Sharifirad, Yasaman

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 أ‌ ‌  کرمان دانشگاه علوم پزشکی و خدمات بهداشتی درمانی دانشکده پزشکی مهندس افضلی پور  پایان نامه عمومی پزشکی جهت دریافت درجه دکترای  عنوان:‌7931کرمان‌در‌سال‌‌استانمقایسۀ‌پارامتر‌های‌لومبوپلویک‌در‌زنان‌زایمان‌کرده‌و‌زایمان‌نکرده‌در‌  استاد راهنما: دکتر افشین احمدزاده حشمتی   استاد مشاور: دکتر شهاب ایلکا   پژوهش و نگارش:  یاسمن شریفی راد  ‌89تابستان‌‌‌ ‌‌ب  ‌ Kerman University of Medical Sciences  And Health Systems  Thesis: To receive a doctorate in general medicine  Title:  Lumbopelvic paramethers comparison in pre and postpartum women in kerman at 1397  Doctoral advisor: Dr Afshin AhmadZadeh Heshmati Dr Shahab ilika  Research and writing: Yasaman Sharifirad  Summer 2019  ‌ ج‌ ‌فهرست‌مطالب‌ 4 ...................................................................................................... ی‌فارس‌‌دهیچک 7 .................................................................................................... یسیانگل‌دهیچک 1 ............................................................................................................ فصل‌اول‌ 1 ................................................................................................................ مقدمه‌ 5 ............................................................................................................ فصل‌دوم‌ 5 ........................................................................................................ متون‌‌یبررس‌ 6 ................................................................................... :یاهداف اختصاص - 3-2 6 .............................................................................. طرح : یاهداف کاربرد-4-2 7 ......................................................................سؤالات پژوهش:  ای اتیفرض-5-2 8 ........................................................................................................... فصل‌سوم‌ 8 ..................................................................................................... ها‌مواد‌و‌روش‌به اهداف طرح :  دنیرس یداده ها برا لیو تحل هیروش محاسبه داده ها ، روش تجز -2-3 9 ...................................................................................................................  01 ....................................................روش محاسبه حجم نمونه و تعداد آن: - 1-2-3 01 ......................................................................................... :یملاحظات اخلاق 11 ....................................................................................................... فصل‌چهارم‌ 11 ............................................................................................................ ها‌‌افتهی 22 ........................................................................................................ فصل‌پنجم‌ 22 ............................................................................................. ی‌ریگ‌جهیبحث‌و‌نت 32 ................................................................................................... بحث -1-5 52 ..................................................................................................... منابع‌و‌مآخذ‌‌   4 ‌‌‌‌‌ چکیده فارسی 5 بارداری‌یک‌پدیده‌فیزیولوژیک‌نرمال‌میباشد‌که‌ویژگی‌بارز‌آن‌رشد‌همزمان‌مادر‌و‌جنین‌است.‌رشد‌جنین‌باعث‌تغییرات‌جرم‌بدن‌و‌متعاقب‌آن‌تغییر‌در‌مرکز‌ثقل‌و‌در‌نتیجه‌توزیع‌وزن‌بدن‌میشود‌که‌این‌عوامل‌میتواند‌منجر‌به‌تغییرات‌پوسچرال‌جبرانی‌طی‌بارداری‌می‌شود.‌برقراری‌بالانس‌یت‌آن‌منجر‌به‌ساجیتال‌یکی‌از‌مهمترین‌عوامل‌مباحث‌بیومکانیک‌ستون‌فقرات‌می‌باشد‌که‌عدم‌رعاما‌هیچ‌مطالعه‌ای‌را ‌پیدا ‌نکردیم‌که‌اختصاصا‌ً‌عدم‌بهبودی‌مناسب‌بعد‌از‌اعمال‌جراحی‌می‌باشد.تفاوت‌این‌پارامتر‌ها‌را‌در‌میان‌زنان‌زایمان‌کرده‌و‌زایمان‌نکرده‌بررسی‌کرده‌باشد‌بنابراین‌ما‌بر‌آن‌لعات‌دیگر‌به‌این‌پارامتر‌ها‌بصورت‌اختصاصی‌شدیم‌تا‌این‌مسئله‌را‌به‌بوته‌چالش‌بکشیم‌تا‌بتوان‌در‌مطا‌تری‌اسنتاد‌کرد‌و‌در‌اعمال‌جراحی‌لگن‌و‌ستون‌فقرات‌از‌این‌معیار‌ها‌سود‌جست.سال‌بود.‌‌04تا‌‌02داوطلب‌زن‌در‌محدودۀ‌سنی‌‌88برای‌انجام‌این‌مطالعه‌نیاز‌به‌‌روش‌اجرافقرات‌و‌لگن‌داشته‌باشند‌و‌پس‌از‌صحبت‌برای‌این‌مطلب‌داوطلبان‌نباید‌سابقۀ‌بیماری‌های‌ستون‌با‌آنها‌و‌اخذ‌رضایت‌کتبی‌ابتدا‌تعداد‌زایمان‌های‌آنها‌ثبت‌شد‌و‌سپس‌یک‌عدد‌رادیوگرافی‌ایستاده‌رادیوگرافی‌ها‌برای‌‌.تا‌تروکانتر‌های‌کوچک‌لگن‌گرفته‌شد‌ 21T روبرو‌و‌نیمرخ‌ستون‌فقرات‌و‌از‌مهرۀ‌با‌دقت‌‌rezimigiDوند‌و‌برای‌اندازه‌گیری‌ها‌از‌نرم‌افزار‌بررسی‌توسط‌دوربین‌دیجیتال‌ثبت‌می‌ش‌استفاده‌شدسپس‌بیماران‌در‌دو‌گروه‌زایمان‌کرده‌و‌زایمان‌نکرده‌تقسیم‌شدند‌و‌در‌گروه‌بیماران‌‌1/0‌زایمان‌کرده‌تعداد‌زایمان‌ها‌ثبت‌شد‌تا‌تجزیه‌و‌تحلیل‌های‌آماری‌در‌دو‌گروه‌صورت‌گرفت.‌فرد‌داوطلب‌که‌از‌نظر‌جسمی‌سالم‌بودند‌و‌براساس‌معیارهای‌‌88ر‌روی‌یافته‌ها:‌مطالعه‌ی‌ما‌بنفر‌در‌‌44نفر‌در‌گروه‌زنان‌زایمان‌نکرده‌و‌‌44ورود‌و‌خروج‌مطالعه‌‌وارد‌مطالعه‌شدند‌انجام‌گرفت.‌بود.‌سال‌‌2/1 ± 6/53 میانگین‌سنی‌در ‌افراد‌مورد‌مطالعه‌ گروه‌زنان‌زایمان‌کرده ‌قرار‌گرفتند.درجه‌بود.میانگین‌تیلت‌لگن‌در‌افراد‌مورد‌‌7/9 ± 3/26دوز‌کمری‌در‌افراد‌مورد‌مطالعه‌میانگین‌لوردرجه،‌میانگین‌شیب‌ساکرال‌‌6/9 ± 9/74 درجه‌میانگین‌اینسیدانس‌لگن‌‌7/5 ± 8/21مطالعه‌‌درجه‌بود.‌7/4 ± 7/46درجه‌و‌میانگین‌زاویه‌ساکرو‌فمورال‌در‌افراد‌مورد‌مطالعه‌‌7/7 ± 4/53 6 نتیجه‌گیری:‌نتایج‌این‌مطالعه‌نشان‌داد‌که‌پارامترهای‌لومبوپلویک‌در‌دو‌گروه‌زایمان‌کرده‌و‌زایمان‌نکرده‌از‌نظر‌آماری‌تفاوت‌معناداری‌نداشت‌گرچه‌میانگین‌تیلت‌لگن،‌اینسیدانس‌لگن‌و‌شیب‌رال‌در‌گروه‌مورد‌بیشتر‌از‌گروه‌شاهد‌بود‌و‌زاویه‌ساکرو‌فمورال‌در‌گروه‌شاهد‌بیشتر‌از‌گروه‌مورد‌ساک بود.‌‌  7   ‌‌‌‌‌‌ چکیده انگلیسی  8  Pregnancy is a normal physiological phenomenon, which is characterized by simultaneous growth of mother and fetus. The development of the fetus causes changes in body mass and consequently a change in the center of gravity and, consequently, the distribution of body weight, which can lead to compensatory postural changes during pregnancy.  Sagittal balancing is one of the most important factors in the biomechanics of the spine. Failure to adhere to it leads to a lack of proper recovery after surgery. We did not find any study that specifically looked at the differences in these parameters among women who gave birth and not delivered. Therefore, we decided to challenge this problem in order to be more specific in these studies in other studies. And benefit from these criteria in hip and spine surgery. Method of Implementation The study required 88 volunteers aged 20 to 40 years. For this purpose, volunteers should not have history of spinal and pelvic diseases. After speaking with them and obtaining written consent, the number of their births was first recorded, then a standing radiograph, and a spinal column, from the T12 to the small trochanters Pelvis was taken Radiographs are recorded for digital camera examination and used for Digimizer software with precision of 0/1 for measurements. Subsequently, patients were divided into two groups: nursing and non-nursing. In the patient group, the number of deliveries was recorded, until analysis Statistical analysis was done in two groups. Results: Our study was performed on 88 volunteers who were physically healthy and were included in the study according to the criteria for entering and leaving the study. 44 women did not give birth to women and 44 women were given birth. The mean age in the subject was 35/6±1/2 year, the mean of lumbar lordosis in the subjects 62/3 ± 9/7 degrees. The mean pelvic tilt in the subjects was 12‌/8 ± 5/6 degrees average pelvic incision was 47/9 ± 9/6 degrees, mean sailor tilt 35/4±7/7‌degrees, and mean sacral femoral angle in the subjects was 64/7±4/7degrees. Conclusion: The results of this study showed that lumbopelvic parameters were not statistically significant in both case and control groups, although the mean pelvic pelvis, pelvic incidence and tibial suction velocity were more in the case group than the control group, and the sacral femoral angle in the control group was higher Was from the case group.  9 ‌‌‌‌‌‌  خذ آمنابع و م  10  1. Yousef AM, Hanfy HM, Elshamy FF, Awad MA, Kandil IM. Postural Changes during Normal Pregnancy. Journal of American Science. 2011;7(6):1013-8. 2. Bullock JE, Jull GA, Bullock MI. The relationship of low back pain to postural changes during pregnancy. Aust J Physiother. 1987;33(1):10-7. 3. Gaymer C, Whalley H, Achten J, Vatish M, Costa ML. 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Lumbopelvic paramethers comparison in pre and postpartum women in kerman at 1397

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Lumbopelvic paramethers comparison in pre and postpartum women in kerman at 1397

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