{"id":13648,"date":"2023-11-30T14:07:53","date_gmt":"2023-11-30T07:07:53","guid":{"rendered":"http:\/\/12point.net\/?p=13648"},"modified":"2023-11-30T14:07:53","modified_gmt":"2023-11-30T07:07:53","slug":"thong-tin-thuoc-thang-12-2023","status":"publish","type":"post","link":"https:\/\/12point.net\/thong-tin-thuoc-thang-12-2023\/","title":{"rendered":"TH\u00d4NG TIN THU\u1ed0C \u2013 TH\u00c1NG 12\/2023"},"content":{"rendered":"
DS. Nguy\u1ec5n Th\u1ecb Thanh B\u00ecnh – K. D\u01b0\u1ee3c<\/em><\/span><\/p>\n M\u1ed9t nghi\u00ean c\u1ee9u thu\u1ea7n t\u1eadp t\u1ea1i \u0110an M\u1ea1ch tr\u00ean h\u01a1n 2 tri\u1ec7u ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n \u0111\u00e3 cho th\u1ea5y vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) c\u00f3 li\u00ean quan t\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch tr\u00ean ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i n\u00e0y.<\/span><\/p>\n M\u1ee5c ti\u00eau:<\/em>\u00a0Nghi\u00ean c\u1ee9u v\u1ec1 \u1ea3nh h\u01b0\u1edfng nguy c\u01a1 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi thu\u1ed1c tr\u00e1nh thai c\u00f3 b\u1ea3n ch\u1ea5t hormon\u00a0 v\u1edbi thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID).<\/span><\/p>\n Thi\u1ebft k\u1ebf th\u1eed nghi\u1ec7m:\u00a0Nghi\u00ean c\u1ee9u thu\u1ea7n t\u1eadp t\u1ea1i \u0110an M\u1ea1ch qua h\u1ec7 th\u1ed1ng \u0111\u0103ng k\u00fd ca b\u1ec7nh qu\u1ed1c gia<\/span><\/p>\n \u0110\u1ed1i t\u01b0\u1ee3ng:<\/em>\u00a0T\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef t\u1eeb 15-49 tu\u1ed5i s\u1ed1ng \u1edf \u0110an M\u1ea1ch t\u1eeb n\u0103m 1996 \u0111\u1ebfn n\u0103m 2017 kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd v\u1ec1 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch, kh\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 \u0111\u00f4ng m\u00e1u, ung th\u01b0, c\u1eaft t\u1eed cung, c\u1eaft bu\u1ed3ng tr\u1ee9ng hai b\u00ean, tri\u1ec7t s\u1ea3n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh (n=2\u2009029\u2009065).<\/span><\/p>\n Ch\u1ec9 ti\u00eau l\u00e2m s\u00e0ng ch\u00ednh:<\/em>\u00a0L\u1ea7n \u0111\u1ea7u \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n\u00a0l\u00e0 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u chi d\u01b0\u1edbi ho\u1eb7c thuy\u00ean t\u1eafc ph\u1ed5i khi xu\u1ea5t vi\u1ec7n.<\/span><\/p>\n K\u1ebft qu\u1ea3:<\/em>\u00a0Trong s\u1ed1 2,0 tri\u1ec7u ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c theo d\u00f5i, v\u1edbi t\u1ed5ng s\u1ed1 21,0 tri\u1ec7u ng\u01b0\u1eddi-n\u0103m, 8710 tr\u01b0\u1eddng h\u1ee3p thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c ghi nh\u1eadn. So v\u1edbi vi\u1ec7c kh\u00f4ng s\u1eed d\u1ee5ng NSAID, vi\u1ec7c s\u1eed d\u1ee5ng NSAID c\u00f3 li\u00ean quan \u0111\u1ebfn t\u1ef7 s\u1ed1 v\u1ec1 t\u1ea7n su\u1ea5t xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 \u1edf nh\u00f3m kh\u00f4ng s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon\u00a0l\u00e0 7,2 (95% CI: 6,0 – 8,5) T\u1ef7 s\u1ed1 n\u00e0y \u1edf nh\u00f3m s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon c\u00f3 nguy c\u01a1 cao huy\u1ebft kh\u1ed1i l\u00e0 11,0 (95% CI: 9,6 – 12,6) v\u00e0 7,9 (95% CI: 5,9 – 10,6) \u1edf nh\u00f3m ph\u1ee5 n\u1eef s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon\u00a0 c\u00f3 nguy c\u01a1 huy\u1ebft kh\u1ed1i trung b\u00ecnh v\u00e0 4,5 (95% CI: 2,6 – 8,1) \u1edf nh\u00f3m ph\u1ee5 n\u1eef s\u1eed d\u1ee5ng thu\u1ed1c\u00a0tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon c\u00f3\u00a0 nguy c\u01a1 th\u1ea5p\/kh\u00f4ng c\u00f3 nguy c\u01a1 huy\u1ebft kh\u1ed1i. S\u1ed1 l\u01b0\u1ee3ng bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch ch\u00eanh l\u1ec7ch gi\u1eefa vi\u1ec7c s\u1eed d\u1ee5ng NSAID trong tu\u1ea7n \u0111\u1ea7u ti\u00ean so v\u1edbi kh\u00f4ng s\u1eed d\u1ee5ng NSAID tr\u00ean m\u1ed7i 100.000 ng\u01b0\u1eddi t\u01b0\u01a1ng \u1ee9ng l\u00e0 4 (95% CI: 3 – 5) \u1edf ph\u1ee5 n\u1eef kh\u00f4ng s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon, 23 (95% CI:19 – 27) \u1edf ph\u1ee5 n\u1eef s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon c\u00f3\u00a0nguy c\u01a1 cao huy\u1ebft kh\u1ed1i, 11 (95% CI: 7 – 15) \u1edf ph\u1ee5 n\u1eef s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon c\u00f3 nguy c\u01a1 huy\u1ebft kh\u1ed1i trung b\u00ecnh v\u00e0 3 (95% CI: 0 – 5) \u1edf nh\u1eefng ng\u01b0\u1eddi s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon nguy c\u01a1 th\u1ea5p\/kh\u00f4ng c\u00f3 nguy c\u01a1 huy\u1ebft kh\u1ed1i.<\/span><\/p>\n K\u1ebft lu\u1eadn:\u00a0S\u1eed d\u1ee5ng NSAID c\u00f3 li\u00ean quan t\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. Khi s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon c\u00f3 nguy c\u01a1 huy\u1ebft kh\u1ed1i cao\/ trung b\u00ecnh, s\u1ed1 bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch ch\u00eanh l\u1ec7ch gi\u1eefa s\u1eed d\u1ee5ng c\u00f9ng NSAID v\u1edbi khi kh\u00f4ng s\u1eed d\u1ee5ng NSAID l\u1edbn h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi khi s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon nguy c\u01a1 th\u1ea5p ho\u1eb7c kh\u00f4ng c\u00f3 nguy c\u01a1 huy\u1ebft kh\u1ed1i. Ph\u1ee5 n\u1eef s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi thu\u1ed1c\u00a0tr\u00e1nh thai b\u1ea3n ch\u1ea5t hormon v\u00e0 NSAID n\u00ean tham kh\u1ea3o l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129.<\/strong><\/span><\/p>\n