{"id":26669,"date":"2023-04-22T19:08:34","date_gmt":"2023-04-22T12:08:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26669"},"modified":"2023-04-22T19:08:34","modified_gmt":"2023-04-22T12:08:34","slug":"gia-tri-cua-nghiem-phap-tinetti-trong-danh-gia-benh-nhan-parkinson","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/gia-tri-cua-nghiem-phap-tinetti-trong-danh-gia-benh-nhan-parkinson\/","title":{"rendered":"Gi\u00e1 tr\u1ecb c\u1ee7a nghi\u1ec7m ph\u00e1p Tinetti trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n Parkinson"},"content":{"rendered":"

Trong b\u1ec7nh Parkinson<\/a>, nghi\u1ec7m ph\u00e1p Tinetti c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u00e2n b\u1eb1ng v\u00e0 di chuy\u1ec3n. B\u1ec7nh Parkinson l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2u d\u1ea7n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng th\u1ea7n kinh g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 run, c\u1ee9ng kh\u1edbp v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u0103ng b\u1eb1ng. Nghi\u1ec7m ph\u00e1p Tinetti c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u0103ng b\u1eb1ng v\u00e0 di chuy\u1ec3n \u1edf b\u1ec7nh nh\u00e2n Parkinson v\u00e0 theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh.<\/strong><\/p>\n

\"\"
Trong b\u1ec7nh Parkinson, nghi\u1ec7m ph\u00e1p Tinetti c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u00e2n b\u1eb1ng v\u00e0 di chuy\u1ec3n<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 nghi\u1ec7m ph\u00e1p Tinetti<\/strong><\/h2>\n

Nghi\u1ec7m ph\u00e1p Tinetti \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n v\u00e0o nh\u1eefng n\u0103m 1980 b\u1edfi Mary Tinetti, m\u1ed9t b\u00e1c s\u0129 n\u1ed9i khoa t\u1ea1i Trung t\u00e2m Y t\u1ebf T\u1ed5ng h\u1ee3p c\u1ee7a \u0110\u1ea1i h\u1ecdc Yale \u1edf M\u1ef9. Ban \u0111\u1ea7u, nghi\u1ec7m ph\u00e1p Tinetti \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf nh\u1eb1m \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng di chuy\u1ec3n v\u00e0 th\u0103ng b\u1eb1ng c\u1ee7a ng\u01b0\u1eddi cao tu\u1ed5i.<\/p>\n

Sau \u0111\u00f3, nghi\u1ec7m ph\u00e1p Tinetti \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 b\u1ec7nh Parkinson. C\u00e1c nghi\u00ean c\u1ee9u n\u00e0y cho th\u1ea5y r\u1eb1ng nghi\u1ec7m ph\u00e1p Tinetti c\u00f3 gi\u00e1 tr\u1ecb trong \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng th\u0103ng b\u1eb1ng v\u00e0 di chuy\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n Parkinson. N\u00f3 c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u0103ng b\u1eb1ng v\u00e0 di chuy\u1ec3n \u1edf b\u1ec7nh nh\u00e2n v\u00e0 theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh.<\/p>\n

Nghi\u1ec7m ph\u00e1p Tinetti bao g\u1ed3m c\u00e1c m\u1ee5c \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean c\u1ea3m nh\u1eadn c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 quan s\u00e1t c\u1ee7a ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1. K\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c chia th\u00e0nh hai \u0111i\u1ec3m s\u1ed1, m\u1ed9t \u0111i\u1ec3m s\u1ed1 cho th\u0103ng b\u1eb1ng v\u00e0 m\u1ed9t \u0111i\u1ec3m s\u1ed1 cho di chuy\u1ec3n.<\/p>\n

T\u00ednh \u0111\u1ebfn hi\u1ec7n t\u1ea1i, nghi\u1ec7m ph\u00e1p Tinetti \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong c\u00e1c nghi\u00ean c\u1ee9u v\u00e0 trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u00e2n b\u1eb1ng v\u00e0 di chuy\u1ec3n c\u1ee7a ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 b\u1ec7nh nh\u00e2n Parkinson. N\u00f3 \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111\u01a1n gi\u1ea3n, nhanh ch\u00f3ng v\u00e0 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u0103ng b\u1eb1ng v\u00e0 di chuy\u1ec3n \u1edf c\u00e1c b\u1ec7nh nh\u00e2n.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h2>\n

– \u0110\u00e1nh gi\u00e1 th\u0103ng b\u1eb1ng cho ng\u01b0\u1eddi b\u1ec7nh Parkinson, ng\u01b0\u1eddi cao tu\u1ed5i.<\/p>\n

– \u0110\u00e1ng gi\u00e1 nguy c\u01a1 ng\u00e3 .<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

– Nguy c\u01a1 \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/p>\n

– Kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c t\u01b0 th\u1ebf \u0111\u1ee9ng, r\u1ed1i lo\u1ea1n th\u0103ng b\u1eb1ng.<\/p>\n

– Huy\u1ebft \u00e1p kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/p>\n

4. Chu\u1ea9n b\u1ecb<\/strong><\/h2>\n

Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/strong><\/p>\n

B\u00e1c s\u0129, k\u1ef9 thu\u1eadt vi\u00ean ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n

Ph\u01b0\u01a1ng ti\u1ec7n<\/strong><\/p>\n

\u0110\u1ecba \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1: ph\u00f2ng t\u1eadp, h\u00e0nh lang \u0111\u1ea3m b\u1ea3o kh\u00f4ng gian y\u00ean t\u0129nh.<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh<\/strong><\/p>\n

Gi\u1ea3i th\u00edch m\u1ee5c \u0111\u00edch l\u00e0m test.<\/p>\n

Chu\u1ea9n b\u1ecb h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/strong><\/p>\n

5. Ti\u1ebfn h\u00e0nh<\/strong><\/h2>\n

B\u01b0\u1edbc 1:<\/strong><\/p>\n

Th\u1ef1c hi\u1ec7n theo th\u1ee9 t\u1ef1 b\u1ea3ng \u0111\u00e1nh gi\u00e1 d\u01b0\u1edbi \u0111\u00e2y<\/p>\n

THANG \u0110I\u1ec2M TINETTI<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Ng\u01b0\u1eddi b\u1ec7nh ng\u1ed3i gh\u1ebf kh\u00f4ng c\u00f3 tay v\u1ecbn<\/strong><\/p>\n

1 Th\u0103ng b\u1eb1ng ng\u1ed3i<\/strong><\/p>\n

0 Ng\u1ea3 sang 2 b\u00ean ho\u1eb7c tr\u01b0\u1ee3t ra tr\u01b0\u1edbc<\/p>\n

1 Ng\u1ed3i v\u1eefng, ch\u1eafc ch\u1eafn<\/td>\n

<\/td>\n<\/tr>\n
\u0110\u1ec1 ngh\u1ecb ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9ng d\u1eady<\/strong><\/p>\n

1 \u0110\u1ee9ng d\u1eady<\/p>\n

0 Kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n m\u00e0 kh\u00f4ng c\u00f3 tr\u1ee3 gi\u00fap<\/p>\n

1 Th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c v\u1edbi tr\u1ee3 gi\u00fap \u1edf c\u00e1nh tay<\/p>\n

2 Th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c kh\u00f4ng c\u1ea7n tr\u1ee3 gi\u00fap<\/td>\n

<\/td>\n<\/tr>\n
2 C\u1ed1 g\u1eafng \u0111\u1ee9ng d\u1eady<\/strong><\/p>\n

0 Kh\u00f4ng th\u1ec3 n\u1ebfu kh\u00f4ng c\u00f3 tr\u1ee3 gi\u00fap<\/p>\n

1 C\u00f3 th\u1ec3 \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c nh\u01b0ng c\u1ea7n th\u1eed nhi\u1ec1u l\u1ea7n<\/p>\n

2 2 L\u00e0m \u0111\u01b0\u1ee3c ngay t\u1eeb l\u1ea7n \u0111\u1ea7u<\/td>\n

<\/td>\n<\/tr>\n
3 Th\u0103ng b\u1eb1ng \u0111\u1ee9ng<\/strong><\/p>\n

0 Kh\u00f4ng v\u1eefng<\/p>\n

1 V\u1eefng nh\u01b0ng c\u1ea7n d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap<\/p>\n

2 V\u1eefng, kh\u00f4ng c\u1ea7n tr\u1ee3 gi\u00fap<\/td>\n

<\/td>\n<\/tr>\n
Test k\u00edch th\u00edch th\u0103ng b\u1eb1ng khi ch\u1ee5m ch\u00e2n<\/strong><\/p>\n

0 Kh\u00f4ng v\u1eefng<\/p>\n

1 V\u1eefng nh\u01b0ng 2 ch\u00e2n dang r\u1ed9ng tr\u00ean 10 m ho\u1eb7c c\u1ea7n d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap<\/p>\n

2 V\u1eefng, 2 ch\u00e2n ch\u1ee5m<\/td>\n

<\/td>\n<\/tr>\n
6 \u0110\u1ea9y (ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee9ng ch\u1ee5m ch\u00e2n, ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 \u0111\u1ea9y ng\u01b0\u1eddi b\u1ec7nh \u1edf ph\u00eda tr\u00ean x\u01b0\u01a1ng \u1ee9c, \u0111\u1ea9y 3 l\u1ea7n)<\/strong><\/p>\n

0 m\u1ea5t th\u0103ng b\u1eb1ng khi \u0111\u1ea9y<\/p>\n

1 \u0110ung \u0111\u01b0a nh\u01b0ng sau \u0111\u00f3 l\u1ea5y \u0111\u01b0\u1ee3c th\u0103ng b\u1eb1ng<\/p>\n

2 \u0110\u1ee9ng v\u1eefng<\/td>\n

<\/td>\n<\/tr>\n
7 Nh\u1eafm m\u1eaft<\/strong><\/p>\n

0 M\u1ea5t th\u0103ng b\u1eb1ng<\/p>\n

1 V\u1eabn gi\u1eef \u0111\u01b0\u1ee3c th\u0103ng b\u1eb1ng<\/td>\n

<\/td>\n<\/tr>\n
8 Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ph\u1ea3i xoay 360o<\/sup><\/strong><\/p>\n

Gi\u1eef v\u1eefng tr\u1ee5 khi xoay<\/p>\n

0 xoay v\u1edbi b\u01b0\u1edbc kh\u00f4ng li\u00ean t\u1ee5c<\/p>\n

1 xoay v\u1edbi b\u01b0\u1edbc li\u00ean t\u1ee5c<\/td>\n

<\/td>\n<\/tr>\n
9 Gi\u1eef v\u1eefng tr\u1ee5 khi xoay<\/strong><\/p>\n

0 Kh\u00f4ng \u1ed5n \u0111\u1ecbnh<\/p>\n

1 \u1ed4n \u0111\u1ecbnh<\/td>\n

<\/td>\n<\/tr>\n
10 Ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111i 1 \u0111o\u1ea1n d\u00e0i 3 m sau \u0111\u00f3 v\u00f2ng l\u1ea1i v\u1ec1 ph\u00eda gh\u1ebf ban \u0111\u1ea7u, c\u00f3 th\u1ec3 d\u00f9ng d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap nh\u01b0 g\u1eady ho\u1eb7c khung<\/strong><\/p>\n

\u0110\u00e1nh gi\u00e1 kh\u1edfi \u0111\u1ea7u<\/p>\n

0 do d\u1ef1 ho\u1eb7c th\u1eed nhi\u1ec1u l\u1ea7n m\u1edbi \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c<\/p>\n

1 kh\u00f4ng do d\u1ef1, \u0111\u1ee9ng d\u1eady \u0111\u01b0\u1ee3c<\/td>\n

<\/td>\n<\/tr>\n
11 Chi\u1ec1u d\u00e0i b\u01b0\u1edbc, ch\u00e2n ph\u1ea3i \u0111ung \u0111\u01b0a<\/strong><\/p>\n

0 Ch\u00e2n ph\u1ea3i kh\u00f4ng v\u01b0\u1ee3t qua ch\u00e2n ch\u1ecbu l\u1ef1c<\/p>\n

1 V\u01b0\u1ee3t qua b\u01b0\u1edbc ch\u00e2n tr\u00e1i ch\u1ecbu l\u1ef1c<\/td>\n

<\/td>\n<\/tr>\n
12 Chi\u1ec1u cao b\u01b0\u1edbc ch\u00e2n, ch\u00e2n ph\u1ea3i \u0111ung \u0111\u01b0a<\/strong><\/p>\n

0 ch\u00e2n ph\u1ea3i kh\u00f4ng nh\u1ea5c kh\u1ecfi n\u1ec1n<\/p>\n

1 nh\u1ea5c cao kh\u1ecfi n\u1ec1n<\/td>\n

<\/td>\n<\/tr>\n
13 Chi\u1ec1u d\u00e0i b\u01b0\u1edbc, ch\u00e2n tr\u00e1i \u0111ung \u0111\u01b0a<\/strong><\/p>\n

0 Ch\u00e2n tr\u00e1i kh\u00f4ng v\u01b0\u1ee3t qua ch\u00e2n ph\u1ea3i ch\u1ecbu l\u1ef1c<\/p>\n

1 V\u01b0\u1ee3t qua b\u01b0\u1edbc ch\u00e2n ph\u1ea3i ch\u1ecbu l\u1ef1c<\/td>\n

<\/td>\n<\/tr>\n
14 Chi\u1ec1u cao b\u01b0\u1edbc ch\u00e2n, ch\u00e2n ph\u1ea3i \u0111ung \u0111\u01b0a<\/strong><\/p>\n

0 Ch\u00e2n tr\u00e1i kh\u00f4ng nh\u1ea5c kh\u1ecfi n\u1ec1n<\/p>\n

1 Nh\u1ea5c cao kh\u1ecfi n\u1ec1n<\/td>\n

<\/td>\n<\/tr>\n
15 \u0110\u1ed1i x\u1ee9ng b\u01b0\u1edbc ch\u00e2n<\/strong><\/p>\n

0 Chi\u1ec1u b\u01b0\u1edbc ch\u00e2n ph\u1ea3i v\u00e0 tr\u00e1i kh\u00f4ng \u0111\u1ec1u<\/p>\n

1 Chi\u1ec1u d\u00e0i b\u01b0\u1edbc ch\u00e2n ph\u1ea3i v\u00e0 tr\u00e1i \u0111\u1ec1u nhau<\/td>\n

<\/td>\n<\/tr>\n
16 Li\u00ean t\u1ee5c b\u01b0\u1edbc ch\u00e2n<\/strong><\/p>\n

0 B\u01b0\u1edbc ch\u00e2n kh\u00f4ng li\u00ean t\u1ee5c, d\u1eebng b\u01b0\u1edbc<\/p>\n

1 B\u01b0\u1edbc ch\u00e2n li\u00ean t\u1ee5c<\/td>\n

<\/td>\n<\/tr>\n
L\u1ec7ch tr\u1ee5c \u0111\u01b0\u1eddng \u0111i<\/strong><\/p>\n

0 L\u1ec7ch tr\u1ee5c r\u00f5 so v\u1edbi v\u1ea1ch ch\u1ec9 d\u1eabn<\/p>\n

1 L\u1ec7ch \u00edt, c\u1ea7n d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap<\/p>\n

2 Kh\u00f4ng l\u1ec7ch tr\u1ee5c, kh\u00f4ng c\u1ea7n d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap<\/td>\n

<\/td>\n<\/tr>\n
\u1ed4n \u0111\u1ecbnh th\u00e2n m\u00ecnh<\/strong><\/p>\n

0 \u0110ung \u0111\u01b0a, c\u1ea7n d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap<\/p>\n

1 Kh\u00f4ng l\u1eafc l\u01b0 th\u00e2n nh\u01b0ng ng\u1ea3 ra tr\u01b0\u1edbc ho\u1eb7c \u0111ung \u0111\u01b0a c\u00e1nh tay<\/p>\n

2 Kh\u00f4ng \u0111ung \u0111\u01b0a, kh\u00f4ng c\u1ea7n ph\u1ea3i t\u1ef3 hay v\u1ecbn<\/td>\n

<\/td>\n<\/tr>\n
\u0110\u1ed9 r\u1ed9ng b\u01b0\u1edbc ch\u00e2n<\/strong><\/p>\n

0 Ch\u00e2n \u0111\u1ebf r\u1ed9ng<\/p>\n

1 Ch\u00e2n \u0111\u1ebf g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng<\/td>\n

<\/td>\n<\/tr>\n
17 Ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i ng\u1ed3i tr\u00ean gh\u1ebf<\/strong><\/p>\n

0 Ng\u1ed3i kh\u00f4ng an to\u00e0n, kh\u00f4ng t\u00ednh \u0111\u01b0\u1ee3c kho\u1ea3ng c\u00e1ch ph\u00f9 h\u1ee3p, ng\u1ed3i ph\u1ecbch xu\u1ed1ng gh\u1ebf<\/p>\n

1 X\u1eed d\u1ee5ng c\u00e1nh tay nh\u01b0ng c\u00e1c c\u1eed \u0111\u1ed9ng kh\u00f4ng \u0111\u1ec1u \u0111\u1eb7n<\/p>\n

2 Ng\u1ed3i an to\u00e0n, c\u00e1c c\u1eed \u0111\u1ed9ng \u0111\u1ec1u \u0111\u1eb7n<\/td>\n

<\/td>\n<\/tr>\n
T\u1ed5ng t\u1ed1i \u0111a 28 \u0111i\u1ec3m<\/strong><\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

B\u01b0\u1edbc 2. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3<\/strong><\/p>\n

– T\u1ed5ng \u0111i\u1ec3m < 20: nguy c\u01a1 ng\u00e3 r\u1ea5t cao.<\/p>\n

– \u0110i\u1ec3m trong kho\u1ea3ng 20 – 23: nguy c\u01a1 ng\u00e3 cao.<\/p>\n

– \u0110i\u1ec3m trong kho\u1ea3ng 24 – 27: nguy c\u01a1 ng\u00e3 \u00edt.<\/p>\n

– \u0110i\u1ec3m 28: b\u00ecnh th\u01b0\u1eddng.<\/p>\n

* Th\u1eddi gian test 30 – 45 ph\u00fat.<\/p>\n

6. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed tai bi\u1ebfn<\/strong><\/h2>\n

Trong qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 thang b\u1eb1ng \u0111\u1ed9ng, ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 \u0111i c\u1ea1nh ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 h\u1ed7 tr\u1ee3 khi ng\u01b0\u1eddi b\u1ec7nh b\u1ecb m\u1ea5t th\u0103ng b\u1eb1ng, theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, ch\u00f3ng m\u1eb7t\u2026 c\u1ea7n d\u1eebng \u0111\u00e1nh gi\u00e1.<\/p>\n

Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/b><\/p>\n

Trong qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 thang b\u1eb1ng \u0111\u1ed9ng, ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 \u0111i c\u1ea1nh ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 h\u1ed7 tr\u1ee3 khi ng\u01b0\u1eddi b\u1ec7nh b\u1ecb m\u1ea5t th\u0103ng b\u1eb1ng.<\/p>\n

C\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n kh\u00f3 th\u1edf hay c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c, ch\u00f3ng m\u1eb7t\u2026 c\u1ea7n d\u1eebng \u0111\u00e1nh gi\u00e1, cho ng\u01b0\u1eddi b\u1ec7nh ngh\u1ec9 ng\u01a1i, theo d\u00f5i m\u1ea1ch, huy\u1ebft \u00e1p, SpO2<\/sub> b\u00e1o b\u00e1c s\u0129 \u0111\u1ec3 x\u1eed tr\u00ed theo ph\u00e1c \u0111\u1ed3.<\/p>\n

T\u00f3m l\u1ea1i, thang \u0111i\u1ec3m Tinetti d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u0103ng b\u1eb1ng \u0111\u1ed9ng, l\u00e0 c\u00f4ng c\u1ee5 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ng\u00e3 cho ng\u01b0\u1eddi b\u1ec7nh Parkinson. Vi\u1ec7c s\u1eed d\u1ee5ng nghi\u1ec7m ph\u00e1p Tinetti trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n Parkinson c\u00f3 th\u1ec3 gi\u00fap cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u h\u00f3a v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 tai n\u1ea1n do suy gi\u1ea3m c\u00e2n b\u1eb1ng ho\u1eb7c di chuy\u1ec3n. Nghi\u1ec7m ph\u00e1p Tinetti c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 thu\u1ed1c ho\u1eb7c v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u1ed1i v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn c\u00e2n b\u1eb1ng v\u00e0 di chuy\u1ec3n.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Trong b\u1ec7nh Parkinson, nghi\u1ec7m ph\u00e1p Tinetti c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u00e2n b\u1eb1ng v\u00e0 di chuy\u1ec3n. B\u1ec7nh Parkinson l\u00e0 m\u1ed9t b\u1ec7nh l\u00e2u d\u1ea7n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng th\u1ea7n kinh g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 run, c\u1ee9ng kh\u1edbp v\u00e0 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u0103ng b\u1eb1ng. Nghi\u1ec7m ph\u00e1p Tinetti c\u00f3 th\u1ec3 gi\u00fap […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nGi\u00e1 tr\u1ecb c\u1ee7a nghi\u1ec7m ph\u00e1p Tinetti trong \u0111\u00e1nh gi\u00e1 b\u1ec7nh nh\u00e2n Parkinson<\/title>\n<meta name=\"description\" content=\"Trong b\u1ec7nh Parkinson, nghi\u1ec7m ph\u00e1p Tinetti c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u00e2n b\u1eb1ng v\u00e0 di chuy\u1ec3n. 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