fa بررسی مقایسه‌ای پیامدهای جراحی در بیماران مبتلا و غیر مبتلا به کووید-۱۹ تحت جراحی اورژانسی جراحی عمومی General surgery گزارش کوتاه Brief Report &nbsp;<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="FA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span b="" style="font-family:" zar="">مطالعات پیشین در سایر نقاط </span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">جهان بیان کرده</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">اند که عمل جراحی روی بیماران مبتلا به کووید-19، <span style="letter-spacing:-.1pt">خطر ابتلا به عوارض و مرگ‌ و میر بعد از جراحی را افزایش می‌دهد. <span style="color:black">هدف از این پژوهش بررسی </span>مقایسه‌ای فراوانی پیامدهای</span> حین و بعد از جراحی اورژانس در بیماران مبتلا و غیرمبتلا به کووید-۱۹ در بیمارستان‌های شهرستان گنبدکاووس</span></span> <span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">وابسته به دانشگاه علوم پزشکی گلستان در سال ۱۴۰۰-۱۳۹۹ بود<span style="color:black"><span style="letter-spacing:-.2pt">.</span></span></span></span><span style="font-family:"B Zar"" lang="FA"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">در این مطالعه مقطعی، در دو گروه شامل 114 نفر فرد بزرگسال مبتلا<span style="letter-spacing:-.1pt"> (گروه </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="letter-spacing:-.1pt">A</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">) و غیرمبتلا (گروه </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="letter-spacing:-.1pt">B</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.1pt">)</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""> به کووید-19 تحت جراحی اورژانس، داده‌های مربوط به اطلاعات دموگرافیک، یافته</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">های آزمایشگاهی و پیامدهای حین و بعد از عمل جراحی، با استفاده از نرم‌افزار 26</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">SPSS</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""> توصیف و مقایسه شدند.</span></span><span style="font-family:"B Zar"" lang="FA"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">میانگین دو متغیر سن و وزن در گروه </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">A</span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""> (</span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">45/5 سال، </span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">16/6 </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">&plusmn;</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> 78/3 </span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">کیلوگرم</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">) بیش</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar="">تر از </span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">گروه</span></span> <span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">B</span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""> (39/3 سال، 11/<span style="letter-spacing:-.2pt">5 </span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:90%"><span style="letter-spacing:-.2pt">&plusmn;</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt"> 67/9 کیلوگرم) به</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">‌</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt">دست آمد</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.2pt">. تفاوت آماری معنادار در درصد اشباع اکسیژن خون شریانی پس از جراحی در بین بیماران</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> گروه </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">A</span></span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> (</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">1/38 </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> 94/7</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">) و </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">B</span></span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> (</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">2/83 </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">&plusmn;</span></span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> 91/7</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">) وجود داشت (0/0001</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">P<</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">). میانگین مدت زمان بستری در بخش مراقبت</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">های ویژه و بیمارستان در بیماران گروه </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">A</span></span></span> <span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">(به</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">ترتیب 8/5 و 9/8 روز) در مقایسه با گروه دیگر (به</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">ترتیب 5/4 و 6/0 روز) بیش</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">تر بود(0/0001</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">P<</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">). میزان بروز مرگ در بیماران گروه </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">A</span></span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> (76 درصد) بیش</span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">تر از گروه </span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">B</span></span></span><span style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black"> (23 درصد) بود (0/041</span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%"><span style="color:black">P=</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">).</span></span></span><span style="font-family:"B Zar"" lang="FA"></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">توصیه می</span></span><span lang="AR-SA" style="line-height:90%"><span b="" style="font-family:" zar=""><span style="color:black">‌</span></span></span><span lang="FA" style="line-height:90%"><span b="" style="font-family:" zar="">شود اعضای تیم جراحی توجه ویژه‌ای به افزایش بروز عوارض حین و بعد از جراحی در بیماران مبتلا به کووید-19تحت جراحی اورژانسی داشته و اقدامات پیشگیرانه و درمانی لازم را انجام دهند.</span></span><span style="font-family:"B Zar"" lang="FA"></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:150%"><span style="letter-spacing:-.2pt">Many studies suggest that surgery in patients with COVID-19 increases</span></span></span><span style="font-size:10.0pt"><span style="line-height:150%"> the risk of complications and mortality after surgery. The purpose of this research was to compare<br> the frequency of outcomes during and after surgery between patients with and without COVID-19 undergoing emergency surgery in Gonbad Kavus hospitals, 2020-2021.</span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:150%"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:150%">In this cross-sectional study, two groups of adults (n= 114) with and <span style="letter-spacing:-.1pt">without COVID-19 (group A and group B, respectively) who underwent emergency surgery were examined.</span> Demographic data, laboratory findings, and during and post-operative outcomes were recorded. Data analysis was done in SPSS V26.</span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:150%">Average age and weight in group A (45.5 years, 78.3&plusmn;16.6 Kg, respectively) were found to be higher than those in group B (39.3 years and 67.9&plusmn;11.5 Kg, respectively). Significant difference was seen in the percentage of arterial blood oxygen saturation after operations between group A (94.7&plusmn;1.38) and group B (91.7&plusmn;2.83) (P<0.0001). Also, mean ICU and hospital length of stay were significantly longer in group A (8.5 and 9.8 days, respectively) compared with group B (5.4 and 6 days, respectively) (P<0.0001). Moreover, death was observed more in group A (76%) than group B (23%) (P=0.041).</span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:150%"><span style="vertical-align:top"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span style="line-height:150%"><span arial="" style="font-family:">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:150%"> <span style="letter-spacing:-.1pt">All members of the surgical team are required to pay special attention to the increase </span>in the incidence of complications during and after surgery in patients with COVID-19 undergoing emergency surgery in order to take necessary preventive and therapeutic measures.<i></i></span></span></span></span></span></span><br> <strong>&nbsp;</strong> پیامدجراحی, جراحی اورژانسی, کووید-19 surgical outcome, emergency surgery, COVID-19 177 181 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-14901-2&slc_lang=fa&sid=1 Hooshang Akbari هوشنگ اکبری hooshangakbari48@yahoo.com 1003194753284600147737 1003194753284600147737 No Assistant Professor, Department of Anesthesiology, Faculty of Paramedical Sciences, Mazandaran University of Medical Sciences, Sari, Iran استادیار، گروه بیهوشی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی مازندران، ساری، ایران Ebrahim Nasiri ابراهیم نصیری rezanf2002@yahoo.com 1003194753284600147738 1003194753284600147738 No Assistant Professor, Department of Anesthesiology and Operating Room, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran استادیار، گروه بیهوشی، اتاق عمل، مرکز تحقیقات طب سنتی و مکمل، موسسه ترک اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران Maryam ChehrehGosha مریم چهره گشا Chehrehgosha2008@gmai.com 1003194753284600147739 1003194753284600147739 No Instructor, Department of Operating Room, Faculty of Paramedical Sciences, Golestan University of Medical Sciences, Gorgan, Iran مربی، گروه اتاق عمل، دانشکده پیراپزشکی، دانشگاه علوم پزشکی گلستان، گرگان، ایران Mahmood Moosazadeh محمود موسی زاده Mmoosazadeh1351@gmail.com 1003194753284600147740 1003194753284600147740 No Associate Professor, Gastrointestinal Cancer Research Center, Non-communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran دانشیار، مرکز تحقیقات سرطان گوارش، پژوهشکده بیماری های غیرواگیر، دانشگاه علوم پزشکی مازندران، ساری، ایران Elahe Dolati الهه دولتی dolati6467@gmail.com 1003194753284600147741 1003194753284600147741 Yes MSc Student in Operating Room Technology, Mazandaran University of Medical Science, Sari, Iran دانشجوی کارشناسی ارشد اتاق عمل، دانشگاه علوم پزشکی مازندران، ساری، ایران