả hai chiếm 82,8%. Xét nghiệm PCR tìm virus gây bệnh kết quả có 4/7 (57,1%) trường hợp dương tính với EV71 và có 3/7 (42,9%) trường hợp âm tính. Bệnh nhân không loét miệng trong thời gian bị bệnh có nguy cơ mắc TCM có biến chứng thần kinh cao hơn so với trẻ có loét miệng. Trẻ có sốt cao trên 39oC có nguy cơ mắc TCM có biến chứng thần kinh cao hơn so với trẻ không sốt hoặc sốt dưới 39 oC. Thời gian nằm viện của bệnh nhân chủ yếu dưới 7 ngày. Kết luận: Triệu chứng không loét miệng và sốt trên 39oC là các yếu tố làm nặng bệnh. Thời gian nằm viện khoảng 4-7 ngày. Đa số trẻ đỡ, khỏi 95,4% (166/174) và được ra viện.Objectives: Commenting on results and some factors related to the severity of hand, foot mouth disease (HFMD) treatment at Hai Phong Children's Hospital in 2021-2022. Study subjects: 174 children under 15 years of age were diagnosed with HFMD based on clinical and/or subclinical criteria according to the guidelines of the Ministry of Health 2012. The study was conducted from January 2021 to May 2022. Methods: Retrospective descriptive study. Results: The disease tended to increase at two times from March to May and from August to October. The ratio of male/female was 1.52, age from 12 months to 36 months accounted for 61.5%. The reason for admission was because of fever, mouth ulcers or both accounted for 82.8%. The PCR test for the virus that causes the disease resulted in 4/7 (57.1%) cases being positive for EV71 and 3/7 (42.9%) of cases being negative. Patients without oral ulcers had a higher risk of developing TCM with neurological complications than children with oral ulcers. Children with high fever above 39 had a higher risk of TCM with neurological complications than children without fever or fever below 39 . The patient stayed in hospital less than 7 days. Conclusion: Symptoms without mouth ulcers and fever above 39 are factors that aggravate the disease. The average hospital stay was 4-7 days. Most of the children recovered well 95.4% (166/174) and were discharged.

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