Journal of Medical Council of Iran
مجله علمی پژوهشی سازمان نظام پزشکی ایران
jmciri
Medical Sciences
http://jmciri.ir
1
admin
1562-1073
3041-9956
8
10.22034
14
8888
13
fa
jalali
1401
3
1
gregorian
2022
6
1
40
4
online
1
fulltext
fa
بررسی عوامل پیش گویی کننده طول مدت بستری در کودکان مبتلا به سندرم گیلن باره
Investigating the Factors Affecting length of Hospital Stay in Children with Guillain-Barre Syndrome
عمومى
General
پژوهشي
Research
<span style="font-size:12.5pt"><span style="line-height:17pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" mitra="" style="font-family:"><span style="color:black"><span class="latin" new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt">زمینه</span></b></span><span class="latin" new="" roman="" style="font-family:" times=""><b><span dir="LTR" style="font-size:10.0pt">:</span></b></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">سندرم</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گیلن</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">باره</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">یک</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نوروپاتی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">متعاقب</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">عفونت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بواسطه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">سیستم</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">ایمنی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">می</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"><span calibri="" style="font-family:"></span></span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">باشد</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">که</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">سیر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بسیار</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">متغیری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دارد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">هدف</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مطالعه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">حاضر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بررسی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">عوامل</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">موثر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مدت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">زمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بستری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیماران</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مبتلا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گیلن</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">باره</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">می</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"><span calibri="" style="font-family:"></span></span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">باشد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span></span></span></span></span></span></span><br>
<span style="font-size:12.5pt"><span style="line-height:17pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" mitra="" style="font-family:"><span style="color:black"><span class="latin" new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt">روش</span></b></span><span class="latin" new="" roman="" style="font-family:" times=""><b> </b></span><span class="latin" new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt">کار</span></b></span><span class="latin" new="" roman="" style="font-family:" times=""><b><span dir="LTR" style="font-size:12.0pt">:</span></b></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">این</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مطالعه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گذشته</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نگر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">توصیفی</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">- </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تحلیلی،</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پرونده</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 324 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودک</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مبتلا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گیلن</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">باره</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">که</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">خرداد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 1382 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دی</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 1392 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیمارستان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تبریز</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پذیرفته</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شده</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بودند</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مورد</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بررسی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">قرار</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گرفت</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">این</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیمارستان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بزرگترین</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مرکز</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پزشکی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">برای</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شمال</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">غربی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">ایران</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">است</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">با</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بازنگری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مطالعه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دقیق</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">اطلاعات</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پرونده</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">های</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">موجود،</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">موارد</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گمشده</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دقت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مورد</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بررسی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">قرار</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گرفت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">حد</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">امکان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">خطاهای</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">احتمالی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">ثبت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">رکوردها</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">برطرف</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گردید</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span></span></span></span></span></span></span><br>
<span style="font-size:12.5pt"><span style="line-height:17pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" mitra="" style="font-family:"><span style="color:black"><span class="latin" new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt">یافته</span></b></span><span class="latin" new="" roman="" style="font-family:" times=""><b> </b></span><span class="latin" new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt">ها</span></b></span><span class="latin" new="" roman="" style="font-family:" times=""><b><span dir="LTR" style="font-size:12.0pt">: </span></b></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تعداد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 175 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیمار</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (%54) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دختر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 149 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیمار</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (%46) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پسر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بودند</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">محدوده</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">سنی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">حداقل</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 6 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">ماهه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">حداکثر</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 16 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">ساله</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">با</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">میانگین</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">سنی</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 3/66 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"><span calibri="" style="font-family:">±</span></span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 5/13 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">سال</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بود</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">این</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مطالعه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">موارد</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مراجعه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شده</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">فصل</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تابستان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیشتر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (104</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نفر،</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 32/1 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درصد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">سایر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">فصل</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"><span calibri="" style="font-family:"></span></span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">ها</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گزارش</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیماران</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مبتلا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گیلن</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">باره،</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 272 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مورد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (%86/4) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تحت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">با</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> IVIG </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">قرار</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گرفتند</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">که</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">این</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تعداد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 206 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مورد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (%65/4) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">فقط</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> IVIG </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دریافت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کردند</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 66 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مورد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (%21) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">همراه</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> IVIG </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">متیل</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پردنیزولون</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نیز</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دریافت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کردند</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. 17 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مورد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (%5/4) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیماران</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تحت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پلاسمافرز</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">قرار</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گرفتند</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 26 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مورد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (%8/3) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">هیچ</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درمانی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دریافت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نکردند</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درگیری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">حسی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">اتونوم</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">ترتیب</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> %46/6 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> %16/4 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مشاهده</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درگیری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">اعصاب</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کرانیال</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 127 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودک</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (39/4 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درصد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گزارش</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شد</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">که</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">این</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بین</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">اغلب</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (89 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نفر،</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 34/4 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درصد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">عصب</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کرانیال</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شماره</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 9 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درگیری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">داشتند</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بین</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تحت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مطالعه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تنها</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 31 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نفر</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (9/6 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درصد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نیاز</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تهویه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مکانیکی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پیدا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کرده</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بودند</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">که</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">برای</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">این</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">متوسط</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">زمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تهویه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مکانیکی</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 21/25 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"><span calibri="" style="font-family:">±</span></span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 20/75 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">روز</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">گزارش</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">متوسط</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مدت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">زمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بستری</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 10/07 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"><span calibri="" style="font-family:">±</span></span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 12/24 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">روز</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بود</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">که</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیش</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نیمی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> (181 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نفر،</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 59/9 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درصد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">) </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">یک</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">هفته</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیمارستان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">ترخیص</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شده</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بودند</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. 107 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نفر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> %35/4 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">یک</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">چهار</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">هفته</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> 14 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نفر</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> %4/7 </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیش</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">از</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">چهار</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">هفته</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بستری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شدند</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span></span></span></span></span></span></span><br>
<span style="font-size:12.5pt"><span style="line-height:17pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span b="" mitra="" style="font-family:"><span style="color:black"><span class="latin" new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt">نتیجه</span></b></span><span class="latin" new="" roman="" style="font-family:" times=""><b> </b></span><span class="latin" new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt">گیری</span></b></span><span class="latin" new="" roman="" style="font-family:" times=""><b><span dir="LTR" style="font-size:12.0pt">:</span></b></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کودکان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مبتلا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> GBS </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مدت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">زمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بستری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">رابطه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مستقیمی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">با</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">نوع</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دریافتی،</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درگیری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">اعصاب</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">اتونوم</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">کرانیال،</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">شدت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیماری،</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دریافت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تهویه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مکانیکی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دارد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیشترین</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تاثیر</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مدت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">زمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بستری</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">طولانی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">در</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">بیماران</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مبتلا</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"> GBS</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">،</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مربوط</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">به</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">درمان</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">با</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">پلاسمافرز</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">و</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">سپس</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">دریافت</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">تهویه</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">مکانیکی</span></span> <span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">می</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt"><span calibri="" style="font-family:"></span></span></span><span class="latin" new="" roman="" style="font-family:" times=""><span lang="FA" style="font-size:10.0pt">باشد</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span dir="LTR" style="font-size:10.0pt">. </span></span></span></span></span></span></span></span><br>
Abstract<br>
Background: Guillain Barre Syndrome (GBS) is an immune mediated neuropathy<br>
following infection with a highly variable course and outcome. The aim of this study<br>
was to investigate the factors affecting the length of hospital stay of children with<br>
GBS.<br>
Methods: In this retrospective descriptive-analytical study, the records of 324 children with GBS admitted in Tabriz Pediatric Hospital from June 2003 to December<br>
2013 were studied. By carefully reviewing the existing information, the missing<br>
cases were carefully examined and any possible errors in record-keeping were eliminated as far as possible<br>
Results: 175 patients (54%) were female and 149 patients (46%) were male. The<br>
age range was at least 6 months and maximum 16 years old and the mean was 5.13<br>
± 3.66 years. In this study, cases referring in summer were reported more (104 cases, 32.1%) than other seasons. In the treatment of patients with Guillain Barre, 272<br>
(86.4%) patients were treated with IVIG, of which 206 (65.4%) received IVIG alone<br>
and 66 (21%) with IVIG also received methylprednisolone. 17 cases (5.4%) were<br>
treated with plasmapheresis and 26 cases (8.3%) received no treatment. Sensory<br>
and autonomic nerve involvements were observed in 46.6% and 16.4% of children,<br>
respectively. Cranial nerve involvement was reported in 127 children (39.4%) of<br>
which most of patients had involvement of 9th cranial nerve (89 patients, 34.4%).Of<br>
the children under study, only 31 (9.6%) needed mechanical ventilation, with a mean<br>
of 20.75 ± 21.25 days for these children. The mean duration of hospital stay was<br>
10.07 ± 12.24 days, with more than half of the children (181 patients, 59.9%) being<br>
discharged from hospital within one week. 107 (35.4%) children were hospitalized<br>
for one to four weeks and 14 (4.7%) were hospitalized for more than four weeks.<br>
Conclusion: The duration of hospitalization in children with GBS has a direct relationship with the type of treatment, autonomic and cranial nerve involvement, severity of illness and mechanical ventilation.<br>
<br>
سندرم گیلن باره, کودکان, مدت زمان بستری
Guillain-Barre Syndrome, children, duration of hospitalization
287
291
http://jmciri.ir/browse.php?a_code=A-10-1643-2&slc_lang=fa&sid=1
Vahideh
Toopchizadeh
وحیده
توپچی زاده
10031947532846007190
10031947532846007190
No
Mohammad
Barzegar
محمد
برزگر
10031947532846007191
10031947532846007191
No
Sevda
Cheshmaie
سودا
چشمایی
10031947532846007192
10031947532846007192
No
Raha
Markazi Movaghar
رها
مرکزی موقر
10031947532846007193
10031947532846007193
No
Fatemeh
Jahanjou
فاطمه
جهانجو
10031947532846007194
10031947532846007194
No
Masood
Ghahvechi Akbari
مسعود
قهوه چی اکبری
masood.ghahvechi@yahoo.com
10031947532846007195
10031947532846007195
Yes
MD Physical Medicine