Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1392
5
1
gregorian
2013
8
1
20
110
online
1
fulltext
fa
بررسی اپیدمیولوژیک موارد سوختگی ناشی از مواد سوزاننده در بیمارستان شهید مطهری تهران از سال ۹۰- ۱۳۸۵
Epidemiology of caustic burns in Motahari Hospital,Tehran from 2006 to 2011
پزشکی قانونی
Forensic Medicine
پژوهشي
Research
<p align="right">
<font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه و هدف</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:
سوختگی آغاز یک فاجعه برای شخص،خانواده و جامعه است و درصد بالایی از حوادث را به
خود اختصاص داده است. اسیدپاشی که شیوع آن در حال افزایش است، تاثیر زیانبار و
مادامالعمر بر ظاهر فرد قربانی دارد. لذا لازم است تا اقدامات متعددی به
منظورکاهش خشونت با اسید انجام شود. این مطالعه <a name="OLE_LINK21"></a><a name="OLE_LINK20"><span style="mso-bookmark: OLE_LINK21"><font face="B Mitra" size="2">با هدف</font></span></a></span><span style="mso-bookmark: OLE_LINK20"><span style="mso-bookmark: OLE_LINK21"><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span></span></span><span style="mso-bookmark: OLE_LINK20"><span style="mso-bookmark: OLE_LINK21"><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">بررسی اطلاعات دموگرافیک مواردسوختگی
ناشی از اسید پاشی </span></span></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">و مقایسه موارد ناشی از حادثه با موارد
اسید صورت گرفت.</span><span lang="FA" style="font-family: "B Nazanin" font-size: 12pt mso-bidi-language: FA"><o:p /></span></p><p align="right"><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">روش کار</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:
در این مطالعهی مقطعی- تحلیلی، پرونده 171 بیمار که به علت سوختگی با اسید طی
سالهای ۹۰- ۱۳۸۵ به بیمارستان سوانح و سوختگی شهید مطهری تهران مراجعه کردند، بررسی
شد.<o:p /></span></p><p align="right"><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">یافته ها:</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">
بیماران مورد مطالعه، 42 نفر (6/24%) زن و 129 نفر (4/75%) مرد، با میانگین سنی 32
(15</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">SD=</span><span dir="rtl"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span>) سال بودند. 152 مورد (9/88%) از سوختگیها،
ناشی از حادثه با اسید و 19 مورد (1/11%) ناشی از اسید پاشی بود. بین روش سوختگی و
مکان وقوع حادثه و همچنین روش سوختگی و جنسیت اختلاف آماری معناداری دیده شد.
همچنین</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">درصد
سوختگی در بیماران فوت شده به طور معناداری از بیماران ترخیص شده بیشتر بود.<o:p /></span></p><p align="right"><font face="Times New Roman" size="3"> </font></p><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">نتیجه</span></b><b><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt" dir="ltr"></span></b><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گیری</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:
در مطالعهی حاضر، سوختگی با مواد سوزاننده در مردان شیوع بیشتری نسبت به زنان
داشت و مرگ و میر 9/9% بود که نسبت به دو مطالعه مشابه صورت گرفته در ایران بیشتر
است. بیشتر سوختگیها ناشی از هر دو نوع سوختگی در منزل اتفاق افتاده است. بیشتر
بودن سوختگی ناشی از اسیدپاشی در زنان در مطالعهی حاضر برخلاف نتایج سایر مطالعات
است.<o:p /></span></p><p align="right"><font face="Times New Roman" size="3"> </font></p>
<font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify text-justify: kashida text-kashida: 0%"><b><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Background:
</span></b><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt">Burn
is a start of a disastrous situation for the person, family and society and includes
a high percentage of the accidents. Acid burns which is on the rise, leaves
lifetime damage on the patient’s appearance. Thus in order to reduce the acid
attacks in the society necessary measures must be taken. This study was
performed to evaluate the demographic information about burns resulting from
acid attacks and its comparison with those resulting from accidents.</span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify text-justify: kashida text-kashida: 0%"><b><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt">Methods</span></b><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt">:
In this cross sectional study the information of 171 patients who were admitted
with acid burns to Motahari hospital in Tehran between 2006-2011was evaluated.</span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify text-justify: kashida text-kashida: 0%"><b><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt">Results:</span></b><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt">
There were 42 (24.6%) women, and 129 (75.4%) men with the mean age of 22 years
(SD = 15). Also 152 cases (88.9%) of acid burns were accidentally and 19
(11.1%) were on purpose. There were significant statistical differences between
the method of acid burn and the place where it happened (p value= 0.012) and
the method of acid burn and gender (p value = 0.03). Also the percentage of
burns in expired patients was significantly higher than discharged patients (p value
< 0.001).<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: kashida text-kashida: 0%"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Conclusions: </span></b><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt">In
our study burns resulting from burning chemicals was higher in men than women
with mortality rate of 9.9%, which was higher than what 2 other similar studies
reported in Iran.</span><font face="Calibri" size="3"> </font></p><font face="Times New Roman" size="3"> </font>
اسیدپاشی، حادثه با اسید، سوختگی.
Acid attack, Burning, Acid burn.
71
76
http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1441&slc_lang=fa&sid=1
Kamran
Aghakhani
کامران
آقاخانی
3900319475328460023774
3900319475328460023774
No
Iran University of Medical Sciences
دانشگاه علوم پزشکی ایران
Shahrokh
Mehrpisheh
شاهرخ
مهرپیشه
3900319475328460023775
3900319475328460023775
No
Tehran University of Medical Sciences
دانشگاه علوم پزشکی تهران
Azadeh
Memarian
آزاده
معماریان
3900319475328460023776
3900319475328460023776
Yes
Iran University of Medical Sciences
دانشگاه علوم پزشکی ایران
Naghme
Nikbin
نغمه
نیک بین
3900319475328460023777
3900319475328460023777
No