Tỷ lệ đái tháo đường týp 2 có biến chứng thận và thực trạng phòng, chống biến chứng thận ở bệnh nhân đái tháo đường týp 2 tại Bệnh viện Đa khoa Cái Nước năm 2022-2023

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Tác giả: Phúc Lam Dương, Thị Nhã Trúc Phạm, Quốc Khởi Trịnh

Ngôn ngữ: vie

Ký hiệu phân loại: 616.462 Diabetes mellitus

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 290-294

Bộ sưu tập: Metadata

ID: 502455

Thêm vào giỏ

Biến chứng thận ở bệnh nhân đái tháo đường là một trong những biến chứng mạn tính hay gặp nhất và là nguyên nhân hàng đầu của suy thận. Việc dự phòng biến chứng thận cũng như phát hiện sớm biến chứng thận ở bệnh nhân đái tháo đường týp 2 là việc làm hết sức cấp thiết. Mục tiêu nghiên cứu: Xác định tỷ lệ đái tháo đường týp 2 có biến chứng thận và thực trạng phòng, chống biến chứng thận ở bệnh nhân đái tháo đường týp 2 tại Bệnh viện Đa khoa Cái Nước năm 2022-2023. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 399 bệnh nhân đái tháo đường týp 2 đến khám, điều trị ngoại trú tại Khoa khám bệnh, Bệnh viện Đa khoa Cái Nước từ tháng 7 năm 2022 đến tháng 2 năm 2023. Kết quả: Tỷ lệ bệnh nhân đái tháo đường týp 2 có biến chứng thận là 28,57%. Phân loại các giai đoạn bệnh thận mạn ở bệnh nhân đái tháo đường týp 2 theo KDIGO (2012) chủ yếu là giai đoạn 3 (giai đoạn 3a: 60,53% và giai đoạn 3b: 24,56%). Tỷ lệ bệnh nhân thực hành đúng cả 5 nội dung của phòng chống biến chứng thận (hút thuốc lá, chế độ ăn, uống rượu bia, vận động thể lực, tuân thủ thuốc điều trị) là 14,04%. Kết luận: Tỷ lệ bệnh nhân đái tháo đường týp 2 có biến chứng thận tại Bệnh viện Đa khoa Cái Nước năm 2022-2023 khá cao (28,57%), chủ yếu là giai đoạn 3 theo phân loại KDIGO năm 2012. Tỷ lệ bệnh nhân thực hành đúng về phòng chống biến chứng thận là khá thấp (14,04%).Renal complication in patients with diabetes is one of the most common chronic complications and the leading cause of kidney failure. The early prevention as well as detection of renal complications in patients with type 2 diabetes is extremely essential. Objective: Determining the prevalence of type 2 diabetes with renal complications and the status of prevention and control of renal complications in patients with type 2 diabetes at Cai Nuoc General Hospital in 2022-2023. Materials and methods: Cross-sectional descriptive study on 399 patients with type 2 diabetes who came for outpatient examination and treatment at the Outpatient Department, Cai Nuoc General Hospital between July 2022 and February 2023. Results: The rate of patients with type 2 diabetes having renal complications was 28.57%. Classification of chronic kidney disease stages in patients with type 2 diabetes according to KDIGO (2012) was mainly stage 3 (stage 3a: 60.53% and stage 3b: 24.56%). The percentage of patients who correctly practiced all 5 contents of renal complication prevention (smoking, diet, alcohol consumption, physical activity, medication adherence) was 14.04%. Conclusion: The rate of type 2 diabetes patients with renal complications at Cai Nuoc General Hospital in 2022-2023 was quite high (28.57%), mainly stage 3 according to KDIGO classification in 2012. The rate of patients with correct practice on prevention of renal complications was quite low (14.04%).

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