ĐK:x>4
\(P=\frac{\sqrt{a+4\sqrt{a-4}}+\sqrt{a-4\sqrt{a-4}}}{\sqrt{1-\frac{8}{a}+\frac{16}{a^2}}}=\frac{\sqrt{a-4+4\sqrt{a-4}+4}+\sqrt{a-4-4\sqrt{a-4}+4}}{\sqrt{\left(1-\frac{4}{a}\right)^2}}=\frac{\sqrt{\left(\sqrt{a-4}+2\right)^2}+\sqrt{\left(\sqrt{a-4}-2\right)^2}}{1-\frac{4}{a}}=\frac{\sqrt{a-4}+2+\sqrt{a-4}-2}{\frac{a-4}{a}}=\frac{2a\sqrt{a-4}}{a-4}\)