پديد آورندگان :
بيگي، علي اكبر دانشگاه علوم پزشكي اصفهان - بيمارستان الزهراء - بخش جراحي عمومي و عروق - گروه جراحي عمومي و عروق، , حسين پور، مهرداد دانشگاه علوم پزشكي كاشان - بيمارستان شهيد بهشتي - مركز تحقيقات تروماگروه جراحي اطفال
چكيده فارسي :
ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﻫﺪﻑ ﺍﺯ ﺍﻧﺠﺎﻡ ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻌﻴﻴﻦ ﻓﺮﺍﻭﺍﻧﻲ ﻧﺴﺒﻲ ﻭﺿﻌﻴﺖ ﺩﻣﻮﮔﺮﺍﻓﻴﻚ ﻭ ﺑﺎﻟﻴﻨﻲ ﺑﻴﻤﺎﺭﺍﻥ ﻣﺒﺘﻼ ﺑﻪ ﺑﻮﺭﮔﺮ ﺩﺭ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﺍﻟﺰﻫﺮﺍ ﻭ ﭘﻴﺪﺍ ﻛﺮﺩﻥ
ﻳﺎﻓﺘﻪ ﻫﺎﻱ ﭘﮋﻭﻫﺸﻲ ﺟﻬﺖ ﺍﺭﺍﺋﻪ ﺭﻭﺵ ﻫﺎﻱ ﭘﻴﺸﮕﻴﺮﻱ، ﺗﺸﺨﻴﺼﻲ ﻭ ﺩﺭﻣﺎﻧﻲ ﺩﺭ ﺑﻮﺭﮔﺮ ﻣﻲ ﺑﺎﺷﺪ.
ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﻪ ﺻﻮﺭﺕ ﺗﻮﺻﻴﻔﻲ ـ ﺗﺤﻠﻴﻠﻲ ﺑﺮ ﺭﻭﻱ 80 ﺑﻴﻤﺎﺭ ﺑﻮﺭﮔﺮ ﻣﺮﺍﺟﻌﻪ ﻛﻨﻨﺪﻩ ﺑﻪ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﺍﻟﺰﻫﺮﺍﺀ ﺑﻴﻦ ﺳﺎﻝ ﻫﺎﻱ 1382 ﺗﺎ 1385 ﺻﻮﺭﺕ ﮔﺮﻓﺖ. ﺍﻃﻼﻋﺎﺕ ﻣﺮﺑﻮﻁ ﺩﺭ ﭼﻚ ﻟﻴﺴﺘﻲ ﺷﺎﻣﻞ ﺳﻦ، ﺟﻨﺲ، ﺍﻧﺪﺍﻡ ﻫﺎﻱ ﺩﺭﮔﻴﺮ، ﻣﺼﺮﻑ ﺳﻴﮕﺎﺭ ﻭ ﻣﻮﺍﺩ ﻣﺨﺪﺭ، ﻋﻼﺋﻢ ﺑﻴﻤﺎﺭﻱ، ﺩﺭﻣﺎﻥ ﻫﺎﻱ ﺍﻧﺠﺎﻡ ﺷﺪﻩ ﻭ ﻣﺪﺕ ﻋﻼﺋﻢ ﺑﻴﻤﺎﺭﻱ ﺟﻤﻊ ﺁﻭﺭﻱ ﺷﺪ. ﺍﻃﻼﻋﺎﺕ ﺟﻤﻊ ﺁﻭﺭﻱ ﺷﺪﻩ ﺗﻮﺳﻂ ﻧﺮﻡ ﺍﻓﺰﺍﺭ SPSS 13 ﺑﺎ ﺁﺯﻣﻮﻥ ﻛﺎﻱ ﺍﺳﻜﻮﺭ ﻭ ﺁﺯﻣﻮﻥ ﺩﻗﻴﻖ ﻓﻴﺸﺮ ﺁﻧﺎﻟﻴﺰ ﻭ ﻣﻘﺎﺩﻳﺮ P ﻛﻤﺘﺮ ﺍﺯ 0/05 ﻣﻌﻨﻲ ﺩﺍﺭ ﺗﻠﻘﻲ ﺷﺪ.
ﻳﺎﻓﺘﻪ ﻫﺎ: ﺑﻴﻦ ﻣﺼﺮﻑ ﻣﻮﺍﺩ ﻣﺨﺪﺭ ﺑﺎ ﺑﺮﻭﺯ ﺍﻭﻟﺴﺮ ﺩﺭ ﺑﻴﻤﺎﺭﺍﻥ ﺑﻮﺭﮔﺮ ﺍﺭﺗﺒﺎﻁ ﻣﻌﻨﻲ ﺩﺍﺭﻱ ﻭﺟﻮﺩ ﺩﺍﺭﺩ، ﻭﻟﻲ ﻋﻼﺋﻢ ﺑﺎﻟﻴﻨﻲ ﺑﺎ ﺳﻦ ﻭ ﺟﻨﺲ ﺩﺭ ﺍﺭﺗﺒﺎﻁ ﻧﺒﻮﺩﻩ ﻭ ﺑﺎ ﻣﺼﺮﻑ
ﺳﻴﮕﺎﺭ ﻭ ﻣﻮﺍﺩ ﻣﺨﺪﺭ ﺭﺍﺑﻄﻪ ﻣﻌﻨﻲ ﺩﺍﺭﻱ ﺩﺍﺷﺖ.
ﺑﺮﺍﻱ 60/1 ﺍﺯ ﺑﻴﻤﺎﺭﺍﻥ ﺁﻣﭙﻮﺗﺎﺳﻴﻮﻥ، 97/6 ﺳﻤﭙﺎﺗﻜﺘﻮﻣﻲ، 3/8 ﻛﺎﺗﺘﺮ ﺍﭘﻲ ﺩﻭﺭﺍﻝ ﻭ 2/6 ﺭﻭﺍﺳﻜﻮﻻﺭﻳﺰﺍﺳﻴﻮﻥ ﻋﺮﻭﻗﻲ ﺻﻮﺭﺕ ﮔﺮﻓﺖ. 61/2 ﭘﻨﺘﻮﻛﺴﻲ ﻓﻴﻠﻴﻦ،
%18/7ﺁﺳﭙﻴﺮﻳﻦ ﻭ 2/5 ﺍﻳﻠﻮﭘﺮﺳﺖ ﺩﺭﻳﺎﻓﺖ ﻛﺮﺩﻩ ﺍﻧﺪ. ﺑﻴﻦ ﺷﺪﺕ ﻣﺼﺮﻑ ﺳﻴﮕﺎﺭ ﻭ ﻧﻴﺎﺯ ﺑﻪ ﺁﻣﭙﻮﺗﺎﺳﻴﻮﻥ ﺍﺭﺗﺒﺎﻁ ﻣﻌﻨﻲ ﺩﺍﺭﻱ ﻭﺟﻮﺩ ﺩﺍﺷﺖ.
ﻧﺘﻴﺠﻪ ﮔﻴـﺮﻱ: ﺍﺭﺗﺒﺎﻁ ﻣﻌﻨﻲ ﺩﺍﺭﻱ ﺑﻴﻦ ﻣﺼﺮﻑ ﻣﻮﺍﺩ ﻣﺨﺪﺭ ﻭ ﺑﺮﻭﺯ ﺍﻭﻟﺴﺮ ﻭ ﻫﻤﭽﻨﻴﻦ ﻣﻴﺰﺍﻥ ﺁﻣﭙﻮﺗﺎﺳﻴﻮﻥ ﻭﺟﻮﺩ ﺩﺍﺷﺖ. ﻧﺘﺎﻳﺞ ﺩﻳﮕﺮ ﻣﺸﺎﺑﻪ ﻣﻄﺎﻟﻌﺎﺕ ﺩﻳﮕﺮ ﺑﻮﺩﻩ ﺍﺳﺖ. ﺑﺎ ﺗﺸﺨﻴﺺ ﺯﻭﺩﺗﺮ ﺑﻴﻤﺎﺭﻱ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺷﺮﺡ ﺣﺎﻝ ﻭ ﻣﻌﺎﻳﻨﺔ ﺑﺎﻟﻴﻨﻲ ﻣﻲ ﺗﻮﺍﻥ ﺑﺎ ﺍﻗﺪﺍﻣﺎﺕ ﺩﺭﻣﺎﻧﻲ ﺯﻭﺩﺗﺮ، ﺍﺯ ﭘﻴﺸﺮﻓﺖ ﺑﻴﻤﺎﺭﻱ ﺑﻪ ﺳﻤﺖ ﺁﻣﭙﻮﺗﺎﺳﻴﻮﻥ ﺟﻠﻮﮔﻴﺮﻱ ﻛﺮﺩ.
چكيده لاتين :
Introduction & Objective: The aim of this study is to define the relative prevalence of, clinical and
demographic state of Burger’s patients admitted to Alzahra hospital, in order to achieve a new attitude on
clinical and epidemiological future of the disease.
Materials & Methods: This is a descriptive analytic study based on 80 Burger’s patient profiles
admitted to Alzahra hospital from 2003 to 2005. The patient information was analyzed on the bases of age,
sex, involving limb, smoking, opium addiction, symptoms and duration of the disease and interventions
(either medical or surgical) used. Finally the data was analyzed by X2 and Fisher’s exact test in SPSS 13
software.
Results: The study demonstrated that there was a significant correlation between addiction and ulcer in
patients but no significant correlation was established between the age, sex, smoking and clinical sign and
symptoms of the disease.
Among all patients evaluated in this study, amputation of the limb was done on 60.1%, sympathectomy on
97.6%, dural catheter on 3.8% and revascularization on 2.6%. Drugs used subsequently as medical therapy
were pentoxifyelin, Aspirin, iloprost on 61.2%, 18.8% and 2.5% respectively.
Conclusions: There was a significant correlation between opium addiction and ulcer and also
amputation. Other studies were on accordance with our study. With early diagnosis based on history and
clinical examination, we can prevent disease.
