مطالعه اپيدميولوژيك، علائم و پيامدهاي باليني بيماران دچار عقرب گزيدگي مراجعه كننده به اورژانس بيمارستان حضرت علي بن ابيطالب (ع) شهرستان رفسنجان در سال 97-1396: يك مطالعه توصيفي

The Epidemiological Study of Clinical Signs and Outcomes of Patients with Scorpion Stings Referred to Emergency Department of Rafsanjan Ali-Ibn-Abitaleb Hospital in 2017-2018: A Descriptive Study

زﻣﯿﻨﻪ و ﻫﺪف: ﻋﻘﺮب ﮔﺰﯾﺪﮔﯽ ﯾﮑﯽ از ﻣﺸﮑﻼت ﺑﻬﺪاﺷﺖ ﻋﻤﻮﻣﯽ اﺳﺖ و ﮔﺎﻫﯽ ﺳﺒﺐ ﻣﺮگ اﻧﺴﺎن ﻣﯽﺷﻮد. اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪف ﺗﻌﯿﯿﻦ ﺟﻨﺒﻪﻫﺎي ﻣﺨﺘﻠﻒ اﭘﯿﺪﻣﯿﻮﻟﻮژﯾﮏ، ﻋﻼﺋﻢ و ﭘﯿﺎﻣﺪﻫﺎي ﺑﺎﻟﯿﻨﯽ ﺑﯿﻤﺎران دﭼﺎر ﻋﻘﺮب ﮔﺰﯾﺪﮔﯽ ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ اورژاﻧﺲ ﺑﯿﻤﺎرﺳﺘﺎن ﺣﻀﺮت ﻋﻠﯽ ﺑﻦ اﺑﯿﻄﺎﻟﺐ )ع( ﺷﻬﺮﺳﺘﺎن رﻓﺴﻨﺠﺎن در ﺳﺎل 1396-97 اﻧﺠﺎم ﺷﺪ. ﻣﻮاد و روشﻫﺎ: اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﯿﻔﯽ-ﻣﻘﻄﻌﯽ در ﺳﺎل 1396-97 اﻧﺠﺎم ﺷﺪ. ﺗﻌﺪاد 59 ﻓﺮد ﻋﻘﺮبﮔﺰﯾﺪه ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ اورژاﻧﺲ ﺑﯿﻤﺎرﺳﺘﺎن ﺣﻀﺮت ﻋﻠﯽ ﺑﻦ اﺑﯿﻄﺎﻟﺐ )ع( رﻓﺴﻨﺠﺎن، ﺑﻪ روش ﺳﺮﺷﻤﺎري وارد ﻣﻄﺎﻟﻌﻪ ﺷﺪﻧﺪ. ﺑﺎ اﺳﺘﻔﺎده از ﭼﮏ ﻟﯿﺴﺖ ﻣﺤﻘﻖ ﺳﺎﺧﺘﻪ، اﻃﻼﻋﺎت دﻣﻮﮔﺮاﻓﯿﮏ و اﻃﻼﻋﺎت ﺑﺎﻟﯿﻨﯽ ﺗﻮﺳﻂ ﻣﺠﺮﯾﺎن ﺗﮑﻤﯿﻞ ﮔﺮدﯾﺪ. دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از آﻣﺎر ﺗﻮﺻﯿﻔﯽ )ﻓﺮاواﻧﯽ، درﺻﺪ و ﻣﯿﺎﻧﮕﯿﻦ( و آﻣﺎر اﺳﺘﻨﺒﺎﻃﯽ )آزﻣﻮنﻫﺎي t ﻣﺴﺘﻘﻞ، ﻣﺠﺬور ﮐﺎي و ﯾﺎ ﻓﯿﺸﺮ ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﯾﺎﻓﺘﻪﻫﺎ: ﺑﯿﺶﺗﺮﯾﻦ ﻣﻮارد ﻋﻘﺮب ﮔﺰﯾﺪﮔﯽ در اﻓﺮاد ﺑﺎ ﺳﻨﯿﻦ 30 ﺗﺎ 39 ﺑﻮد. ﺷﯿﻮع ﻋﻘﺮب ﮔﺰﯾﺪﮔﯽ ﺗﻮﺳﻂ ﻋﻘﺮب ﺳﯿﺎه ﺑﺎ ﺗﻌﺪاد 53 ﻣﻮرد )89/8 درﺻﺪ( از ﻣﺎهﻫﺎي ﺧﺮداد ﺗﺎ ﻣﺮداد و در ﺳﺎﻋﺎت 6 ﻋﺼﺮ ﺗﺎ 12 ﺷﺐ ﻣﺸﺎﻫﺪه ﺷﺪ. ﺑﯿﺶﺗﺮﯾﻦ ﻋﻼﺋﻢ ﺑﺎﻟﯿﻨﯽ ﻣﻮﺿﻌﯽ در 37 ﻣﻮرد )62/7 درﺻﺪ( درد و ﺑﯿﺶﺗﺮﯾﻦ ﻋﻼﺋﻢ ﮐﻠﯿﻨﯿﮑﯽ ﺳﯿﺴﺘﻤﯿﮏ، ﺳﺮﮔﯿﺠﻪ ﺑﺎ ﺗﻌﺪاد 8 ﻣﻮرد )13/6درﺻﺪ( و ﻫﻤﻮﮔﻠﻮﺑﯿﻨﻮري، ﺑﯿﺶﺗﺮﯾﻦ ﺷﺎﺧﺺ آزﻣﺎﯾﺸﮕﺎﻫﯽ، 17 ﻣﻮرد )28/8 درﺻﺪ( ﺑﻮد. ﺗﻌﺪاد 54 ﻣﻮرد )91/5 درﺻﺪ( ﭘﺲ از درﯾﺎﻓﺖ اﻗﺪاﻣﺎت درﻣﺎﻧﯽ در اورژاﻧﺲ ﺗﺮﺧﯿﺺ ﺷﺪﻧﺪ. نتيجه گيري بيش ترين علايم باليني موضعي و سيستميك، به ترتيب درد و سرگيچه در افراد مراجعه كننده بود. شاخص هموگلوبينوري بيش ترين شاخص آزمايشگاهي و اكثر افراد از اورژانس ترخيص شدند. لازم است جهت آگاهي افراد براي محافظت و سلامت از خويش، آموزش هاي پيشگيرانه انجام گردد.

Scorpion bite is one of the public health problems, which sometimes causes human death. The aim of this study was to determine various epidemiological aspects, clinical signs and outcomes of patients with scorpion bite referred to the emergency of Hazrat Ali Ibn Abitaleb Hospital in Rafsanjan in 2017-2018. Materials and Methods: This descriptive cross-sectional study was conducted in 2017-2018. A total of 59 people stung by scorpion referred to the Emergency Department of Hazrat Ali Ibn Abitaleb Hospital in Rafsanjan were selected through census method. Using a researcher-made checklist, demographic and clinical information were completed by the researchers. Data were analyzed using descriptive statistics (frequency, percentage and mean) and inferential statistics (independent ttest, chi-square or Fisher test). Results: Most scorpion stinges were in people aged 30-39. The highest incidence of scorpion stings was observed by black scorpions with 53 cases (89.8%) from June to August, at 6 pm to 12 pm. The most local clinical symptom with 37 cases (62.7%) was pain and the most systemic clinical symptom was dizziness with 8 cases (13.6%) and hemoglobinuria, the highest laboratory index was 17 (28.8%) cases. A total of 54 cases (91.5%) were discharged after receiving medical treatment in the emergency room. Conclusion: The most common local and systemic clinical symptoms were pain and dizziness, respectively. The hemoglobin index was the most important laboratory indicator and most people were discharged from the emergency room. Preventive training is needed to protect people's health and well-being