fa نتایج ثبت بیماری مالتیپل اسکلروزیس در کرمانشاه در سال 1397 نورولوژی(بیماریهای مغز و اعصاب) Neurology گزارش کوتاه Brief Report <strong>&nbsp;</strong><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Koodak;">سابقه</span></span></span><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Koodak;"> و هدف:</span></span></span> <span style="font-family:B Zar;">مالتیپل اسکلروزیس (</span><span dir="LTR"><span style="font-size:10.0pt;">Multiple Sclerosis</span></span><span style="font-family:B Zar;">) یا </span><span dir="LTR"><span style="font-size:10.0pt;">MS</span></span> <span style="font-family:B Zar;">شایع</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">ترین</span> <span style="font-family:B Zar;">بیماری</span> <span style="font-family:B Zar;">ناتوان</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">کننده</span> <span style="font-family:B Zar;">نورولوژیک</span> <span style="font-family:B Zar;">در</span> <span style="font-family:B Zar;">بالغین</span> <span style="font-family:B Zar;">جوان</span> <span style="font-family:B Zar;">است</span><span dir="LTR"><span style="font-family:Arial,sans-serif;"><span style="font-size:10.0pt;">.</span></span></span> <span style="font-family:B Zar;">هدف</span><span style="font-family:B Zar;"> مطالعه </span><span style="font-family:B Zar;">حاضر گزارش نتایج</span> <span style="font-family:B Zar;">ثبت</span> <span style="font-family:B Zar;">بیماری</span> <span dir="LTR"><span style="font-size:10.0pt;">MS</span></span> <span style="font-family:B Zar;">در سال 1397 </span><span style="font-family:B Zar;">در</span> <span style="font-family:B Zar;">استان</span> <span style="font-family:B Zar;">کرمانشاه</span> <span style="font-family:B Zar;">می</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">باشد</span><span style="font-family:B Zar;">.</span><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Zar;"></span></span></span><br> <span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Koodak;">مواد و روش</span></span></span><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Zar;">‌</span></span></span><span style="letter-spacing:-.1pt;"><span style="color:black;"><span style="font-family:B Koodak;">ها:</span></span></span> <span style="font-family:B Zar;">در</span> <span style="font-family:B Zar;">این</span> <span style="font-family:B Zar;">مطالعه</span><span style="font-family:B Zar;"> مقطعی، که از شهریور 1396 تا شهریور 1397 انجام شد، ویژگی</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">های دموگرافیک و بالینی 353 بیمار </span><span style="font-family:B Zar;">در سامانه ثبت بیماری </span><span dir="LTR"><span style="font-size:10.0pt;">MS</span></span><span style="font-family:B Zar;"> ثبت گردید</span><span style="font-family:B Zar;">. </span><span style="font-family:B Zar;">داده</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">ها با استفاده از </span><span style="font-family:B Zar;">نرم</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">افزار آماری </span><span dir="LTR"><span style="font-size:10.0pt;">SPSS25</span></span><span style="font-family:B Zar;"> پردازش </span><span style="font-family:B Zar;">شدند.</span><span style="color:black;"><span style="font-family:B Zar;"></span></span><br> <span style="letter-spacing:-.2pt;"><span style="color:black;"><span style="font-family:B Koodak;">یافته</span></span></span><span style="letter-spacing:-.2pt;"><span style="color:black;"><span style="font-family:B Zar;">‌</span></span></span><span style="letter-spacing:-.2pt;"><span style="color:black;"><span style="font-family:B Koodak;">ها:</span></span></span><span style="font-family:B Zar;"> بیماران</span><span style="font-family:B Zar;"> در دامنه سنی</span><span style="font-family:B Zar;"> 18 </span><span style="font-family:B Zar;">تا</span><span style="font-family:B Zar;"> 62 </span><span style="font-family:B Zar;">سال</span> <span style="font-family:B Zar;">بودند</span><span style="font-family:B Zar;">. 80 درصد&nbsp; افراد زن و 20 درصد مرد بودند. </span><span style="font-family:B Zar;">میانگین</span> <span style="font-family:B Zar;">سنی</span> <span style="font-family:B Zar;">در</span> <span style="font-family:B Zar;">مردان 9/37</span> <span style="font-family:B Zar;">و</span> <span style="font-family:B Zar;">در</span> <span style="font-family:B Zar;">زنان 1/36</span> <span dir="LTR" style="position:relative;top:3.0pt;"><span style="font-size:10.0pt;"><img alt="" height="22" src="file:///C:UsersMHAJIA~1AppDataLocalTempmsohtmlclip11clip_image002.gif" width="4" ></span></span><span style="font-family:B Zar;">سال </span><span style="font-family:B Zar;">بود</span><span style="font-family:B Zar;">. </span><span style="font-family:B Zar;">45 درصد بیماران متولد سال</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">های 1360 تا 1370 بودند.</span> <span style="font-family:B Zar;">72 درصد بیماران، </span><span dir="LTR"><span style="font-size:10.0pt;">MS</span></span> <span style="font-family:B Zar;">نوع</span> <span dir="LTR"><span style="font-size:10.0pt;">RR</span></span><span style="font-family:B Zar;"> (عودکننده- فروکش</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">یابنده) </span><span style="font-family:B Zar;">داشتند. علامت</span> <span style="font-family:B Zar;">اولیه</span><span style="font-family:B Zar;"> بیماری </span><span style="font-family:B Zar;">در </span><span style="font-family:B Zar;">37</span> <span style="font-family:B Zar;">درصد </span><span style="font-family:B Zar;">افراد</span> <span style="font-family:B Zar;">علایم</span> <span style="font-family:B Zar;">بینایی</span> <span style="font-family:B Zar;">بود</span><span style="font-family:B Zar;">. میانگین </span><span style="font-family:B Zar;">سن شروع بیماری در</span> <span dir="LTR"><span style="font-size:10.0pt;">MS</span></span> <span style="font-family:B Zar;">نوع</span> <span dir="LTR"><span style="font-size:10.0pt;">PP</span></span><span style="font-family:B Zar;"> (پیشرونده اولیه) </span><span style="font-family:B Zar;">از</span> <span style="font-family:B Zar;">همه</span> <span style="font-family:B Zar;">بیش تر</span> <span style="font-family:B Zar;">و</span> <span style="font-family:B Zar;">در</span> <span dir="LTR"><span style="font-size:10.0pt;">MS</span></span> <span style="font-family:B Zar;">نوع</span> <span dir="LTR"><span style="font-size:10.0pt;">PR</span></span><span style="font-family:B Zar;"> (عودکننده- پیشرونده) </span><span style="font-family:B Zar;">از</span> <span style="font-family:B Zar;">همه</span> <span style="font-family:B Zar;">کم</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">تر</span> <span style="font-family:B Zar;">بود</span><span style="font-family:B Zar;">. 87 درصد </span><span style="font-family:B Zar;">از</span> <span style="font-family:B Zar;">افراد</span> <span style="font-family:B Zar;">توانایی</span> <span style="font-family:B Zar;">حداقل</span><span style="font-family:B Zar;"> 100 </span><span style="font-family:B Zar;">متر</span> <span style="font-family:B Zar;">پیاده</span> <span style="font-family:B Zar;">روی</span> <span style="font-family:B Zar;">را</span> <span style="font-family:B Zar;">داشتند</span><span style="font-family:B Zar;">.<span style="color:black;"></span></span><br> <span style="letter-spacing:-.2pt;"><span style="color:black;"><span style="font-family:B Koodak;">استنتاج:</span></span></span> <span style="font-family:B Zar;">وضعیت اپیدمیولوژیک</span><span style="font-family:B Zar;"> بیماری </span><span dir="LTR"><span style="font-size:10.0pt;">MS</span></span><span style="font-family:B Zar;"> در استان کرمانشاه مشابه با سایر نقاط ایران است. برنامه</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">ریزی مشابه با برنامه</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">های کشوری برای مدیریت و کنترل این بیماری در استان کرمانشاه پیشنهاد می</span><span style="layout-grid-mode:line;"><span style="font-family:B Zar;">‌</span></span><span style="font-family:B Zar;">شود.</span><span style="letter-spacing:-.2pt;"><span style="color:black;"><span style="font-family:B Zar;"></span></span></span> &nbsp;<strong>Background and purpose:</strong> Multiple sclerosis (MS) is the most prevalent neurological disability in young adults. This study aimed at reporting MS registry in Kermanshah province, Iran 2018.<br> <strong>Materials and methods:</strong> In this cross-sectional study, demographic and clinical characteristics of 353 patients were recorded in MS registry. Data analysis was done in SPSS V25.<br> <strong>Results:</strong> Patients aged 18-62 years, including 80% females (mean age: 36.1 years) and 20% males (mean age: 37.9 years). Almost 45% were born between 1981 and 1991. Relapsing-remitting MS (RRMS) was seen in 72%. Visual symptoms were initial signs of the disease in 37% of the patients. The mean age of onset of the disease was found to be high in patients with primary progressive MS (PPMS) and low in those with progressive-relapsing MS (PRMS). Among the patients, 87% were able to walk at least 100 meters.<br> <strong>Conclusion:</strong> The epidemiological situation of MS in Kermanshah province is similar to other parts of Iran. Planning according to national programs are suggested for the management and control of this disease in Kermanshah province. مالتیپل اسکلروزیس, رجیستری, کرمانشاه Multiple Sclerosis, registry, Kermanshah 147 152 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-10829-2&slc_lang=fa&sid=1 Nazanin Razazian نازنین رزازیان nrazazian@gmail.com 1003194753284600123896 1003194753284600123896 No Professor, Department of Neurology, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran استاد، گروه مغز و اعصاب، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران Soraya Siabani ثریا سیابانی ssiaba5034@uni.sydney.au 1003194753284600123897 1003194753284600123897 No Assistant Professor, Faculty of Public Health, Kermanshah University of Medical Sciences, Kermanshah, Iran استادیار، گروه بهداشت عمومی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران Daryoush Afshari داریوش افشاری afshari_d@yahoo.com 1003194753284600123898 1003194753284600123898 No Associate Professor, Department of Neurology, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran دانشیار، گروه مغز و اعصاب، دانشکده پزشکی، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران Mansour Rezaei منصور رضایی mrezaei@kums.ac.ir 1003194753284600123899 1003194753284600123899 No Professor, Department of Biostatistics,Social Development and Health Promotion Research Center,Kermanshah University of Medical Sciences, Kermanshah, Iran استاد، گروه آمار زیستی، مرکز تحقیقات توسعه اجتماعی و ارتقاء سلامت، دانشگاه علوم پزشکی کرمانشاه ، کرمانشاه ، ایران Negin Fakhri نگین فخری n.fakhri94@yahoo.com 1003194753284600123900 1003194753284600123900 Yes MSc in Biostatistics, Student Research Committee, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran کارشناس ارشد آمار زیستی، کمیته تحقیقات دانشجویی، دانشکده بهداشت، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران Kianoosh Khamooshian کیانوش خاموشیان akhak5678@gmail.com 1003194753284600123901 1003194753284600123901 No Neurologist, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran متخصص مغز و اعصاب، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران Marjan ghavimi مرجان قویمی meganghavimi@yahoo.com 1003194753284600123902 1003194753284600123902 No Neurologist, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran متخصص مغز و اعصاب، دانشگاه علوم پزشکی کرمانشاه، کرمانشاه، ایران