THỰC TRẠNG SUY TĨNH MẠCH MẠN TÍNH CHI DƯỚI Ở NHÂN VIÊN BỆNH VIỆN LÃO KHOA TRUNG ƯƠNG

Abstract

Objective: The study aims to describe the current situation of chronic venous insufficiency of the lower extremities (CVI), and some related factors in staff of National Geriatric Hospital. Subjects and research methods: Cross-sectional descriptive study on 451 staff of the National Geriatric Hospital were examined clinically and had doppler ultrasound of the lower extremities. Results: Average age was 35,89 ± 8,1 years; female/male ~ 2/1; 63,6% showed at least 1 functional symptom of CVI; In which the two symptoms of leg heaviness and cramps appear the most with rates of 36,1% and 30,6%, respectively. CEAP clinical classification: C0 = 30,6%, C1-6 = 69,4%. Evaluation on vascular doppler ultrasound: 48,1% had pathological reflux. The difference in the rate of CVI is statistically significant in some risk factors: Age (rate C1-6 in the age group ≥ 50 is 88,9%, in the group < 50 years is 67,0%, p=0,008; OR=3,8); Gender (the risk of grade C1-6 in women is 2,96 times higher than in men); Long standing/sitting time at work (prevalence in the group ≥ 4 hours/day is 60,4%, in the group < 4 hours it is 27,4%, p<0,001); Exercise (the group that did not exercise regularly had a higher rate of venous insufficiency of 52,1% than the group that exercised regularly with 41,4%, p=0,028). Conclusion: Rate of CVI in staff of the National Geriatric Hospital: 48,1% have pathological reflux on doppler ultrasound, according to the CEAP classification, 69,4% have degrees C1-6. There are a number of factors related to ectropion such as: age, gender, time spent working in the same position. standing/sitting for long periods of time, exercise habits.