The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1397
7
1
gregorian
2018
10
1
26
7
online
1
fulltext
fa
بررسی علل مرگومیر بیماران HIVدر استان یزد از سال 94-1381
Study of causes of mortality in HIV patients in Yazd province during 2002-2015
بیماری های عفونی
Infectious Diseases
پژوهشي
Original article
<div style="text-align: justify;"><strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">مقدمه:</span></span></strong> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">در</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">سالهای</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">اخیر، </span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">به دلیل اپیدمی </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">HIV</span></span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">در ایران و جهان علی رغم پیشرفت های علمی در دارو درمانی،</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">HIV</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> یکی از علل عمده مرگ و میر در جهان محسوب میشود. </span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">مطالعه</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">حاضر</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">با</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">هدف</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">تعیین میزان فروانی علل مرگ و میر در بیمارن </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">HIV</span></span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">در یزد در سال های 81 الی 94 صورت پذیرفت</span></span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">.</span></span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">روش بررسی:</span></span></strong> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">این مطالعه از نوع مقطعی بر روی پرونده همه بیماران </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">HIV</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> فوت شده استان یزد (50 تمونه) که در مرکز مشاوره بیماری های رفتاری یزد در سال های 1381 تا 1394 ثبت گردیده بود انجام شد.</span></span></span> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">اطلاعات مربوط به </span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">سن، جنس، وضعیت اچ آی وی،</span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> استعمال دخانیات، سطح تحصیلات،</span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> میزان مرگ و میر</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">CD4</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">، عفونت هپاتیت</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">B</span></span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">و</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">C</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> ب</span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">ود.اطلاعات جمع اوری شده توسط نرم</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">افزار</span></span></span> <span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;"> SPSS</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> (نسخه 22) و با روش آمار توصیفی به صورت جداول فراونی استخراج شد. به منظور مقایسه آماری درصد</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">ها و متغیر</span></span></span> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">ها از آزمون </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">Chi- Square</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> استفاده شد.</span></span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتایج:</span></span></strong> <span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">تجزیه و تحلیل نتایج نشان داد که 84% از افراد مبتلا به اچ آی وی، مردان و 16% زنان بودند. 27 نفر (54%) در گروه سنی 35-64 سال، 20 نفر (40%) در گروه سنی 18 تا 34 سال و 3 نفر (6%) در گروه سنی 11-0 سال بودند.</span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> از بین دلایل فوت افراد مبتلا به بیماری </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">HIV</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">، بیشترین درصد فوت (20 درصد) مربوط به آنسفالوپاتی کبدی و پنومونی بود. </span></span></span><br>
<strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتیجهگیری:</span></span></strong> <span style="font-family:b nazanin;"><span style="font-size:12.0pt;">ویروس هپاتیت </span></span><span dir="LTR"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">C</span></span></span><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> در بیش از نیمی از مرگها دخالت داشت و<span style="color:black;"> هیچکدام به بیماری هپاتیت </span></span></span><span dir="LTR"><span style="color:black;"><span style="font-family:times new roman,serif;"><span style="font-size:10.0pt;">B</span></span></span></span><span style="color:black;"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;"> مبتلا نبودند. </span></span></span></div>
<strong>Introdution:</strong> In recent years, due to the HIV epidemic in Iran and the world, despite the scientific advances in drug therapy, HIV is one of the leading causes of mortality in the world. The present study was conducted with the aim of the mortality rate caused by HIV patients in Yazd during the years 2002 to 2015.<br>
<strong>Methods:</strong> This cross-sectional study was performed on all cases of HIV-infected patients in Yazd province (50 participants) that was registered at Yazd Behavioral Counseling Counseling Center during the years 2002 to 2015. Records are related to age, sex, education, HIV status, history of imprisonment, smoking, CD4 death rates, hepatitis B and C infection.The data were extracted by SPSS software (Version 22) using descriptive statistics method. Chi-Square test was used to compare the percentages and variables and the results were considered to be less than 5% significant.<br>
<strong>Results: </strong>The analysis of the results showed that 84% of the deceased were HIV infected by men and 16% were women. 54% (27 persons) died in the age group of 35-64 and 40% (20 persons)) were in the age group of 18 to 34 years and 6% (3 persons) in the age group of 0-11 years.<br>
<strong>Conclusion:</strong> More than half of the deaths at the same time with HIV are also caused by the viral hepatitis C virus infection. None of the deaths with HIV were affected by hepatitis B disease.
مرگ و میر, HIV, یزد
Mortality, HIV, Yazd
607
614
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-793-4&slc_lang=fa&sid=1
Seyed Alireza
Mousavi
سید علیرضا
موسوی
Alireza201083@yahoo.com