Moghadasi, Naimeh

Simorgh Research Repository

     داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﻛﺮﻣﺎن  ﭘﺎﻳﺎن ﻧﺎﻣﻪ اﺧﺬ دﻛﺘﺮاي ﻋﻤﻮﻣﻲ ﭘﺰﺷﻜﻲ   ﻋﻨﻮان:ﺑﺮرﺳﻲ ﻳﺎﻓﺘﻪ ﻫﺎي اﺳﺘﺮوﺑﻮﺳﻜﻮﭘﻲ در ﺑﻴﻤﺎران دﭼﺎر ﮔﺮﻓﺘﮕﻲ ﺻﺪا ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ درﻣﺎﻧﮕﺎه ﮔﻮش،   7931ﺣﻠﻖ و ﺑﻴﻨﻲ ﺑﻴﻤﺎراﺳﺘﺎن ﺷﻔﺎ در ﺳﺎل       اﺳﺘﺎد راﻫﻨﻤﺎ:  ﻋﺮﺑﻲ ﻋﻠﻲ اﺻﻐﺮدﻛﺘﺮ    اﺳﺘﺎد ﻣﺸﺎور:  اﺳﻼﻣﻲدﻛﺘﺮ ﻫﺎدي     ﻧﮕﺎرش و ﭘﮋوﻫﺶ:  ﻣﻘﺪﺳﻲﻧﻌﻴﻤﻪ     79زﻣﺴﺘﺎن   اﺧﺘﻼﻻت ﺻﻮﺗﻲ ﺑﻪ ﭼﻨﺪ دﺳﺘﻪ ﻛﻠﻲ ﺗﻘﺴﻴﻢ ﻣﻲ ﺷﻮﻧﺪ و ﻫﺮ دﺳﺘﻪ ﻧﻴﺰ داراي زﻳﺮ ﮔﺮوه ﻫﺎي : ﻣﻘﺪﻣﻪ و ﻫﺪفﻣﻨﺎﻃﻖ ﺟﻐﺮاﻓﻴﺎﻳﻲ اﻣﺮي ﺑﺴﻴﺎر ﻣﻬﻢ در اﭘﻴﺪﻣﻴﻮﻟﻮژي ان  ﻣﺨﺘﻠﻔﻲ اﺳﺖ. ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﻫﻤﻴﺖ اﻳﻨﻜﻪ ﺷﻴﻮع ﺑﻴﻤﺎري دراﻳﻔﺎ ﻣﻲ ﻛﻨﺪ  و ﻣﻲ ﺗﻮاﻧﺪ درﻣﺎن  و ﭘﻴﺸﮕﻴﺮي از آن ﺑﻴﻤﺎري را رﻏﻢ ﺑﺰﻧﺪ ﺑﺮ آن ﺷﺪﻳﻢ ﺗﺎ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ را در اﺳﺘﺎن   ﻛﺮﻣﺎن اﻧﺠﺎم دﻫﻴﻢ ﺗﺎ اﭘﻴﺪﻣﻴﻮﻟﻮژي ﺑﻴﻤﺎري ﻫﺎي ﺣﻨﺠﺮه در اﻳﻦ اﺳﺘﺎن را زﻳﺮ ذره ﺑﻴﻦ ﻗﺮار دﻫﻴﻢ.اﻳﻦ ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﻣﻄﺎﻟﻌﺎت ﺗﻮﺻﻴﻔﻲ ﻣﻘﻄﻌﻲ ﺑﻮد ﻛﻪ ﺑﺮ روي ﺗﻤﺎﻣﻲ ﺑﻴﻤﺎران ﺑﺎ ﺷﻜﺎﻳﺖ ﻣﺮﺑﻮط ﺑﻪ  ﻣﻮاد و روش ﻫﺎ:ﺗﺎ ﭘﺎﻳﺎن ﺷﻬﺮﻳﻮر ﻣﺎه  69ﺗﻐﻴﻴﺮات ﺻﺪا ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﺑﻴﻤﺎرﺳﺘﺎن آﻣﻮزﺷﻲ درﻣﺎﻧﻲ ﺷﻔﺎ ﻛﺮﻣﺎن از ﻣﻬﺮﻣﺎه ﺳﺎل  اﺳﺘﺮﺑﻮﺳﻜﻮﭘﻲ ﺷﺎﻣﻞ ﻃﻨﺎب ﺻﻮﺗﻲﺑﻴﻤﺎران ﺗﺤﺖ اﺳﺘﺮﺑﻮﺳﻜﻮﭘﻲ ﻗﺮار ﮔﺮﻓﺘﻪ و ﻳﺎﻓﺘﻪ ﻫﺎي  اﻧﺠﺎم ﮔﺮﻓﺖ. 79ﺳﺎل ﻃﺒﻴﻌﻲ، ﻧﺪول ﻛﻮﭼﻚ ﺗﺎر ﺻﻮﺗﻲ ﻳﻚ ﻃﺮﻓﻪ، ﻧﺪول ﻛﻮﭼﻚ ﺗﺎر ﺻﻮﺗﻲ دو ﻃﺮﻓﻪ، رﻓﻼﻛﺲ ﻻرﻧﮋﻳﺖ، ﭘﺎﭘﻴﻠﻮﻣﺎﺗﻮز ﺣﺠﺮه، ﻛﻴﺴﺖ ﺣﻨﺠﺮه و ﺟﺴﻢ ﺧﺎرﺟﻲ ﺣﻨﺠﺮه ﺑﺎ ﻣﺸﺎوره اﺳﺘﺎد راﻫﻨﻤﺎي ﻃﺮح ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺖ. ﺳﭙﺲ ﻣﻮرد ﺗﺠﺰﻳﻪ و  12ﻧﺴﺨﻪ ي  SSPS ﺗﺤﻠﻴﻠﻲ و ﻧﺮم اﻓﺰار - داده ﻫﺎ ﭘﺲ از ﺟﻤﻊ آوري ﺑﺎ اﺳﺘﻔﺎده از آﻣﺎر ﺗﻮﺻﻴﻔﻲ  ﺗﺤﻠﻴﻞ ﻗﺮارﮔﺮﻓﺖ. ﻧﺘﺎﻳﺞ اﻳﻦ ﻣﻄﺎﻟﻌﻪ %( زن ﺑﻮدﻧﺪ. 001ﻧﻔﺮ ) 011%( ﻣﺮد  و 001ﻧﻔﺮ ) 011ﻧﻔﺮ ﻣﻮرد ﺑﺮرﺳﻲ،  022از ﺗﻌﺪاد  ﻧﺘﺎﻳﺞ: 4و ﻃﺮﻓﻪ ﻧﺪول ﺗﺎر ﺻﻮﺗﻲ دﺳﺎل  02ﺑﻴﺎﻧﮕﺮ آن اﺳﺖ ﻛﻪ ﺑﻴﺸﺘﺮﻳﻦ ﻓﺮاواﻧﻲ ﻳﺎﻓﺘﻪ ﻫﺎي اﺳﺘﺮوﺑﻮﺳﻜﻮﭘﻲ در اﻓﺮاد زﻳﺮ ﻧﻔﺮ  61%(، ﻧﺪول ﺗﺎر ﺻﻮﺗﻲ دو ﻃﺮﻓﻪ 23/34ﻧﻔﺮ ) 12%( و ادم ﺗﺎر ﺻﻮﺗﻲ ﺑﻮد. ﻻرﻧﮕﻮﻓﺎرﻧﮋﻳﺎل رﻓﻼﻛﺲ 04ﻧﻔﺮ )ﺳﺎل، ﺑﺎ اﻓﺰاﻳﺶ ﺳﻦ ﺷﻴﻮع ﺗﻮﻣﻮر ﺣﻨﺠﺮه و  04%( ﺑﻮد. در اﻓﺮاد ﺑﺎﻻﺗﺮ از 81/48ﻧﻔﺮ ) 31%(، و ﻧﺮﻣﺎل 32/91)ﻫﺎي اﺳﺘﺮوﺑﻮﺳﻜﻮﭘﻲ در ﻣﺮدان ﺗﺤﺖ ﺑﺮرﺳﻲ، ﺑﻪ ﻧﻲ ﻳﺎﻓﺘﻪﺑﻴﺸﺘﺮﻳﻦ ﻓﺮاواﻻرﻧﮕﻮﻓﺎرﻧﮋﻳﺎل رﻓﻼﻛﺲ اﻓﺰاﻳﺶ ﻣﻲ ﻳﺎﺑﺪ. %( ﺑﻮد. در زﻧﺎن ﺗﺤﺖ 32/26ﻧﻔﺮ ) 62%(، ﻻرﻧﮕﻮﻓﺎرﻧﮋﻳﺎل رﻓﻼﻛﺲ 42/45ﻧﻔﺮ ) 72ﺗﺮﺗﻴﺐ ﺷﺎﻣﻞ ﺗﻮﻣﻮر ﺣﻨﺠﺮه %(، 33/36ﻧﻔﺮ ) 73ﻫﺎي اﺳﺘﺮوﺑﻮﺳﻜﻮﭘﻲ ﺑﻪ ﺗﺮﺗﻴﺐ ﺷﺎﻣﻞ ﻻرﻧﮕﻮﻓﺎرﻧﮋﻳﺎل رﻓﻼﻛﺲ ﺑﺮرﺳﻲ ﺑﻴﺸﺘﺮﻳﻦ ﻓﺮاواﻧﻲ ﻳﺎﻓﺘﻪ  %( ﺑﻮد.91/01ﻧﻔﺮ ) 12%( و ﺗﺪول ﺗﺎر ﺻﻮﺗﻲ ﻳﻚ ﻃﺮﻓﻪ 32/36ﻧﻔﺮ ) 62ﻧﺮﻣﺎل  :يﺮﻴﮔ ﻪﺠﻴﺘﻧ ﺲﻛﻼﻓر ﻦﻴﻨﭽﻤﻫ و هﺮﺠﻨﺣ رﻮﻣﻮﺗ عﻮﻴﺷ ،ﻦﺳ ﺶﻳاﺰﻓا ﺎﺑ ،ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ يﺎﻫ ﻪﺘﻓﺎﻳ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ يرﺎﺠﻨﻫﺎﻧ ﻪﺑ ﻼﺘﺑا ﺖﻬﺟ يﺮﺘﺸﻴﺑ ﺮﻄﺧ ضﺮﻌﻣ رد نﺎﻧز ﻪﺑ ﺖﺒﺴﻧ نادﺮﻣ ﻲﻓﺮﻃ زا .ﺪﺑﺎﻳ ﻲﻣ يﺮﻴﮕﻤﺸﭼ ﺶﻳاﺰﻓاﺗ ﺎﺻﻮﺼﺨﻣ هﺮﺠﻨﺣ يﺎﻫ.ﺪﻨﺷﺎﺑ ﻲﻣ هﺮﺠﻨﺣ رﻮﻣﻮ   Abstract Background and aim: Vocal disturbances are divided into several general categories, and each category has different subgroups. Considering the importance of the spread of the disease in the geographical areas in the field of epidemiology and can prevent and prevent the disease, we decided to do this study in the province of Kerman to determine the epidemiology of laryngeal diseases in this area. Weigh down the province. Material and method: This study was a descriptive cross-sectional study which was performed on all patients with complaint of sound changes referred to the Shafa Hospital of Kerman from October 2006 to the end of September. Patients underwent stroboscopic examination and stroboscopic findings including normal acoustic ropes, one-way acoustic nodule, one-sided acoustic nodule, laryngitis, chlamydial papillomatosis, laryngeal cysts and laryngeal object were studied by the consultant of the design guide. Then, the data were analyzed by descriptive-analytic statistics and SPSS software version 21. Results: Of 220 patients, 110 (100%) men and 110 (100%) women were examined. The results of this study showed that the highest frequency of stroboscopic findings was in patients less than 20 years old with bilateral voice nodule (40%) and vocal edema. Laryngo-fungal reflux was 21 (32.43%), double-sided acoustic nodule in 16 (23.19%), and normal in 13 (18.48%). In people older than 40 years, with an increase in age, the incidence of laryngeal and laryngo-fungal reflux is increased. The highest frequency of stroboscopic findings in the men under study included laryngeal tumor in 27 (24.44%), laryngo-fungal reflux (26.62%). In the women under study, the highest frequency of stroboscopic findings was laryngo-fungal reflux, 37 (63.33%), 26 (23.63%) and 21 (19.10%) respectively. Conclusion: According to the findings of the present study, with increasing age, the prevalence of laryngeal tumors as well as reflux increases significantly. Men, on the other hand, are more at risk for laryngeal abnormalities, especially laryngeal tumors.     

بررسی یافته های استروبوسکوپی در بیماران دچار گرفتگی صدا مراجعه کننده به درمانگاه گوش، حلق و بینی بیماراستان شفا در سال 1397

http://eprints.kmu.ac.ir/30928/1/7084.pdf

بررسی یافته های استروبوسکوپی در بیماران دچار گرفتگی صدا مراجعه کننده به درمانگاه گوش، حلق و بینی بیماراستان شفا در سال 1397

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