ﺑﺮرﺳﯽ ﺷﺎﺧﺺ ﺗﻮدة ﺑﺪﻧﯽ در ﺑﯿﻤﺎران ﺗﺤﺖ ﮐﻮﻟﻪ ﺳﯿﺴﺘﮑﺘﻮﻣﯽ ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ ﺑﯿﻤﺎرﺳﺘﺎن ﻫﺎي ﺗﺎﺑﻌﻪ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺑﺎﺑﻞ در ﻃﯽ ﺳﺎل ﻫﺎي 1395-1393

Evaluation of the BMI in Patients Undergoing Cholecystectomy in the Hospitals of Babol Medical University in the Years 2014-2016

زﻣﯿﻨﻪ و ﻫﺪف: ﺳﻨﮓ ﮐﯿﺴﻪ ﺻﻔﺮا و ﻋﻮارض آن ﺟﺰء ﺷﺎﯾﻌﺘﺮﯾﻦ ﺑﯿﻤﺎري ﻫﺎي ﮔﻮارﺷﯽ اﺳﺖ ﮐﻪ در اﮐﺜﺮ ﻣﻮارد ﻣﻨﺠﺮ ﺑﻪ ﺑﺴﺘﺮي در ﺑﯿﻤﺎرﺳﺘﺎن و ﮐﻮﻟﻪﺳﯿﺴﺘﮑﺘﻮﻣﯽ ﻣﯽﮔﺮدد. ﻟﺬا ﻫﺪف از اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﯽ ﺷﺎﺧﺺ ﺗﻮدة ﺑﺪﻧﯽ در ﺑﯿﻤﺎراﻧﯽ اﺳﺖ ﮐﻪ ﺑﻪ ﻋﻠﺖ ﺳﻨﮓ ﮐﯿﺴﻪ ﺻﻔﺮا و ﻋﻮارض ﻧﺎﺷﯽ از آن ﺗﺤﺖ ﮐﻮﻟﻪ ﺳﯿﺴﺘﮑﺘﻮﻣﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﻣﻮاد و روش ﻫﺎ: ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﯾﮏ ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﻣﻘﻄﻌﯽ ﺑﻮد. ﺗﻤﺎم ﺑﯿﻤﺎراﻧﯽ ﮐﻪ ﺑﻪ دﻟﯿﻞ ﺳﻨﮓ ﮐﯿﺴﻪ ﺻﻔﺮا و ﻋﻮارض ﻧﺎﺷﯽ از آن ﺗﺤﺖ ﮐﻮﻟﻪﺳﯿﺴﺘﮑﺘﻮﻣﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ، 351 ﺑﯿﻤﺎر اﻧﺘﺨﺎب ﺷﺪﻧﺪ. 201 ﺑﯿﻤﺎر )57/3%( ﮐﻪ ﺑﻪ دﻻﯾﻞ ﻏﯿﺮﺻﻔﺮاوي ﺑﻪ درﻣﺎﻧﮕﺎه ﺟﺮاﺣﯽ ﻣﺮاﺟﻌﻪ ﮐﺮده ﺑﻮدﻧﺪ ﺑﻪ ﻋﻨﻮان ﮔﺮوه ﺷﺎﻫﺪ و 150 ﺑﯿﻤﺎر )42/7%( در ﮔﺮوه ﻣﻮرد ﻗﺮار ﮔﺮﻓﺘﻨﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: ﮐﻮﻟﻪﺳﯿﺴﺘﯿﺖ ﻣﺰﻣﻦ ﺑﺎ 110 ﻣﻮرد )73/3%( ﺑﯿﺸﺘﺮﯾﻦ ﺗﻌﺪاد را ﺑﻪ ﺧﻮد اﺧﺘﺼﺎص داد. در ﻣﻮرد ﻣﺘﻐﯿﺮ ﺷﺎﺧﺺ ﺗﻮدة ﺑﺪﻧﯽ در ﮔﺮوه ﻣﻮرد 9 ﻧﻔﺮ )6%( و در ﮔﺮوه ﺷﺎﻫﺪ 15 ﻧﻔﺮ )7/5%( ﺑﯿﻤﺎران ﺷﺎﺧﺺ ﺗﻮده ﺑﺪﻧﯽ ﺑﯿﺸﺘﺮ از 30 ﮐﯿﻠﻮﮔﺮم ﺑﺮ ﻣﺘﺮ ﻣﺮﺑﻊ )ﭼﺎﻗﯽ ﻣﺮﺿﯽ( داﺷﺘﻨﺪ وﻟﯽ اﯾﻦ ارﺗﺒﺎط از ﻧﻈﺮ آﻣﺎري ﻣﻌﻨﺎدار ﻧﺒﻮده اﺳﺖ )0/784=P(. در ﺑﺮرﺳﯽ LDL و HDL، ﮐﻠﺴﺘﺮول و ﺗﺮي ﮔﻠﯿﺴﺮﯾﺪ ﺑﯿﻤﺎران ﮔﺮوه ﻣﻮرد ﺑﺎ ﻧﻮع ﺑﯿﻤﺎري ﻫﯿﭻ اﺧﺘﻼف ﻣﻌﻨﺎداري ﻣﺸﺎﻫﺪه ﻧﺸﺪ. ﻧﺘﯿﺠﻪ ﮔﯿـﺮي: ﻧﺘﺎﯾﺞ ﺣﺎﺻﻞ از اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﻧﺸﺎن داد ﮐﻪ ﺷﯿﻮع ﺳﻨﮓ ﮐﯿﺴﻪ ﺻﻔﺮا در ﺑﯿﻤﺎران ﺑﺎ ﺷﺎﺧﺺ ﺗﻮدة ﺑﺪﻧﯽ ﻧﺮﻣﺎل ﺑﯿﺸﺘﺮ از اﻓﺮاد داراي اﺿﺎﻓﻪ وزن و ﭼﺎق اﺳﺖ. در اﯾﻦ ﻣﻨﻄﻘﻪ ﺟﻐﺮاﻓﯿﺎﯾﯽ ﺷﯿﻮع ﺳﻨﮓ ﮐﯿﺴﻪ ﺻﻔﺮا ﺑﻪ ﻋﻮاﻣﻞ دﯾﮕﺮي ﻧﻈﯿﺮ ﺗﻌﺪاد ﺑﺎرداري، ﺑﯿﻤﺎريﻫﺎي زﻣﯿﻨﻪاي و ﺧﻮﻧﯽ ﺑﺴﺘﮕﯽ دارد.

Introduction & Objective: Gallstones and its complications are the most gastrointestinal diseases that in most cases, it resulted in hospitalization and cholecystectomy. The aim of present study was to assess body mass index in patients with Gallstones and its complications that underwent cholecystectomy. Materials & Methods: 351 patients who were undergone cholecystectomy due to Gallstones and its complications were included in the present cross-sectional study. 201 patients (57.3%) who referred for biliary causes to surgery clinic were included in the control group and 150 patients (42.7%) were allocated to the case group. Results: Chronic cholecystitis with 110 cases (73.3%) accounted for the majority. About the variable body mass index, 9 patients of the case group (6%) and 15 patients of the control group (7.5%) had a body mass index greater than 30 kg per square meter (morbid obesity), but the association was not statistically significant (P=0.784). After examining LDL and HDL, there was no significant difference in LDL/HDL ratio with type of disease of case group. Conclusions: The results of present study showed that the prevalence of gallstones in patients with normal BMI was more than individuals with overweight and fat. In this geographical area, the prevalence of gallstones are depending on other factors such as pregnancies, the underlying chronic disease and blood diseases.