ﺑﺮرﺳﯽ وﯾﮋﮔﯽﻫﺎي دﻣﻮﮔﺮاﻓﯿﮑﯽ و ﺑﺎﻟﯿﻨﯽ ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ آﺑﺴﻪ ﻣﺤﻞ ﺗﺰرﯾﻖ ﮔﻠﻮﺗﺌﺎل در ﻣﺮاﮐﺰ درﻣﺎﻧﯽ واﺑﺴﺘﻪ ﺑﻪ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺑﺎﺑﻞ ﺣﺪ ﻓﺎﺻﻞ ﺳﺎلﻫﺎي 1396-1382

Evaluation of Demographic and Clinical Features of Patients with Gluteal Injection Abscess during 2004 to 2017 in Babol City

زﻣﯿﻨﻪ و ﻫﺪف: ﻋﻮارض ﻋﻔﻮﻧﯽ ﻧﺎﺷﯽ از ﺗﺰرﯾﻖ ﻋﻀﻼﻧﯽ در ﻧﺎﺣﯿﻪ ﮔﻠﻮﺗﺌﺎل ﻫﻤﭽﻨﺎن ﺑﻄﻮر ﭼﺸﻤﮕﯿﺮي دﯾﺪه ﻣﯽﺷﻮد و از اﯾﻦ ﻣﯿﺎن آﺑﺴﻪ ﻣﺤﻞ ﺗﺰرﯾﻖ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺿﺮورت اﺣﺘﻤﺎﻟﯽ درﻣﺎن ﺟﺮاﺣﯽ از اﻫﻤﯿﺖ ﺑﺮﺧﻮردار اﺳﺖ. ﻓﺎﮐﺘﻮرﻫﺎي ﻣﺨﺘﻠﻔﯽ در اﯾﺠﺎد آﺑﺴﻪ در ﻣﺤﻞ ﺗﺰرﯾﻖ ﻧﺎﺣﯿﻪ ﮔﻠﻮﺗﺌﺎل وﺟﻮد دارد ﮐﻪ ﻫﺪف از اﻧﺠﺎم اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﯽ و ﺷﻨﺎﺧﺖ ﻋﺎﻣﻞﻫﺎي ﺧﻄﺮ ﺑﺮوز آﺑﺴﻪﻫﺎي ﻣﺤﻞ ﺗﺰرﯾﻖ ﺟﻬﺖ ﭘﯿﺸﮕﯿﺮي از ﺑﺮوز آن ﻣﯽﺑﺎﺷﺪ. ﻣﻮاد و روش ﻫﺎ: اﯾﻦ ﭘﮋوﻫﺶ ﺑﺎ ﻫﺪف ﺑﺮرﺳﯽ وﯾﮋﮔﯽﻫﺎي دﻣﻮﮔﺮاﻓﯿﮑﯽ و ﺑﺎﻟﯿﻨﯽ ﮐﻠﯿﻨﯿﮑﯽ ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ آﺑﺴﻪ ﻣﺤﻞ ﺗﺰرﯾﻖ ﮔﻠﻮﺗﺌﺎل اﻧﺠﺎم ﮔﺮﻓﺖ. 125 ﺑﯿﻤﺎر ﮐﻪ ﺑﯿﻦ ﺳﺎلﻫﺎي 1396-82 در ﻣﺮاﮐﺰ آﻣﻮزﺷﯽ درﻣﺎﻧﯽ واﺑﺴﺘﻪ ﺑﻪ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﮑﯽ ﺑﺎﺑﻞ ﺑﻪ دﻟﯿﻞ آﺑﺴﻪ ﮔﻠﻮﺗﺌﺎل در ﻣﺤﻞ ﺗﺰرﯾﻖ ﻗﺒﻠﯽ ﺗﺤﺖ اﻧﺴﺰﯾﻮن و درﻧﺎژ آﺑﺴﻪ ﻗﺮار ﮔﺮﻓﺘﻪ ﺑﻮدﻧﺪ، وارد ﻣﻄﺎﻟﻌﻪ ﻗﺮار ﺷﺪﻧﺪ. دادهﻫﺎ ﺷﺎﻣﻞ وﯾﮋﮔﯽﻫﺎي دﻣﻮﮔﺮاﻓﯿﮑﯽ ﺑﯿﻤﺎران، ﻧﻮع داروي ﺗﺰرﯾﻘﯽ، ﮐﺸﺖ آﺑﺴﻪ ﺟﻤﻊآوري ﺷﺪه و ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮم اﻓﺰار آﻣﺎري SPSS وﯾﺮاﯾﺶ 20 آﻧﺎﻟﯿﺰ آﻣﺎري ﺷﺪ. ﻣﺘﻐﯿﺮﻫﺎي ﭘﯿﻮﺳﺘﻪ ﺑﻪ ﺻﻮرت ﻣﯿﺎﻧﮕﯿﻦ و اﻧﺤﺮاف ﻣﻌﯿﺎر و ﻣﺘﻐﯿﺮﻫﺎي ﮔﺴﺴﺘﻪ ﺑﻪ ﺻﻮرت درﺻﺪ و ﻓﺮاواﻧﯽ ﺑﯿﺎن ﺷﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ: از 125 ﻣﻮرد ﺑﯿﻤﺎر ﻣﻮرد ﻣﻄﺎﻟﻌﻪ، 48 ﻧﻔﺮ )38/4%( ﻣﺮد و 67 ﻧﻔﺮ )53/6%( زن ﺑﻮدﻧﺪ. 40 )32%( ﻧﻔﺮ از ﺑﯿﻤﺎران ﺷﺎﺧﺺ ﺗﻮده ﺑﺪﻧﯽ )BMI( ﮐﻤﺘﺮ ﯾﺎ ﻣﺴﺎوي 30 و 85 )68%( ﻧﻔﺮ ﻧﯿﺰ ﺷﺎﺧﺺ ﺗﻮده ﺑﺪﻧﯽ ﺑﺎﻻي 30 داﺷﺘﻨﺪ. از ﻣﯿﺎن داروﻫﺎ، NSAIDS ﺑﯿﺸﺘﺮﯾﻦ داروي ﺗﺰرﯾﻖ ﺷﺪه ﺑﻮد. ﻣﺪت ﺑﺴﺘﺮي ﺑﯿﻤﺎران ﭘﺲ از ﺟﺮاﺣﯽ ﺑﯿﻦ 1 ﺗﺎ 3 روز ﺑﻮده و ﻣﺘﻮﺳﻂ زﻣﺎن ﺑﻬﺒﻮد زﺧﻢ 15 روز و ﺑﺎ اﻧﺤﺮاف ﻣﻌﯿﺎر 3 روز ﺑﻮد. ﻧﺘﯿﺠﻪ ﮔﯿـﺮي: در اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺟﻨﺲ ﻣﻮﻧﺚ و ﭼﺎﻗﯽ 2 ﻋﺎﻣﻠﯽ ﺑﻮدﻧﺪ ﮐﻪ ﺑﯿﺸﺘﺮﯾﻦ ﻫﻤﺮاﻫﯽ را ﺑﺎ ﺑﺮوز آﺑﺴﻪﻫﺎي ﻣﺤﻞ ﺗﺰرﯾﻖ داﺷﺘﻨﺪ. ﺗﻮﺟﻪ ﺑﯿﺸﺘﺮ در اﻧﺠﺎم ﺗﮑﻨﯿﮏ ﻣﻨﺎﺳﺐ و اﻧﺘﺨﺎب ﺳﺎﯾﺰ ﺳﻮزن ﺗﺰرﯾﻖ ﻣﺘﻨﺎﺳﺐ ﺑﺎ ﻫﺮ ﺑﯿﻤﺎر از ﻋﻮاﻣﻠﯽ اﺳﺖ ﮐﻪ ﻣﯽﺗﻮاﻧﺪ ﺑﺎﻋﺚ ﭘﯿﺸﮕﯿﺮي از ﺑﺮوز آﺑﺴﻪ ﻣﺤﻞ ﺗﺰرﯾﻖ ﮔﺮدد.

Introduction & Objective: Infectious complications of intramuscular injections in the gluteal region are still noticeable. Gluteal abscess formation after injection is more important because of probably need to surgical incision and drainage. There are several factors that cause the formation of abscess due to injection in gluteal area that controlling of them can play a role in preventing the occurrence of abscess. Materials & Methods: The aim of this study was to investigate the demographic and clinical features of patients with gluteal injection abscesses. 125 patients who had undergone incision and drainage due to were included in the study in hospital centers of Babol University of Medical Sciences during 2004 to 2017. The data consist of demographic features, injected drug type, abscess gram stain and culture were collected and interpreted by SPSS v 20. Results: Of the 125 patients studied, 48 (38.4%) were male and 67 (53.6%) were female. 40 patients with BMI less or equal to 30 and 85 had a BMI of over 30. NSAIDs were most injected agents. The duration of hospitalization was 1 to 3 days after surgery and the average of wound healing time was 15 days. Conclusions: In this study, female sex and obesity were two factors that were more associated with the incidence of injection site abscesses. More attention is paid to the proper technique and the choice of injection needle size appropriate to each patient is one of the factors that can prevent the injection site abscess.