Medical Sciences Journal of Islamic Azad University
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی تهران
MEDICAL SCIENCES
Medical Sciences
http://tmuj.iautmu.ac.ir
1
admin
1023-5922
2008-3386
000
10.66224/iau
000
1023-5922
000
fa
jalali
1405
6
1
gregorian
2026
9
1
36
4
online
1
fulltext
fa
ﺑﺮﺭﺳﻲ ﻓﺮﺍﻭﺍﻧﻲ ﺑﻴﻤﺎﺭﻱ ﻣﺰﻣﻦ ﻛﻠﻴﻮﻱ ﺩﺭ ﺑﻴﻤﺎﺭﺍﻥ ﻣﺒﺘﻼ ﺑﻪ ﻛﺒﺪ ﭼﺮﺏ ﻏﻴﺮﺍﻟﻜﻠﻲ ﻣﺮﺍﺟﻌﻪﻛﻨﻨﺪﻩ ﺑﻪ ﺑﻴﻤﺎﺭﺳﺘﺎﻥﻫﺎﻱ ﺗﺎﺑﻌﻪ ﺩﺍﻧﺸﮕﺎﻩ ﻋﻠﻮﻡ ﭘﺰﺷﻜﻲ ﺁﺯﺍﺩ ﺍﺳﻼﻣﻲ ﺗﻬﺮﺍﻥ ﺩﺭ ﺳﺎﻝﻫﺎﻱ 1403-1402
غدد و متابوليسم
Metabolism and Endocrinology
تحليلي/مقطعي/توصيفي
Survey/Cross Sectional/Descriptive
<span style="font-size:12.5pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ</span></span></b><b><span dir="LTR" style="font-size:12.0pt">:</span></b><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﺑﻴﻤﺎﺭﻱ ﻛﺒﺪ ﭼﺮﺏ ﻏﻴﺮﺍﻟﻜﻠﻲ </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(NAFLD)</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺷﺎﻳﻊﺗﺮﻳﻦ ﺑﻴﻤﺎﺭﻱ ﻣﺰﻣﻦ ﻛﺒﺪﻱ ﺩﺭ ﺟﻬﺎﻥ ﺍﺳﺖ ﻭ ﺍﺭﺗﺒﺎﻁ </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺁﻥ ﺑﺎ ﺑﻴﻤﺎﺭﻱ ﻣﺰﻣﻦ ﻛﻠﻴﻮﻱ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(CKD)</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﺑﻪ ﻃﻮﺭ ﻓﺰﺍﻳﻨﺪﻩﺍﻱ ﻣﻮﺭﺩ ﺗﻮﺟﻪ ﻗﺮﺍﺭ ﮔﺮﻓﺘﻪ ﺍﺳﺖ</span></span><span dir="LTR" style="font-size:12.0pt">.</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪﻑ ﺗﻌﻴﻴﻦ ﻓﺮﺍﻭﺍﻧﻲ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">CKD</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﻭ ﺑﺮﺭﺳﻲ ﺍﺭﺗﺒﺎﻁ ﺑﻴﻦ ﺷﺎﺧﺺﻫﺎﻱ ﻏﻴﺮﺗﻬﺎﺟﻤﻲ ﺷﺪﺕ ﺑﻴﻤﺎﺭﻱ (ﮔﺮﻳﺪ ﺳﻮﻧﻮﮔﺮﺍﻓﻲ ﻭ ﺷﺎﺧﺺ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">FIB-4</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">)</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﺩﺭ ﺑﻴﻤﺎﺭﺍﻥ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻣﺒﺘﻼ ﺑﻪ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">NAFLD</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﺍﻧﺠﺎﻡ ﺷﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span></span></span></span></span></span></span><br>
<span style="font-size:12.5pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺭﻭﺵﻫﺎ</span></span></b><b><span dir="LTR" style="font-size:12.0pt">:</span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﻴﻔﻲ</span></span><span dir="LTR" style="font-size:12.0pt">-</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻣﻘﻄﻌﻲ ﺑﺮ ﺭﻭﻱ </span></span><span dir="LTR" style="font-size:12.0pt">۳۸۴</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺑﻴﻤﺎﺭ ﻣﺒﺘﻼ ﺑﻪ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">NAFLD</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﻛﻪ ﻃﻲ</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﺳﺎﻝﻫﺎﻱ 1402-1403 ﺑﻪ ﺑﻴﻤﺎﺭﺳﺘﺎﻥﻫﺎﻱ ﺗﺎﺑﻌﻪ ﺩﺍﻧﺸﮕﺎﻩ ﻋﻠﻮﻡ ﭘﺰﺷﻜﻲ ﺁﺯﺍﺩ ﺍﺳﻼﻣﻲ ﺗﻬﺮﺍﻥ ﻣﺮﺍﺟﻌﻪ ﻛﺮﺩﻩ ﺑﻮﺩﻧﺪ، ﺍﻧﺠﺎﻡ ﺷﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺩﺍﺩﻩﻫﺎﻱ ﺩﻣﻮﮔﺮﺍﻓﻴﻚ، ﺑﺎﻟﻴﻨﻲ ﻭ ﺁﺯﻣﺎﻳﺸﮕﺎﻫﻲ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻳﻚ ﭼﻚﻟﻴﺴﺖ ﺍﺯ ﭘﺮﻭﻧﺪﻩﻫﺎﻱ ﭘﺰﺷﻜﻲ ﺍﺳﺘﺨﺮﺍﺝ ﮔﺮﺩﻳﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺩﺍﺩﻩﻫﺎ </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺑﺎ ﻧﺮﻡﺍﻓﺰﺍﺭ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SPSS</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﻧﺴﺨﻪ </span></span><span dir="LTR" style="font-size:12.0pt">۲۶</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﻭ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺁﺯﻣﻮﻥﻫﺎﻱ ﻛﺎﻱ</span></span><span dir="LTR" style="font-size:12.0pt">-</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺩﻭ، ﺗﻲ ﻣﺴﺘﻘﻞ ﻭ ﺗﺤﻠﻴﻞ ﻭﺍﺭﻳﺎﻧﺲ ﻳﻚﻃﺮﻓﻪ </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">(ANOVA)</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺗﺤﻠﻴﻞ ﺷﺪﻧﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﺳﻄﺢ ﻣﻌﻨﺎﺩﺍﺭﻱ ﻛﻤﺘﺮ ﺍﺯ 05/0 ﺩﺭ ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span><span dir="LTR" style="font-size:12.0pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12.5pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻳﺎﻓﺘﻪﻫﺎ</span></span></b><b><span dir="LTR" style="font-size:12.0pt">:</span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺍﺯ 384 ﺑﻴﻤﺎﺭ، 9/59% ﻣﺮﺩ ﺑﻮﺩﻧﺪ ﻭ ﻣﻴﺎﻧﮕﻴﻦ ﺳﻨﻲ ﺁﻥﻫﺎ 20/6</span></span><i><span dir="LTR" style="font-size:12.0pt"><span style="font-family:" verdana="">±</span></span></i><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">­94/48 ﺳﺎﻝ ﺑﻮﺩ</span></span><span dir="LTR" style="font-size:12.0pt">.</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻓﺮﺍﻭﺍﻧﻲ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">CKD</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺩﺭ ﺍﻳﻦ </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺟﻤﻌﻴﺖ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">8/14% (57 نفر)</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺑﻪ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺩﺳﺖ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺁﻣﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺑﺮ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺍﺳﺎﺱ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺳﻮﻧﻮﮔﺮﺍﻓﻲ،</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">9/65%،</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">4/28%</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻭ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">7/5%</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺍﺯ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺑﻴﻤﺎﺭﺍﻥ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺑﻪ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺗﺮﺗﻴﺐ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺩﺍﺭﺍﻱ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻛﺒﺪ </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﭼﺮﺏ ﮔﺮﻳﺪ 1، 2 ﻭ 3 ﺑﻮﺩﻧﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻃﺒﻖ ﺷﺎﺧﺺ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">FIB-4</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">، 9/65% ﺩﺭ ﮔﺮﻭﻩ ﻛﻢﺧﻄﺮ، 3/32% ﺩﺭ ﻣﺤﺪﻭﺩﻩ ﺧﺎﻛﺴﺘﺮﻱ ﻭ 8/1% ﺩﺭ </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﮔﺮﻭﻩ ﭘﺮﺧﻄﺮ ﻓﻴﺒﺮﻭﺯ ﻗﺮﺍﺭ ﺩﺍﺷﺘﻨﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺍﺭﺗﺒﺎﻁ ﺁﻣﺎﺭﻱ ﺑﺴﻴﺎﺭ ﻣﻌﻨﺎﺩﺍﺭﻱ ﺑﻴﻦ ﮔﺮﻳﺪ ﺳﻮﻧﻮﮔﺮﺍﻓﻲ ﻭ ﺷﺎﺧﺺ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">FIB-4</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﻣﺸﺎﻫﺪﻩ ﺷﺪ </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(001/0></span></span><span dir="LTR" style="font-size:12.0pt">p</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">). ﻫﻤﭽﻨﻴﻦ، ﻣﻴﺎﻧﮕﻴﻦ ﻛﺮﺍﺗﻴﻨﻴﻦ ﻭ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">eGFR</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺑﻴﻦ ﺩﻭ ﮔﺮﻭﻩ ﻣﺒﺘﻼ ﻭ ﻏﻴﺮﻣﺒﺘﻼ ﺑﻪ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">CKD</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺗﻔﺎﻭﺕ ﻣﻌﻨﺎﺩﺍﺭﻱ ﺩﺍﺷﺖ</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> (001/0></span></span><span dir="LTR" style="font-size:12.0pt">p</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">).</span></span><span dir="LTR" style="font-size:12.0pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12.5pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Arial,sans-serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻧﺘﻴﺠﻪﮔﻴﺮﻱ</span></span></b><b><span dir="LTR" style="font-size:12.0pt">:</span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻧﺘﺎﻳﺞ ﺍﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻧﺸﺎﻥﺩﻫﻨﺪﻩ ﺷﻴﻮﻉ ﻗﺎﺑﻞ ﺗﻮﺟﻪ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">CKD</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺩﺭ ﺑﻴﻤﺎﺭﺍﻥ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">NAFLD</span></span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﻭ ﻭﺟﻮﺩ ﺍﺭﺗﺒﺎﻁ ﻗﻮﻱ </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺑﻴﻦ ﺷﺪﺕ ﺍﺳﺘﺌﺎﺗﻮﺯ ﺩﺭ ﺳﻮﻧﻮﮔﺮﺍﻓﻲ ﻭ ﺭﻳﺴﻚ ﻓﻴﺒﺮﻭﺯ ﺑﺮ ﺍﺳﺎﺱ ﺷﺎﺧﺺ</span></span> <span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">FIB-4</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> ﺍﺳﺖ</span></span><span dir="LTR" style="font-size:12.0pt">.</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﺍﺳﺘﻔﺎﺩﻩ ﻫﻤﺰﻣﺎﻥ ﺍﺯ ﺍﻳﻦ ﺩﻭ ﺍﺑﺰﺍﺭ</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ﻏﻴﺮﺗﻬﺎﺟﻤﻲ ﻣﻲﺗﻮﺍﻧﺪ ﺑﻪ ﻃﺒﻘﻪﺑﻨﺪﻱ ﺑﻬﺘﺮ ﺧﻄﺮ ﻭ ﻣﺪﻳﺮﻳﺖ ﺑﺎﻟﻴﻨﻲ ﺑﻴﻤﺎﺭﺍﻥ ﻛﻤﻚ ﻛﻨﺪ</span></span><span dir="LTR" style="font-size:12.0pt">.</span></span></span></span></span></span></span><br>
ﻛﺒﺪ ﭼﺮﺏ ﻏﻴﺮﺍﻟﻜﻠﻲ, ﺑﻴﻤﺎﺭﻱ ﻣﺰﻣﻦ ﻛﻠﻴﻮﻱ, ﺷﺎﺧﺺ FIB-4, ﺳﻮﻧﻮﮔﺮﺍﻓﻲ, ﻓﻴﺒﺮﻭﺯ ﻛﺒﺪﻱ
0
0
http://tmuj.iautmu.ac.ir/browse.php?a_code=A-10-2089-1&slc_lang=fa&sid=1
لاله
قانعی
lalehghaneilaleh@gmail.com
100319475328460014816
100319475328460014816
Yes
بیمارستان بوعلی
صالح
موسوی
prof.salehmousavi@yahoo.com
100319475328460014817
100319475328460014817
No
بیمارستان بوعلی