Kết quả điều trị rối loạn lipid máu trên bệnh nhân đái tháo đường type 2

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Tác giả: Ngọc Giang Lâm Đoàn, Đức Thái Hoàng, Thị Quý Thảo Lê, Văn Phong Phan, Quang Trung Võ

Ngôn ngữ: Vie

Ký hiệu phân loại: 616.4 Diseases of hematopoietic, lymphatic, glandular systems Diseases of endocrine system

Thông tin xuất bản: Y học cộng đồng 2022

Mô tả vật lý: 45486

Bộ sưu tập: Metadata

ID: 406273

Thêm vào giỏ Liên kết toàn văn

Khảo sát kết quả điều trị rối loạn lipid máu trên bệnh nhân đái tháo đường type 2 tại Phòng khám đa khoa An Phúc. Đối tượng và phương pháp: Nghiên cứu thuần tập tiến cứu, mô tả trên 172 bệnh nhân được chẩn đoán, điều trị đái tháo đường type 2 tại Phòng khám đa khoa An Phúc, có tình trạng rối loạn lipid máu nguyên phát từ tháng 2 năm 2021 đến tháng 10 năm 2021. Kết quả: Đa số bệnh nhân được điều trị bằng nhóm Statin với tỷ lệ 67,44%. Sau đó là nhóm fibrate với tỷ lệ 24,42%. Nhóm resin được sử dụng ít hơn cả với 12,21%. Phần lớn bệnh nhân điều trị rối loạn lipid máu với 1 thuốc, chiếm tỷ lệ 55,81%, chủ yếu là thuốc nhóm statin. Tỷ lệ bệnh nhân gặp tác dụng phụ là 36,63%. Tỷ lệ bệnh nhân không đạt mục tiêu điều trị rối loạn lipid máu vẫn cón khá cao là 37,21%. Có sự liên quan giữa đạt mục tiêu điều trị với nhóm tuổi có ý nghĩa thống kê (p<
0,05). Không có sự liên quan có ý nghĩa thống kê giữa giới, trình độ học vấn với đạt mục tiêu điều trị (p>
0,05). Không có mối liên quan có ý nghĩa thống kê giữa đạt mục tiêu điều trị mỡ máu với đạt mục tiêu điều trị đái tháo đường (p>
0,05). Kết luận: Đa số bệnh nhân được điều trị bằng nhóm Statin. Tỷ lệ bệnh nhân gặp tác dụng phụ và tỷ lệ bệnh nhân không đạt mục tiêu điều trị rối loạn lipid máu còn cao. Có sự liên quan giữa đạt mục tiêu điều trị với nhóm tuổi. Không có sự liên quan giữa giới, trình độ học vấn với đạt mục tiêu điều trị. Không có mối liên quan giữa đạt mục tiêu điều trị mỡ máu với đạt mục tiêu điều trị đái tháo đường., Tóm tắt tiếng anh, To investigate the effectiveness of dyslipidemia treatment in patients with type 2 diabetes at An Phuc General Clinic. Subjects and methods: Prospective cohort study, describing 172 patients diagnosed and treated for type 2 diabetes with primary dyslipidemia at An Phuc General Clinic, from February 2021 to October 2021. Results: The majority of patients were treated with Statins of 67.44%. Then the fibrates group accounted for 24.42%. The resin group was used the least with 12.21%. Most patients treated for dyslipidemia with 1 drug, accounting for 55.81%, mainly statin drugs. The rate of patients experiencing side effects was 36.63%. The percentage of patients who did not reach the goal of treatment for dyslipidemia was still quite high at 37.21%. There was a correlation between reaching the treatment goal and the age group with statistical significance (p<
0.05). There was no statistically significant relationship between gender, education level and reaching the treatment goal (p>
0.05). There was no statistically significant relationship between achieving the goal of blood lipid treatment and achieving the goal of diabetes treatment (p>
0.05). Conclusion: The majority of patients were treated with statins. The rate of patients experiencing side effects and the percentage of patients not reaching the goal of dyslipidemia treatment were sail high. There was a relationship between reaching the treatment goal and the age group. There was no relationship between gender, education level and treatment goal achievement. There was no relationship between the achievement of the goal of blood lipid treatment and the achievement of the goal of diabetes treatment.

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