MỘT SỐ NHẬN XÉT VỀ CƠN ĐAU VÙNG BỤNG Ở BỆNH NHÂN ĐIỀU TRỊ TẠI KHOA LÃO BỆNH VIỆN NGŨ HÀNH SƠN - TP ĐÀ NẴNG

Abstract

Introduction: We studied 69 elderly patients with abdominal pain who were admitted to the Geriatric Department at Ngu Hanh Son hospital from January, 2021 to September, 2022. Aims: To assess the clinical features, subclinical features and their correlations. Results: There was 44.9% males and 55.1% females, p < 0.01. With past history of gastric pain 52.2%, p < 0.01. Health insurance covers 100%. Used medicament at home 39.1%. Clinical features: Time of hospitalization before 6h 18.8%, from 6-24h 42%, after 24h 39.1%, p < 0.01. The average age was 72.38 ± 9.50 (male: 73.19 ± 10.50; female: 71.71 ± 8.68). From 60-69 yrs 52.2%;  70-79 yrs 27.5%;  80-89 yrs 13.0%, >90 yrs 7.2%, p < 0.01. From 7 to 14 days was 71.0%, less than 7 days was 27.5% and more than 14 days was 1.40%,  p < 0.01. The average length of stay was 8.25 ± 3.38 days (male: 8.61 ± 3.04, female: 7.95 ± 3.65). There was two concurrent diseases 36.2%, from one to three 76.8%, from two to four 85.5% p <0.01. Dull pain 50.7%, intermittent pain 49.3%; p < 0.01. Epigastric ache 69.6%, periumbilical ache 18.8%; p < 0.01. fever 7.2%; vomiting 34.8%, constipation 10.1%, diarrhea 34.8%; p < 0.01. Hospital transfers 5.8%. Subclinical features: Leukocytosis 14.50%, decrease in hemoglobin 42.90%, p < 0.01. ECG abnormal 69.5% (myocardial ischaemia 59.4%, others 10.1%). ECHO abnormal in the digestive system 23.2%; in the urinary system 14.5%, there was coordination 24.6%, p < 0.01. Correlations: There was light positive correlation between the age of the patient and the length of hospital stay, with r = 0.17 and p = 0.17. Light positive correlation between age and time of hospitalization, with r = 0.22 and p = 0.08. Normal positive correlation between self-medication at home and time of hospitalization, with r = 0.47 and p < 0.01. Suggestion: To promote health education, espcially not self-medication at home. Strengthen periodic health check-ups, detect and manage people with chronic non-communicable diseases such as hypertension, diabetes mellitus, myocardial ischemia to improve the quality of life. Test Chi-square was used in this study