ĐẶC ĐIỂM TỔN THƯƠNG DẠ DÀY - TÁ TRÀNG TRÊN NỘI SOI Ở BỆNH NHÂN MẮC BỆNH XƯƠNG KHỚP CÓ SỬ DỤNG GLUCOCORTICOID KÉO DÀI TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: To describe the characteristics of gastric and duodenal lesions on endoscopy of musculoskeletal patients using long-term glucocorticoid at Thai Nguyen National Hospital. Subjects and methods: A cross-sectional descriptive study was conducted on 117 musculoskeletal patients who are being treated with glucocorticoid at Thai Nguyen National Hospital. Results: The proportion of patients aged 60-69 years old was 17.9%; from 70-79 years old was 47.0%. The proportion of glucocorticoid use ≤12 months was 49.6% and >12 months was 50.4%; the mean prednisolone equivalent dose was 34.73 ± 20.79 mg. The proportion of Methylprednisolone using was 69.2%; Dexamethasone 25.6% and Hydrocortisone 4.3%. The proportion of oral using was 49.6%; intravenous injection was 27.4%. The proportion of patients with gastric mucosal lesions was 26.5%; duodenal 3.4%; overall lesions was 27.4%. The proportion of gastric edema was 12.0%; duodenal 0.9%; overall lesions was 12.8%. The proportion of gastric congestion was 22.0%; duodenal 1.7% and overall lesions 23.1%. The proportion of Helicobacter Pylori infection was 22.2%. Conclusion: The proportion of gastric-duodenal lesions on endoscopy of musculoskeletal patients using long-term glucocorticoid is relatively high.