Bước đầu đánh giá kết quả đo chỉ số huyết áp tâm thu cổ chân – cánh tay tại khoa tim mạch Bệnh viện Hữu Nghị=Initial evaluation of the results of measurement of the ankle-brachial systolic blood pressure index at the cardiovascular department

Bước đầu đánh giá kết quả đo chỉ số huyết áp tâm thu cổ chân – cánh tay tại khoa tim mạch Bệnh viện Hữu Nghị=Initial evaluation of the results of measurement of the ankle-brachial systolic blood pressure index at the cardiovascular department - Huu Nghi Hospital

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Tác giả: Hương Giang Phạm, Thị Hải Hà Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

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

Mô tả vật lý: tr.71

Bộ sưu tập: Báo, Tạp chí

ID: 481447

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Đặt vấn đề: Trên thế giới, bệnh động mạch chi dưới là bệnh lý có tỉ lệ mắc ngày càng tăng. Tuy nhiên, triệu chứng bệnh thường không điển hình, dễ bỏ sót. Đo chỉ số huyết áp tâm thu cổ chân – cánh tay (ABI) là một kĩ thuật đơn giản, dễ dàng thực hiện nhưng lại có giá trị chẩn đoán cao, phù hợp để sàng lọc và chẩn đoán sớm bệnh động mạch chi dưới. Mục tiêu: Nghiên cứu một số đặc điểm của các bệnh nhân được đo chỉ số huyết áp cổ chân – cánh tay (ABI) tại khoa tim mạch – Bệnh viện Hữu Nghị. Bước đầu đánh giá kết quả chỉ số ABI của bệnh nhân được thực hiện tại khoa tim mạch – Bệnh viện Hữu Nghị. Phương pháp nghiên cứu: Mô tả cắt ngang. Kết quả: Nghiên cứu gồm 242 bệnh nhân (BN). Tuổi trung bình (TB): 78.4± 8.0. Có 32 BN hẹp động mạch chân trái và 32 bệnh nhân hẹp động mạch chân phải (13.2%). Có 16 BN hẹp động mạch cả 2 chân (3.25%), với tuổi TB: 84 ±6.2. Nhóm tuổi có tỉ lệ cao nhất: 88-89 tuổi (68.8%), nhóm tuổi 70-79 có tỉ lệ:12.5%. Tỉ lệ giới nữ: 37.5%, nam: 62.5%. Số BN mắc tăng huyết áp là 15 (93.4%), rối loạn chuyển hóa lipid là 12 (75%), đái tháo đường là: 4 (25%), hút thuốc lá: 6 (37.5%). Kết luận: Tỉ lệ có hẹp động mạch chi dưới trong nghiên cứu khá cao. Trong đó 3,25% hẹp động mạch cả 2 chân. Nhóm tuổi chủ yếu của bệnh nhân bị hẹp động mạch cả 2 chân theo ABI là 80-89 tuổi. Nhóm yếu tố nguy cơ chiếm tỉ lệ cao nhất trong nghiên cứu là tăng huyết áp.Introduction: Lower limb peripheral arterial disease is popular worldwide. However, the symptoms of the disease are often atypical and easy to miss. Measuring the ankle-brachial systolic blood pressure index (ABI) is a simple technique, and easy to perform. Also, it has high diagnostic value, suitable for screening and early diagnosis of lower limb arterial disease. Objectives: Describe the characteristics of patients with ankle-brachial blood pressure index (ABI) at the cardiology department of Huu Nghi Hospital. The initial assessment of the patient's ABI index results is performed at the cardiology department - Huu Nghi Hospital. Methods: A descriptive cross-sectional study was done. Results: The study included 242 patients. Average age was 78.4± 8.0 years old. There were 32 patients with left-leg artery stenosis and 32 patients with right-leg artery stenosis (13.2%). There were 16 patients with bilateral lower limb arterial stenosis (3.25%), with average age of 84 ± 6.2 years old. The age group with the highest rate was 88-80 years old (68.8%) and the group of 70-79 years old had the maximum rate was 12.5%. Female accounted for 37.5%. The number of patients with hypertension was 15 (93.4%), lipid metabolism disorders 2 (75%), diabetes 4 (25%), and smoking: 6 (37.5%). Conclusion: The rate of lower limb arterial stenosis in the study was quite high. The main age group of patients with stenosis in both lower limbs with ABI is 80-89 years old. The group of risk factors with the highest proportion in the study is hypertension.

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