scientific magazine yafte
مجله علمی پژوهشی یافته
yafte
Medical Sciences
http://yafte.lums.ac.ir
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1563-0773
2981-0779
10.22034/Yafteh
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2026
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فراوانی میزان تشنج و عوامل مرتبط بر مقدار شیوع آن در نوزادان بستری شده در بیمارستان شهید رحیمی خرمآباد در سال 1401
Lorestan University of Medical Sciences, Khorramabad, Iran
زنان
زنان
پژوهشي اصیل
Original Research
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut"">مقدمه: </span></span></b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt"> تشنج مهمترین و شایع‏ترین علامت اختلال جدی نورولوژیک در دوران نوزادی می‏باشد. شایعترین علت تشنج در دوران نوزادی انسفالوپاتی هیپوکسیک ایسکمیک می‏باشد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut"">مواد و روشها:</span></span></b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""> <span style="letter-spacing:.15pt">در این</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">تحقیق</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">همه</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">نوزادان با سن 1 تا</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">28 روز که</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">در</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">بدو</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">ورود</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">و</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">یا</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">حین</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">بستری</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">در بیمارستان شهید رحیمی شهرستان خرم‏آباد در سال 1401دچار</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">تشنج</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">نوزادی</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">شدند، وارد</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">مطالعه</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">گردیدند. در میان</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">آنها بر</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">اساس</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">شرح</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">حال</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">درج</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">در</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">پرونده‏</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">به جستجوی</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">علل مرتبط با بروز تشنج پرداخته شده است.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut"">یافتهها: </span></span></b><span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">بیماران بر اساس عوامل مرتبط با تشنج در هفت گروه شامل: آسفیکسی</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">(3/%28)، عفونتهای داخل مغزی</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">(4/%17)، اختلالات الکترولیتی</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">(5/%6)، بیماریهای متابولیک مادرزادی</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">(%13)، اعتیاد در مادر (2/2%)، خونریزی مغزی(7/8%) و بدون علت مشخص</span></span></span> <span lang="FA" style="font-size:9.0pt"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">(9/%23) تقسیم شدند.</span></span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"B Yagut"">بحث و نتیجهگیری: </span></span></span></b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"B Yagut""><span style="letter-spacing:.15pt">در مطالعه حاضر بیشترین علل مرتبط با تشنج انسفالوپاتی هیپوکسیک ایسکمیک و در رتبه بعدی عفونت‏های مغزی بودند. بین شیوع تشنج و نسبت والدین ارتباط معنادار وجود داشت.</span></span></span></span></div>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Minion Pro",serif">Background: </span></span></span></b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Minion Pro",serif">Seizures are the most important and common symptom of a serious neurological disorder in neonates. The most common cause of neonatal seizures is hypoxic-ischemic encephalopathy.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Minion Pro",serif">Materials and Methods: </span></span></span></b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Minion Pro",serif">In this study, all neonates aged 1 to 28 days who experienced neonatal convulsions upon arrival or during hospitalization at Shahid Rahimi Hospital in Khorramabad in 1401 were included. Based on the history recorded in the files, the causes of seizures were investigated.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Minion Pro",serif">Results: </span></span></span></b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Minion Pro",serif">Patients were categorized into seven groups based on the seizure-related factors, including asphyxia (28.3%), intracranial infections (17.4%), electrolyte disorders (6.5%), congenital metabolic diseases (13%), maternal addiction (2.2%), cranial hemorrhage (8.7%), and no specified cause (23.9%).</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Minion Pro",serif">Conclusion: </span></span></span></b><span style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"Minion Pro",serif">In the present study, hypoxic-ischemic encephalopathy was the most common factor associated with seizures, followed by brain infections. There was a significant relationship between the prevalence of seizures and the proportion of parents. </span></span></span></span></span></span></div>
آسفیکسی, الکترولیتی, تشنج, عفونت, متابولیک
asphyxia, electrolytic, infection, metabolic, seizure
38
44
http://yafte.lums.ac.ir/browse.php?a_code=A-10-3395-2&slc_lang=fa&sid=1
Fereshteh
Hajipour
فرشته
حاجی پور
fhajipour87@gmai.com
7200319475328460031971
0009-0006-0364-3126
Yes
Lorestan University of Medical Sciences, Khorramabad, Iran
دانشگاه علوم پزشکی لرستان، خرم آباد، ایران
Mohammad
Hajipour
محمد
حاجی پور
mohammadhajipour8131@yahoo.com
7200319475328460031972
7200319475328460031972
No
Lorestan University of Medical Sciences, Khorramabad, Iran
دانشگاه علوم پزشکی لرستان، خرم آباد، ایران