fa بررسی فراوانی پارستزی پس از انجام جراحی دیسککتومی کمری یکطرفه و تکسطحی جراحی مغز و اعصاب Neurosurgery مقاله پژوهشی Research Article <div style="text-align: justify;"><span style="font-family:yekanYW;"><span style="color:#000000;"><span style="font-size:16px;"><span style="line-height:2;"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA">مقدمه</span><span lang="FA">:</span></b> <span lang="AR-SA">این</span> <span lang="AR-SA">مطالعه</span> <span lang="AR-SA">با</span> <span lang="AR-SA">هدف</span> <span lang="AR-SA">تعیین </span><span lang="FA">فراوانی</span> <span lang="AR-SA">پارستزی</span> <span lang="AR-SA">پس</span> <span lang="AR-SA">از</span> <span lang="AR-SA">جراحی</span> <span lang="AR-SA">دیسککتومی کمری،</span> <span lang="AR-SA">انجام</span> <span lang="AR-SA">شد.</span><span dir="LTR"><span style="line-height:115%"></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA">روش</span><span dir="LTR">‌</span></b><b> بررسی:</b> <span lang="AR-SA">مطالعه</span> <span lang="AR-SA">حاضر</span> <span lang="AR-SA">از نوع</span> <span lang="AR-SA">توصیفی مقطعی</span> <span lang="AR-SA">بود. بیمارانی</span> <span lang="AR-SA">که</span> <span lang="AR-SA">در</span> <span lang="AR-SA">پیگیری</span> <span lang="AR-SA">یک</span><span dir="LTR">‌</span><span lang="AR-SA">ساله</span> <span lang="AR-SA">پس</span> <span lang="AR-SA">از</span> <span lang="AR-SA">جراحی</span> <span lang="AR-SA">از</span> <span lang="AR-SA">پارستزی</span> <span lang="AR-SA">شکایت</span> <span lang="AR-SA">داشتند،</span> <span lang="AR-SA">براساس</span> <span lang="AR-SA">علائم</span> <span lang="AR-SA">بالینی</span> <span lang="AR-SA">و</span> <span lang="AR-SA">معاینه</span><span lang="FA">‌</span><span lang="AR-SA">فیزیکی</span> <span lang="AR-SA">شناسایی</span> <span lang="AR-SA">شدند.</span> <span lang="AR-SA">چک</span><span dir="LTR">‌</span><span lang="AR-SA">لیست</span> <span lang="AR-SA">تهیه</span><span dir="LTR">‌</span><span lang="AR-SA">شده</span> <span lang="AR-SA">برای</span> <span lang="AR-SA">همه</span> <span lang="AR-SA">بیماران</span> <span lang="AR-SA">تکمیل</span> <span lang="AR-SA">شد</span> <span lang="AR-SA">و</span> <span lang="AR-SA">اطلاعات</span> <span lang="AR-SA">بیماران</span> <span lang="AR-SA">با و بدون</span> <span lang="AR-SA">پارستزی</span> <span lang="AR-SA">مقایسه</span> <span lang="AR-SA">گردید.</span> <span lang="AR-SA">داده</span><span dir="LTR">‌</span><span lang="AR-SA">ها</span> <span lang="AR-SA">با</span> <span lang="AR-SA">استفاده</span> <span lang="AR-SA">از</span> <span lang="AR-SA">نرم</span><span dir="LTR">‌</span><span lang="AR-SA">افزار </span><span dir="LTR">SPSS</span><span lang="AR-SA">نسخه 16</span> <span lang="AR-SA">تحلیل</span> <span lang="AR-SA">شدند.</span><span dir="LTR"><span style="line-height:115%"></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA">یافته‌ها:</span></b><span lang="AR-SA"> در</span> <span lang="AR-SA">مجموع</span> <span lang="AR-SA">115</span> <span lang="AR-SA">نفر</span> <span lang="AR-SA">به</span> <span lang="AR-SA">روش</span> <span lang="AR-SA">سرشماری</span> <span lang="AR-SA">بررسی</span> <span lang="AR-SA">شدند.</span> <span lang="AR-SA">از</span> <span lang="AR-SA">میان</span> <span lang="AR-SA">13</span> <span lang="AR-SA">بیمار</span> <span lang="AR-SA">مبتلا</span> <span lang="AR-SA">به</span> <span lang="AR-SA">پارستزی</span> <span lang="AR-SA">پس از جراحی، 7 نفر (53.8 درصد)</span> <span lang="AR-SA">زن</span> <span lang="AR-SA">بودند.</span> <span lang="AR-SA">میانگین</span> <span lang="AR-SA">سن</span> <span lang="AR-SA">این</span> <span lang="AR-SA">بیماران 11.62</span><span lang="AR-SA">&plusmn;</span><span lang="AR-SA">48.23</span><span lang="FA">&nbsp;</span><span lang="AR-SA">سال</span> <span lang="AR-SA">بود</span> <span lang="AR-SA">و 61.5 درصد در</span> <span lang="AR-SA">وضعیت </span><span dir="LTR">prone</span><span lang="AR-SA">تحت</span> <span lang="AR-SA">عمل</span> <span lang="AR-SA">جراحی</span> <span lang="AR-SA">قرار</span> <span lang="AR-SA">گرفتند. میانگین</span> <span lang="AR-SA">درد</span> <span lang="AR-SA">بیماران</span> <span lang="AR-SA">پیش</span> <span lang="AR-SA">از</span> <span lang="AR-SA">جراحی 1.16&nbsp;</span><span lang="AR-SA">&plusmn;</span><span lang="AR-SA">&nbsp;8.76</span><span lang="FA">&nbsp;</span><span lang="AR-SA">و</span> <span lang="AR-SA">پس</span> <span lang="AR-SA">از</span> <span lang="AR-SA">جراحی 2.06&nbsp;</span><span lang="AR-SA">&plusmn;</span><span lang="AR-SA">&nbsp;3.07</span><span lang="FA">&nbsp;</span><span lang="AR-SA">بود. درد</span> <span lang="AR-SA">پس</span> <span lang="AR-SA">از</span> <span lang="AR-SA">عمل</span> <span lang="AR-SA">نسبت</span> <span lang="AR-SA">به</span> <span lang="AR-SA">قبل</span> <span lang="AR-SA">از</span> <span lang="AR-SA">عمل</span> <span lang="AR-SA">کاهش</span> <span lang="AR-SA">یافت</span> <span lang="AR-SA">و</span> <span lang="AR-SA">این</span> <span lang="AR-SA">تفاوت</span> <span lang="AR-SA">از</span> <span lang="AR-SA">نظر</span> <span lang="AR-SA">آماری</span> <span lang="AR-SA">معنی</span><span dir="LTR">‌</span><span lang="AR-SA">دار</span> <span lang="AR-SA">بود (0.048=</span><span dir="LTR">P</span><span lang="AR-SA">). همچنین،</span> <span lang="AR-SA">میانگین</span> <span lang="AR-SA">نمره</span> <span dir="LTR">ODI </span><span lang="AR-SA">پیش</span> <span lang="AR-SA">از</span> <span lang="AR-SA">جراحی 12.99&nbsp;</span><span lang="AR-SA">&plusmn;</span><span lang="AR-SA">&nbsp;35.5</span><span lang="FA">&nbsp;</span><span lang="AR-SA">و</span> <span lang="AR-SA">یکسال</span> <span lang="AR-SA">پس</span> <span lang="AR-SA">از</span> <span lang="AR-SA">جراحی 1.48&nbsp;</span><span lang="AR-SA">&plusmn;</span><span lang="AR-SA">&nbsp;11.25</span><span lang="FA">&nbsp;</span><span lang="AR-SA">بود.</span> <span lang="AR-SA">نمره</span> <span dir="LTR">ODI </span><span lang="AR-SA">پس</span> <span lang="AR-SA">از</span> <span lang="AR-SA">عمل</span> <span lang="AR-SA">نسبت</span> <span lang="AR-SA">به</span> <span lang="AR-SA">پیش</span> <span lang="AR-SA">از</span> <span lang="AR-SA">عمل</span> <span lang="AR-SA">کاهش</span> <span lang="AR-SA">معنی</span><span dir="LTR">‌</span><span lang="AR-SA">داری</span> <span lang="AR-SA">نشان</span> <span lang="AR-SA">داد (0.039=</span><span dir="LTR">P</span><span lang="AR-SA">).</span><span dir="LTR"><span style="line-height:115%"></span></span></span></span><br> <span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA">نتیجه</span><span dir="LTR">‌</span></b><b><span lang="AR-SA">گیری</span></b><span lang="AR-SA">: یافته</span><span dir="LTR">‌</span><span lang="AR-SA">های</span> <span lang="AR-SA">این</span> <span lang="AR-SA">مطالعه</span> <span lang="AR-SA">نشان</span> <span lang="AR-SA">داد</span> <span lang="AR-SA">که</span> <span lang="AR-SA">پارستزی</span> <span lang="AR-SA">پس</span> <span lang="AR-SA">از</span> <span lang="AR-SA">عمل</span> <span lang="AR-SA">نسبت</span> <span lang="AR-SA">به</span> <span lang="AR-SA">مطالعات</span> <span lang="AR-SA">پیشین</span> <span lang="AR-SA">شیوع</span> <span lang="AR-SA">کمتری</span> <span lang="AR-SA">داشت</span> <span lang="AR-SA">و</span> <span lang="AR-SA">با</span> <span lang="AR-SA">مدت</span> <span lang="AR-SA">رادیکولوپاتی،</span> <span lang="AR-SA">وجود</span> <span lang="AR-SA">دیابت</span> <span lang="AR-SA">شیرین</span> <span lang="AR-SA">و</span> <span lang="AR-SA">میانگین</span> <span lang="AR-SA">سن</span> <span lang="AR-SA">ارتباط معنادار</span> <span lang="AR-SA">داشت.</span> <span lang="AR-SA">افزون</span> <span lang="AR-SA">بر</span> <span lang="AR-SA">این،</span> <span lang="AR-SA">بیماران</span> <span lang="AR-SA">پس</span> <span lang="AR-SA">از</span> <span lang="AR-SA">دیسککتومی</span> <span lang="AR-SA">کمری</span> <span lang="AR-SA">در</span> <span lang="AR-SA">هر</span> <span lang="AR-SA">دو</span> <span lang="AR-SA">وضعیت</span> <span lang="AR-SA">دمر</span> <span lang="AR-SA">و</span> <span lang="AR-SA">زانو</span><span dir="LTR">-</span><span lang="AR-SA">سینه،</span> <span lang="AR-SA">کاهش</span> <span lang="AR-SA">درد</span> <span lang="AR-SA">را</span> <span lang="AR-SA">گزارش</span> <span lang="AR-SA">داد.</span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-family:Times New Roman;"><span style="color:#000000;"><span style="font-size:14px;"><span style="line-height:2;"><b>Introduction: </b>This study aimed to determine the Frequency of paresthesia after surgery separately from other post-operation complications.<br> <b>Methods: </b>The present study is descriptive cross-sectional research. The patients with paresthesia complaints after surgery after 1 year follow up were identified based on the clinical signs and physical examinations. The checklist prepared was completed by all patients and compared among patients with paresthesia and without paresthesia. Data were analyzed using SPSS software.<br> <b>Results: </b>115 people were studied by the census. Among 13 patients with new paresthesia, seven patients (53.8%) were female. The mean age of these patients was 48.23&plusmn;11.62, and 61.5% were operated in the prone position. The mean pain (VAS) of patients before surgery was 8.76&plusmn;1.16 and the mean pain of patients after surgery was 3.07 &plusmn;2.06. Post-operation pain was reduced compared to pre-operation and there was a significant difference (P=0.048). Moreover, the mean ODI score before surgery was 35.50&plusmn; 12.99, and the ODI score at 1 year after surgery was 11.25&plusmn; 1.48. Post-operation ODI score was reduced compared to pre-operation, and there was a significant difference (P=0.039).<br> <b>Conclusion: </b>The findings of this research showed that postoperative paresthesia is less common than in previous studies and is linked to the length of radiculopathy, the presence of DM and the mean of the age. Furthermore, the patients reported pain alleviation in the prone and knee-chest postures following lumbar discectomy.</span></span></span></span></div> پارستزی, فتق دیسک کمری, دیسککتومی کمری Paresthesia, Lumbar disc herniation, Lumbar discectomy 0 0 http://sjfm.ir/browse.php?a_code=A-10-2275-3&slc_lang=fa&sid=1 Mehdi Shafiei مهدی شفیعی m.shafiei@med.mui.ac.ir 1100319475328460011428 1100319475328460011428 Yes Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran گروه جراحی مغز و اعصاب، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان Omid Ziaei امید ضیایی Omidziaei75@yahoo.com 1100319475328460011429 1100319475328460011429 No Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran گروه جراحی مغز و اعصاب، دانشکده پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان