بررسی شیوع ناهنجاری عمده‌ی بدو تولد و برخی عوامل مرتبط با آن در شهرستان فریدن در سال 1395-1397

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 کمیته‌ی تحقیقات دانشجویی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 شبکه بهداشت و درمان معاونت بهداشتیشهرستان چادگان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 استاد، گروه اپیدمیولوژی و آمار زیستی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

10.48305/jims.v42.i787.0912

چکیده

مقاله پژوهشی




مقدمه: ناهنجاری‎های عمده‌ی بدو تولد، نقص‎های ساختمانی قابل تشـخیص که در زمان لقاح و یا طی دوران تکامل داخل رحمی رخ داده و هنگام تولد ظاهر می‎شوند و موجب افزایش شاخص‎های سقط، مرده‌زایی و مرگ و میر نوزادان و شـیرخواران می‎شوند. لذا مطالعه با هدف تعیین شیوع و برخی عوامل مرتبط با ناهنجاری عمده‌ی بدو تولد در شهرستان فریدن در سال‎های 1397-1395 انجام شد.
روش‌ها: در این مطالعه‌ی مقطعی، تمامی نوزادان شهرستان فریدن از نظر وجود ناهنجاری مادرزادی عمده‌ی بدو تولد مورد بررسی قرار گرفتند. استخراج داده‎های مورد نیاز شامل اطلاعات ثبت شده در پرونده‌ی بیمارستانی مادران زایمان کرده و اطلاعات (سامانه سیب) شهرستان و بررسی متغیرهای بالقوه‌ی مرتبط در پرونده‌ی مادران و نوزدان، سپس تعیین ارتباط متغیرهای در نظر گرفته با ناهنجاری بدو تولد با استفاده از مدل رگرسیون لجستیک تجزیه و تحلیل گردید.
یافته‌ها: از 1941 نوزاد مورد مطالعه، 15نوزاد (7/7 در هزار) دچار ناهنجاری مادرزادی عمده در بدو تولد بودند. ارتباط 12 متغیر با ناهنجاری عمده بدو تولد بررسی شد. در مدل هیچ کدام از متغیرهای مورد مطالعه با شیوع ناهنجاری عمده‌ی بدو تولد رابطه‌ی معنی‌دار نداشت.
نتیجه‌گیری: نظر به این که بعضی از ناهنجاری‎های مادرزادی عمده بدو تولد تشخیص داده نمی‎شوند و در سنین بالاتر خود را نشان می‎دهند، لذا شیوع ذکر شده احتمالاً کمتر از مقدار واقعی آن است.

تازه های تحقیق

محمدرضا مرآثی:  Google Scholar 

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Examining the prevalence of major malformation at birth and some related factors in Fereidan district in 2015-2016

نویسندگان [English]

  • Mahnaz Ahmadibeni 1
  • Mohsen Naderi beni 2
  • MohamadReza Maracy 3
1 Student Research Committee, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
2 Health Vice President of Chadegan, Department of Health and Treatment, Isfahan University of Medical Sciences, Isfahan, Iran
3 Professor of Epidemiology, Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Low sleep quality is associated with a decrease in the body's immunity level and an increase in inflammatory markers. This study aimed to investigate the relationship between periodontal diseases and sleep quality.
Methods: In this analytical-cross-sectional study, two groups of 40 individuals (with and without periodontal disease) were selected from patients referred to the Faculty of Dentistry of Isfahan Azad University. After obtaining consent, the periodontal condition of the patients was checked. People's evaluation criteria include a gingival index, pocket probing depth, and loss of clinical adhesion level. Indicators were performed by an examiner using a periodontal probe in four areas of each tooth (mesiobuccal, buccal, distobuccal, and lingual). Sleep quality questionnaire (The Pittsburgh Quality Index) and depression, anxiety, and stress assessment questionnaire (Depression, Anxiety, Stress Scale: DASS) were completed by two groups. Data were analyzed using chi-square, Independent T, Mann-Whitney, and Fisher’s exact test (α = 0.05).
Findings: Independent T-test did not show a significant difference in the average age of the two groups (P = 0.787). According to the Mann-Whitney test, the sleep quality score of patients with periodontal disease was significantly higher than that of people without the disease (P < 0.001), and this score was observed more in people with the disease based on gender, different age groups, and employed and unemployed people.
Conclusion: Therefore, the treatment of one can be effective in the treatment of another and ultimately improve the individual's life.

کلیدواژه‌ها [English]

  • Periodontal disease
  • Quality of sleep
  • Periodontal index
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