تﺎﺼﺨﺸﻣ ﺖﻴﻌﻤﺟ
ﻲﺘﺧﺎﻨﺷ ﺞﻨﺸﺗ ﻲﻨﻴﻟﺎﺑ و
زا ﻲﺷﺎﻧ ﺐﺗ
رد يﺮﺘﺴﺑ نﺎﻛدﻮﻛ ﻲﻟو نﺎﺘﺳرﺎﻤﻴﺑ رد هﺪﺷ
)
ﺮﺼﻋ
ﺞﻋ
ﺪﻨﺟﺮﻴﺑ
(ﻦﻴﻜﻤﻧ ﺐﻛﻮﻛ
،1
ﻒﻳﺮﺷ ﺎﺿﺮﻣﻼﻏ
2هداز ﺎﺿر ﻪﻧﺎﻤﺳ ،
3ﻲﻳ
هﺪﻴﻜﭼ
ﻪﻨﻴﻣز فﺪﻫ و ﺐﺗ زا ﻲﺷﺎﻧ ﺞﻨﺸﺗ:
، رد يﺮﺘﺴﺑ ﻊﻳﺎﺷ ﺖﻠﻋ ﻚﻳ و ﻲﻛدﻮﻛ نارود ﻲﺠﻨﺸﺗ لﻼﺘﺧا ﻦﻳﺮﺘﻌﻳﺎﺷ نﺎﺘﺳرﺎﻤﻴﺑ
نﺎﻛدﻮﻛ يﺎﻫ
ﻲﻣ ﺪﺷﺎﺑ . فﺪﻫ ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳا ﻦﻴﻴﻌﺗ
ﺞﻨﺸﺗ تﺎﻴﺻﻮﺼﺧ زا ﻲﺷﺎﻧ
ﺪﺷ مﺎﺠﻧا نﺎﻛدﻮﻛ ﺐﺗ .
شور ﻖﻴﻘﺤﺗ ﻲﻔﻴﺻﻮﺗ ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد: -
ﻲﻃ رد ،ﻲﻌﻄﻘﻣ ﻚﻳ
ﺪﻨﻔﺳا ﺎﺗ ﻦﻳدروﺮﻓ زا لﺎﺳ 1386
ﻲﺠﻨﺸﺗ نﺎﻛدﻮﻛ مﺎﻤﺗ 9
ﻫﺎﻣ ﻪ ﺎﺗ 6 ﻪﻟﺎﺳ
ﻲﻟو نﺎﺘﺳرﺎﻤﻴﺑ نﺎﻛدﻮﻛ ﺶﺨﺑ رد يﺮﺘﺴﺑ
)ﺮﺼﻋ
ﺞﻋ
ﺟﺮﻴﺑ(
ﺪﻧﺪﺷ ﻪﻌﻟﺎﻄﻣ دراو ﺪﻨ .
هداد ﺎﻫ ﺎﺑ زا هدﺎﻔﺘﺳا مﺮﻧ راﺰﻓا )SPSS
ﺶﻳاﺮﻳو 11 ( و نﻮﻣزآ
يﺎﻛ ود ﺢﻄﺳ رد ﻲﻨﻌﻣ يراد 05 /
α=0 ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ ﺪﺷ
ﺪﻧ .
ﻪﺘﻓﺎﻳ ﺎﻫ زا: 145 ،ﻪﻌﻟﺎﻄﻣ درﻮﻣ ﻲﺠﻨﺸﺗ كدﻮﻛ 102
درﻮﻣ ) 3 / 70 (%
ﺞﻨﺸﺗ زا ﻲﺷﺎﻧ و ﺪﻨﺘﺷاد ﺐﺗ 43
درﻮﻣ ) 7 / 19 (%
ﺞﻨﺸﺗ ﺮﮕﻳد ﻞﻠﻋ ﻪﺑ
ﺪﻧدﻮﺑ هدﺮﻛ .
ّﻨﺳ ﻦﻴﮕﻧﺎﻴﻣ ﺞﻨﺸﺗ ﻪﺑ ﻼﺘﺒﻣ نﺎﻛدﻮﻛ ﻲ
زا ﻲﺷﺎﻧ ﺐﺗ
، 6 /
±18 5 / 25 دﻮﺑ هﺎﻣ . ﺞﻨﺸﺗ زا ﻲﺷﺎﻧ ﺮﻛﺬﻣ ﺲﻨﺟ رد ﺐﺗ )
8 / 58
% (
ﺚﻧﺆﻣ ﺲﻨﺟ زا ﺮﺘﻌﻳﺎﺷ )
2 / 41 (%
دﻮﺑ . ﺞﻨﺸﺗ مﺮﻓ ﻦﻳﺮﺘﻌﻳﺎﺷ ترﻮﺻ ﻪﺑ ،
هدﺎﺳ ) 8 / 61
% ( ﺲﻜﻠﭙﻤﻛ ،نآ زا ﺲﭘ و )
2 / 38 (%
دﻮﺑ . ﺐﻟﺎﻏ ﻞﻜﺷ
ﺞﻨﺸﺗ ترﻮﺻ ﻪﺑ ﻚﻴﻧﻮﻠﻛ ﻚﻴﻧﻮﺗ
ﺮﺸﺘﻨﻣ دﻮﺑ ) 2 / 90 .(%
ﻪﻨﻴﻣز ﻞﻠﻋ ﻦﻳﺮﺘﻌﻳﺎﺷ زﺎﺳ
، ﺖﻧﻮﻔﻋ ﻲﺴﻔﻨﺗ يﺎﻫ )
1 / 45 (%
يﺪﻌﺑ هدر رد و
ﺖﻳﺮﺘﻧآوﺮﺘﺳﺎﮔ )
6 / 21 (%
دﻮﺑ . ﻦﺳ ﻦﻴﺑ
، ﻲﻨﻌﻣ طﺎﺒﺗرا ﺞﻨﺸﺗ عﻮﻧ و ﺲﻨﺟ ﺑ يراد
ﻪ ﺪﻣﺎﻴﻧ ﺖﺳد . ﺞﻨﺸﺗ زا ﻲﺷﺎﻧ هدﺎﺳ ﺐﺗ
، ﺎﺑ نﺎﻛدﻮﻛ رد
ﻲﻠﻴﻣﺎﻓ ﻪﻘﺑﺎﺳ عﻮﻧ ﻦﻳا
دﻮﺑ ﺮﺘﻌﻳﺎﺷ ﺞﻨﺸﺗ .
5 / 74 % ﺞﻨﺸﺗ ﻪﺑ ﻼﺘﺒﻣ نﺎﻛدﻮﻛ زا ﻲﺷﺎﻧ
ﺐﺗ ﺪﻧدﻮﺑ هدﺮﻛ ﻪﻌﺟاﺮﻣ ﻪﻠﻤﺣ ﻦﻴﻟوا ﺎﺑ .
ﻪﺠﻴﺘﻧ يﺮﻴﮔ تﺎﻴﺻﻮﺼﺧ: ﺖﻴﻌﻤﺟ
ﻲﺘﺧﺎﻨﺷ ﺞﻨﺸﺗ ﻲﻨﻴﻟﺎﺑ و زا ﻲﺷﺎﻧ
ﻪﻌﻟﺎﻄﻣ رد ﺐﺗ ﺮﺿﺎﺣ
ﻖﻃﺎﻨﻣ ﺮﮕﻳد تﺎﻌﻟﺎﻄﻣ ﻪﺑﺎﺸﻣ ﻲﻣ
ﺪﺷﺎﺑ
؛ ﺪﻨﭼﺮﻫ
مﺮﻓ زوﺮﺑ ناﺰﻴﻣ
ﺪﺟ درﻮﺧﺮﺑ ﻪﻛ دﻮﺑ ﻪﺟﻮﺗ ﻞﺑﺎﻗ ﺲﻜﻠﭙﻤﻛ ي
ﺮﺗ ي ار ﻲﻣ ﺪﺒﻠﻃ .
هژاو يﺪﻴﻠﻛ يﺎﻫ ﺐﺗ زا ﻲﺷﺎﻧ ﺞﻨﺸﺗ:
،نﺎﻛدﻮﻛ ، ﺧ ﺖﻴﻌﻤﺟ ،ﻲﻨﻴﻟﺎﺑ تﺎﻴﺻﻮﺼ ﻲﺳﺎﻨﺷ
ﺪﻨﺟﺮﻴﺑ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﻤﻠﻋ ﻪﻠﺠﻣ .
1389
؛ 17 ) 4 :(
281 - 287
ﺖﻓﺎﻳرد : 12 / 06 / 1388 ﺎﻬﻧ حﻼﺻا ﻲﻳ : 17 / 07 / 1389 شﺮﻳﺬﭘ : 24 / 07 / 1389
لوﺆﺴﻣ هﺪﻨﺴﻳﻮﻧ1
، نﺎﻛدﻮﻛ هوﺮﮔ رﺎﻳدﺎﺘﺳا
، ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد
، ﺪﻨﺟﺮﻴﺑ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ناﺮﻳا ،
سردآ : ﺪﻨﺟﺮﻴﺑ - يرﺎﻔﻏ نﺎﺑﺎﻴﺧ - ﻲﻟو نﺎﺘﺳرﺎﻤﻴﺑ
)ﺮﺼﻋ
ﺞﻋ
(
ﻦﻔﻠﺗ : 4443001 - 0561 ﻲﻜﻴﻧوﺮﺘﻜﻟا ﺖﺴﭘ [email protected]:
ﻲﻋﺎﻤﺘﺟا ﻲﻜﺷﺰﭘ هوﺮﮔ ﻲﺑﺮﻣ2
، ﺪﻨﺟﺮﻴﺑ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد
، ناﺮﻳا
ﻲﻣﻮﻤﻋ ﻚﺷﺰﭘ3
، ﺪﻨﺟﺮﻴﺑ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد
، ناﺮﻳا
ﻪﻣﺪﻘﻣ ﺞﻨﺸﺗ زا ﻲﺷﺎﻧ ﺐﺗ
FC )
1( ﻲﺠﻨﺸﺗ لﻼﺘﺧا ﻦﻳﺮﺘﻌﻳﺎﺷ
رد و ﺖﺳا ﻲﻛدﻮﻛ نارود 3
- 4
% خر نﺎﻛدﻮﻛ ﻲﻣ
ﻦﻳا ﻪﻛ ﺪﻫد
ﻪﺑ ﻖﻃﺎﻨﻣ ﻲﻀﻌﺑ رد ﻢﻗر 15
% ﻢﻫ ﻲﻣ ﺪﺳر ) 2،1 ( FC . ﻲﺠﻨﺸﺗ
زا ﺶﻴﺑ نﺪﺑ تراﺮﺣ ﻪﺟرد ﻲﻧﺎﻬﮔﺎﻧ ﻦﺘﻓر ﻻﺎﺑ ﺎﺑ ﻪﻛ ﺖﺳا 8
/ 37
رد نﺎﻛدﻮﻛ ﺮﻳز
ﺶﺷ قﺎﻔﺗا لﺎﺳ ﻲﻣ
ﺪﺘﻓا
؛ ﻦﻳا طﺮﺷ ﻪﺑ ﻪﻛ
تﻻﻼﺘﺧا ،يﺰﻛﺮﻣ بﺎﺼﻋا ﻢﺘﺴﻴﺳ ﺖﻧﻮﻔﻋ ﺮﻴﻈﻧ يدراﻮﻣ
دﺎﺣ ﻚﻴﻟﻮﺑﺎﺘﻣ دﻮﺟو يدازﻮﻧ ﺞﻨﺸﺗ ﺎﻳ ﺐﺗ نوﺪﺑ ﺞﻨﺸﺗ ﻪﻘﺑﺎﺳ و
ﺪﺷﺎﺑ ﻪﺘﺷاﺪﻧ )
3،1 (.
ﻦﻳا ﺞﻨﺸﺗ و هدﺎﺳ عﻮﻧ ود ﻪﺑ ﺲﻜﻠﭙﻤﻛ
ﻲﻣ ﻢﻴﺴﻘﺗ دﻮﺷ
. عﻮﻧ ﻞﻣﺎﺷ ار يدراﻮﻣ ﺲﻜﻠﭙﻤﻛ ﻲﻣ
ﻪﻛ دﻮﺷ
ﺞﻨﺸﺗ ﻲﻌﺿﻮﻣ ترﻮﺻ ﻪﺑ )
لﺎﻛﻮﻓ ( هدﻮﺑ
، زا ﺶﻴﺑ ﺎﻳ 10
- 15
هﺪﻴﺸﻛ لﻮﻃ ﻪﻘﻴﻗد و
ﺎﻳ رد
ﻲﻃ 24 ﺖﻋﺎﺳ
، ﺪﺷﺎﺑ هﺪﺷ راﺮﻜﺗ
) 1 .(
30 - 50 % ﻪﺑ ﻼﺘﺒﻣ نﺎﻛدﻮﻛ
،FC ﻪﺑﺮﺠﺗ ار يرﺎﻤﻴﺑ دﻮﻋ
ﻲﻣ ﺪﻨﻨﻛ ) 1 .(
ﺐﺟﻮﻣ يرﺎﻤﻴﺑ ﻖﻴﻗد ﺖﻴﻫﺎﻣ زا عﻼﻃا مﺪﻋ
ناردﺎﻣ صﻮﺼﺨﺑ ﻦﻳﺪﻟاو يدﺎﻋﺮﻴﻏ يﺎﻫرﺎﺘﻓر و باﺮﻄﺿا ﻲﻣ دﻮﺷ ﺮﻜﻓ ﻲﻀﻌﺑ و ﻲﻣ
ﺪﻫاﻮﺧ ﻲﺠﻨﺸﺗ ﻪﻠﻤﺣ ﺎﺑ كدﻮﻛ ﺪﻨﻨﻛ
دﺮﻣ
؛ رﺎﭼد ار نﺎﻧآ ﻢﻫ يرﺎﻤﻴﺑ دﻮﻋ و يﺪﻌﺑ ﻞﺣاﺮﻣ رد ﻲﻫﺎﮔآﺎﻧ
ﻞﻜﺸﻣ ﻲﻣ دزﺎﺳ .
ﺐﻃ رد
،نﺎﻛدﻮﻛ ﺚﺤﺑ
ﺐﺗ زا ﻲﺷﺎﻧ ﺞﻨﺸﺗ ﺟ زا
ﻪﻠﻤ
ﻪﻛ ﺖﺳا ﻲﺜﺣﺎﺒﻣ دﻮﺟو ﺎﺑ
ﺪﻌﺘﻣ تﺎﻌﻟﺎﻄﻣ درﻮﻣ هراﻮﻤﻫ ،د
ﺖﺳا هدﻮﺑ ﺾﻗﺎﻨﺘﻣ يﺎﻫﻮﮕﺘﻔﮔ ضﺮﻌﻣ رد و ﺮﻈﻧ فﻼﺘﺧا .
ﺎﺑ
ﻪﺑ ﻪﺟﻮﺗ ﺗﺄ
ﺮﻴﺛ توﺎﻔﺗ ﻲﻜﻴﺘﻧژ يﺎﻫ )
1 - 3 ( ﻲﻤﻴﻠﻗا ﻂﻳاﺮﺷ و
) 5،4 ( رد ناﺰﻴﻣ نآ زوﺮﺑ
، ﻪﻘﻄﻨﻣ تﺎﻌﻟﺎﻄﻣ ﻪﻛ دراد تروﺮﺿ يا
تﺎﻴﺻﻮﺼﺧ ﻲﺳرﺮﺑ ياﺮﺑ ﺮﻴﮔاﺮﻓ و ﺑ ﺎﺗ دﺮﻴﮔ ترﻮﺻ FC
ناﻮﺘ
ﺮﻄﺧ ضﺮﻌﻣ رد نارﺎﻤﻴﺑ ﻲﻳﺎﺳﺎﻨﺷ ﺎﺑ
، ﻲﺳرﺮﺑ ﻖﻳﺮﻃ زا
تﺎﻴﺻﻮﺼﺧ ﺖﻴﻌﻤﺟ
ﻲﺘﺧﺎﻨﺷ زا نآ
ﻪﻠﻤﺟ ﻪﻘﺑﺎﺳ ،ﺲﻨﺟ ،ﻦﺳ
ﻲﻠﻴﻣﺎﻓ
، ﺞﻨﺸﺗ عﻮﻧ و
تﺎﻣاﺪﻗا ،ﺞﻨﺸﺗ ﺎﺗ ﺐﺗ عوﺮﺷ ﻪﻠﺻﺎﻓ
دﺮﻛ لﺎﻤﻋا تﻼﻤﺣ راﺮﻜﺗ زا يﺮﻴﮕﺸﻴﭘ ياﺮﺑ ﻲﻔﻋﺎﻀﻣ
؛
ﻦﻴﻨﭽﻤﻫ ﻪﺑ نداد ﻲﻫﺎﮔآ ﻦﻤﺿ
نﺎﻨﻛرﺎﻛ زا ﻦﺘﺳﺎﻛ و ﻦﻳﺪﻟاو و
ﻧآ ﻲﻧاﺮﮕﻧ نﺎ
،
ﺪﺠﻣ ﻪﻠﻤﺣ هﺪﻫﺎﺸﻣ ﺎﺑ شزﻮﻣآ د
رد ار مزﻻ يﺎﻫ
ﺲﻜﻋ و ﺐﺳﺎﻨﻣ درﻮﺧﺮﺑ و دﺮﻛ ﻪﺋارا ﻊﻳﺮﺳ و ﺖﺳرد ﻞﻤﻌﻟا
Febrile convulsion١
ﻠﻋ يﺎﻤﻨﻫار طﻮﻄﺧ ﻲﻤ
ياﺮﺑ ﻲﻤﻴﻠﻗا ﻂﻳاﺮﺷ ﺎﺑ ﺐﺳﺎﻨﻣ و
ﻪﺋارا ﻦﻴﻴﻌﺗ نﺎﻜﺷﺰﭘ ﻪﻠﻤﺟ زا ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ نﺎﮔﺪﻨﻫد
دﺮﻛ .
ا ﺖﻴﻌﻤﺟ تﺎﻴﺻﻮﺼﺧ ﻦﻴﻴﻌﺗ فﺪﻫ ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳ ﻲﺘﺧﺎﻨﺷ
ﺎﻧ ﺞﻨﺸﺗ ﺐﺗ زا ﻲﺷ نﺎﺘﺳرﺎﻤﻴﺑ رد يﺮﺘﺴﺑ نﺎﻛدﻮﻛ رد
ﻲﻟو
)ﺮﺼﻋ
ﺞﻋ
ﻦﻳا رد ﻲﺳرﺮﺑ مﺎﺠﻧا مﺪﻋ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺪﻨﺟﺮﻴﺑ (
ﺖﻓﺮﮔ مﺎﺠﻧا ﻪﻘﻄﻨﻣ
شور ﻖﻴﻘﺤﺗ
ﻦﻳا ﻲﻔﻴﺻﻮﺗ ترﻮﺻ ﻪﺑ ﻪﻌﻟﺎﻄﻣ -
ﻲﻠﻴﻠﺤﺗ ) ﻲﻌﻄﻘﻣ ( ﻪﺑ
ﺪﻣ ﻚﻳ ت لﺎﺳ ﺪﻨﻔﺳا ﺎﺗ ﻦﻳدروﺮﻓ زا لﺎﺳ 1386
مﺎﻤﺗ يور ﺮﺑ
نﺎﻛدﻮﻛ 9 ﺎﺗ هﺎﻣ 6 رد ﺞﻨﺸﺗ ﺖﻠﻋ ﻪﺑ ﻪﻛ لﺎﺳ نﺎﻛدﻮﻛ ﺶﺨﺑ
ﻲﻟو نﺎﺘﺳرﺎﻤﻴﺑ
)ﺮﺼﻋ
ﺞﻋ
ﺪﻧدﻮﺑ هﺪﺷ يﺮﺘﺴﺑ ﺪﻨﺟﺮﻴﺑ (
، مﺎﺠﻧا ﺷ ﺪ .
ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد ﺎﺑ هاﺮﻤﻫ ﺞﻨﺸﺗ ﻪﻛ ﺪﺷ قﻼﻃا يدراﻮﻣ ﻪﺑ FC
ﺖﻧﻮﻔﻋ ﺪﻫاﻮﺷ و دﻮﺑ ﺐﺗ لﻼﺘﺧا ﺎﻳ يﺰﻛﺮﻣ ﻲﺒﺼﻋ ﻢﺘﺴﻴﺳ
و ﺪﺸﻧ ﺖﻓﺎﻳ ﻚﻴﻟﻮﺑﺎﺘﻣ ﺐﺗ نوﺪﺑ ﺞﻨﺸﺗ ﺎﻳ يدازﻮﻧ ﺞﻨﺸﺗ ﻪﻘﺑﺎﺳ
ﺖﺷاﺪﻧ دﻮﺟو كدﻮﻛ رد .
ﻊﻤﺟ ياﺮﺑ يروآ
هداد ﺎﻫ سﺎﺳا ﺮﺑ ﻪﺘﺧﺎﺳدﻮﺧ ﻪﻣﺎﻨﺸﺳﺮﭘ زا
ﺎﻀﻋا زا يداﺪﻌﺗ ﻂﺳﻮﺗ نآ ﻲﻳاﻮﺘﺤﻣ ﻲﻳاور ﻪﻛ حﺮﻃ فاﺪﻫا ي
ﻴﻫ ﺄ هوﺮﮔ ﻲﻤﻠﻋ ت نﺎﻛدﻮﻛ
هﺪﺷ ﺪﻴﻳﺎﺗ هﺎﮕﺸﻧاد بﺎﺼﻋا و ﺰﻐﻣ و
دﻮﺑ
، ﺪﻳدﺮﮔ هدﺎﻔﺘﺳا .
هداد ﺎﻫ ردﺎﻣ ﺎﺑ ﻪﺒﺣﺎﺼﻣ و رﺎﻤﻴﺑ هﺪﻧوﺮﭘ تﺎﻋﻼﻃا سﺎﺳا ﺮﺑ
ﻞﻴﻤﻜﺗ ﺷ ﺪ و مﺮﻧ زا هدﺎﻔﺘﺳا ﺎﺑ راﺰﻓا
)SPSS و ﺶﻳاﺮﻳ 11 ( و
يﺎﻛ نﻮﻣزآ ود
رد ﺮﺸﻴﻓ و ﻲﻨﻌﻣ ﺢﻄﺳ
يراد 05 / P<0 و ﻪﻳﺰﺠﺗ
ﻞﻴﻠﺤﺗ ﺪﻧﺪﺷ .
ﻪﺘﻓﺎﻳ ﺎﻫ
ﺪﻣ رد ﻚﻳ ت
،لﺎﺳ 145
ّﻨﺳ ﻦﻴﮕﻧﺎﻴﻣ ﺎﺑ كدﻮﻛ ﻲ
8 /
±20 28 يﺮﺘﺴﺑ نﺎﻛدﻮﻛ ﺶﺨﺑ رد ﺞﻨﺸﺗ ﺖﻳﺎﻜﺷ ﺎﺑ هﺎﻣ
داﺪﻌﺗ ﻦﻳا زا ﻪﻛ ﺪﻧدﻮﺑ
، 102 درﻮﻣ ) 3 / 70 (%
ﻂﻳاﺮﺷ ﻲﺷﺎﻧ ﺞﻨﺸﺗ
ﺐﺗ زا ﺪﻧدﻮﺑ اراد ار .
ﻴﻣ
ّﻨﺳ ﻦﻴﮕﻧﺎ ﻪﺑ ﻼﺘﺒﻣ نﺎﻛدﻮﻛ ﻲ
،FC
6 /
±18 5 / 25 دﻮﺑ هﺎﻣ .
ّﻦﺳ 8 / 61 % زا نﺎﻛدﻮﻛ ﻪﺑ ﻼﺘﺒﻣ
FC
لﺎﺳ ود زا ﺮﺘﻤﻛ دﻮﺑ
. 60 كدﻮﻛ ) 82 / 58 (%
و ﺮﺴﭘ 42 كدﻮﻛ
) 18 / 41 (%
ﺪﻧدﻮﺑ ﺮﺘﺧد .
8 / 61 % دراﻮﻣ و هدﺎﺳ ترﻮﺻ ﻪﺑ FC
2 / 38 % ترﻮﺻ ﻪﺑ دﻮﺑ ﺲﻜﭙﻤﻛ
. رد ﺮﺸﺘﻨﻣ ﺞﻨﺸﺗ 2
/ 90 % زا
نﺎﻛدﻮﻛ ﺪﺷ هﺪﻫﺎﺸﻣ
. رد 3 / 83 % نارﺎﻤﻴﺑ
، رد ﺞﻨﺸﺗ تﻼﻤﺣ
زا ﺮﺘﻤﻛ ﻪﻠﺻﺎﻓ 24
دﻮﺑ هداد خر ﺐﺗ عوﺮﺷ زا ﺪﻌﺑ ﺖﻋﺎﺳ .
ﻪﺟرد
تراﺮﺣ 38 - 40 رد داﺮﮕﻴﺘﻧﺎﺳ ﻪﺟرد 4
/ 82 % زا نارﺎﻤﻴﺑ ﺖﺒﺛ
ﺪﺷ دﻮﺑ ه . رد 1 / 94 % زا نﺎﻛدﻮﻛ
،
ﺪﻣ لﻮﻃ زا ﺮﺘﻤﻛ ﺞﻨﺸﺗ ت 15
ﻪﻘﻴﻗد دﻮﺑ . ﻲﺠﻨﺸﺗ ﻪﻠﻤﺣ ﺮﺘﺸﻴﺑ ﺎﻳ ود راﺮﻜﺗ
ﻲﻃ رد 24 ﺖﻋﺎﺳ
ﻠﻤﺣ ﻦﻴﻟوا زا ﺲﭘ رد ،ﻪ
4 / 29 % نارﺎﻤﻴﺑ زا شراﺰﮔ
ﺷ ﺪ . 5 / 74 %
ﻪﻠﻤﺣ ﻦﻴﻟوا ﺎﺑ نﺎﻛدﻮﻛ ﺐﺗ زا ﻲﺷﺎﻧ ﺞﻨﺸﺗ
ﻪﻌﺟاﺮﻣ هدﺮﻛ و ﺪﻧدﻮﺑ
5 / 25 % ﻲﻠﺒﻗ ﻪﻘﺑﺎﺳ ارFC
ﺘﺷاد ﺪﻨ . رد ﺐﺗ ﺖﻠﻋ 1
/ 45
% دراﻮﻣ
زا ﻲﺷﺎﻧ و ﻲﺴﻔﻨﺗ ﺖﻧﻮﻔﻋ رد
6 / 21
% زا ﻲﺷﺎﻧ ، وﺮﺘﺳﺎﮔ
آ ﺖﻳﺮﺘﻧ
ﻮﺑ د . ﻪﺴﻳﺎﻘﻣ ﺞﻨﺸﺗ عﻮﻧ )
و هدﺎﺳ ﺲﻜﻠﭙﻤﻛ (
ﺎﺑ يﺎﻫﺮﻴﻐﺘﻣ درﻮﻣ
ﻞﻣﺎﺷ ﻪﻌﻟﺎﻄﻣ ﻲﻠﻴﻣﺎﻓ ﻪﻘﺑﺎﺳ ،ردﺎﻣ ﺮﻴﺷ ﺎﺑ ﻪﻳﺬﻐﺗ ،ﻦﺳ ،ﺲﻨﺟ
ﺐﺗ زا ﻲﺷﺎﻧ ﺞﻨﺸﺗ ﻦﻳﺪﻟاو ﻲﻠﻴﻣﺎﻓ ﺖﺑاﺮﻗ ،عﺮﺻ ﻲﻠﻴﻣﺎﻓ ﻪﻘﺑﺎﺳ و
ﻲﻧﺎﻤﻳاز تﻼﻜﺸﻣ و رﺎﮕﻴﺳ ﻪﺑ ردﺎﻣ دﺎﻴﺘﻋا و
، ﻲﻨﻌﻣ توﺎﻔﺗ يراد
داﺪﻧ نﺎﺸﻧ )
لوﺪﺟ 1 .(
ﺚﺤﺑ زا ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد 145
،ﻲﺠﻨﺸﺗ كدﻮﻛ 112
كدﻮﻛ
) 4 / 83 (%
د ﺐﺗ هاﺮﻤﻫ ﺞﻨﺸﺗ ﻞﻣﺎﺷ ﻪﻛ ﺪﻨﺘﺷا
102 FC درﻮﻣ
) 3 / 70 (%
و 19 دﻮﺑ ﺐﺗ ﻲﻫاﺮﻤﻫ ﺎﺑ عﺮﺻ درﻮﻣ .
24 ﺰﻴﻧ كدﻮﻛ
عﻮﻴﺷ تﺎﻌﻟﺎﻄﻣ ﺮﻳﺎﺳ ﺪﻨﻧﺎﻣ رﺎﻣآ ﻦﻳا ﻪﻛ ﺪﻨﺘﺷاد ﺐﺗ نوﺪﺑ ﺞﻨﺸﺗ
ّﻨﺳ ﻪﻄﻴﺣ ﻦﻳا ردFC ﻲ
ﻲﻣ ﺪﺷﺎﺑ ) 6 - 8 .(
ّﻨﺳ ﻊﻳزﻮﺗ ﺮﻈﻧ زا
،ﻲﺴﻨﺟ و ﻲ ﺎﺗ ﺮﻛﺬﻣ ﺲﻨﺟ رد FC
ﻦﻳﺮﺘﺸﻴﺑ و دﻮﺑ ﻊﻳﺎﺷ يدوﺪﺣ دراﻮﻣ
ﺎﺳ ود رد نآ ﻲﮔﺪﻧز لوا ل
ﺪﻌﺘﻣ تﺎﻌﻟﺎﻄﻣ ﻪﺑﺎﺸﻣ ﻪﻛ دﻮﺑ ﺖﺳا ﺮﮕﻳد د
) 6،1 ، 9 - 12 (.
ﺖﺒﺴﻧ
ﺚﻧﺆﻣ ﻪﺑ ﺮﻛﺬﻣ 4
/ 1 ﻪﺑ 1 ﻦﻴﭼ ﻪﻌﻟﺎﻄﻣ ﻪﺑﺎﺸﻣ )
9 ( دﻮﺑ . رد
ﺖﺒﺴﻧ ﻦﻳا ﺮﻄﻗ ﻪﻌﻟﺎﻄﻣ 2
/ 1 ﻪﺑ 1 ﺪﺷ شراﺰﮔ )
10 .(
رد
ﻌﻟﺎﻄﻣ عﻮﻴﺷ ﺰﻴﻧ رﻮﺸﻛ يﺎﻫﺮﻬﺷ ﺮﻳﺎﺳ رد هﺪﺷ مﺎﺠﻧا تﺎ رد FC
اﺮﺴﭘ ن ﺮﺘﺸﻴﺑ ﺖﺳا هﺪﺷ شراﺰﮔ )
11،6 - 13 ( ﻪﻛ ﺖﻠﻋ نآ
ﺖﺴﻴﻧ ﺺﺨﺸﻣ .
لوﺪﺟ 1 - ﺖﻴﻌﻤﺟ تﺎﻴﺻﻮﺼﺧ ﻪﺴﻳﺎﻘﻣ زﺎﺳﺮﻄﺧ ﻞﻣاﻮﻋ و ﻲﺘﺧﺎﻨﺷ
ﺲﻜﻠﭙﻤﻛ و هدﺎﺳ ﻞﻜﺷFC
عﻮﻧ
FC
ﺮﻴﻐﺘﻣ هدﺎﺳ
) داﺪﻌﺗ : 63 ( ﺲﻜﭙﻤﻛ
) داﺪﻌﺗ : 39 ﻲﻨﻌﻣ ﺢﻄﺳ ( يراد
ﺲﻨﺟ ﺮﺘﺧد )
5 / 59 (%
25 ) 5 / 40 (%
69 17 / 0
22 (%36/7) 38 (%63/3) ﺮﺴﭘ
ﻦﺳ لﺎﺳ ود زا ﺮﺘﻤﻛ
) 7 / 58 (%
37 ) 3 / 41 (%
42 26 / 0
13 (%33/3) 26 (%66/7) لﺎﺳ ود يﻻﺎﺑ
ﻲﻠﻴﻣﺎﻓ ﻪﻘﺑﺎﺳ دراد FC
. )
6 / 70 (%
12 ) 4 / 29 (%
5 41
/ 0
34 (%40) 51 (%60) .دراﺪﻧ
عﺮﺻ ﻲﻠﻴﻣﺎﻓ ﻪﻘﺑﺎﺳ دراد
. )
5 / 45 (%
5 ) 5 / 54 (%
6 33
/ 0
33 (%36/3) 58 (%63/7) .دراﺪﻧ
ﻦﻳﺪﻟاو ﺖﺑاﺮﻗ دراد
. )
8 / 58 (%
30 ) 2 / 41 (%
54 21 / 0
18 (%35/3) 33 (%64/7) .دراﺪﻧ
راﻮﺧﺮﻴﺷ ﻪﻳﺬﻐﺗ ﺖﻴﻌﺿو ردﺎﻣﺮﻴﺷ
)
7 / 59 (%
46 ) 3 / 40 (%
46 31 / 0
8 (%22) 17 (%68) ردﺎﻣ و ﻲﻋﻮﻨﺼﻣ ﺮﻴﺷ
ﻲﮕﻠﻣﺎﺣ رد رﺎﮕﻴﺳ فﺮﺼﻣ دراد
. )
7 / 66 (%
2 ) 3 / 33 (%
1 1
38 (%38/4) 61 (%61/6) .دراﺪﻧ
ﻲﻧﺎﻤﻳاز تﻼﻜﺸﻣ ﻪﻘﺑﺎﺳ دراد
. )
3 / 83 (%
5 ) 7 / 16 (%
1 4
/ 0
38 (%39/6) 58 (%60/4) .دراﺪﻧ
ﻲﺳرﺮﺑ ﻦﻳا رد رد
3 / 83 %
،دراﻮﻣ زا ﺮﺘﻤﻛ رد تﻼﻤﺣ 24
ﺐﺗ عوﺮﺷ زا ﺪﻌﺑ ﺖﻋﺎﺳ
؛دﻮﺑ هﺪﺷ عوﺮﺷ رد
23 % ﺖﻋﺎﺳ رد
ﺐﺗ ﻪﻴﻟوا )
ﻪﺟﻮﺘﻣ زا ﻞﺒﻗ ﻲﺘﺣ كدﻮﻛ ﺐﺗ زا ﻦﻳﺪﻟاو نﺪﺷ
(
ﺖﺳا تﺎﻌﻟﺎﻄﻣ ﺮﻳﺎﺳ ﻪﺑﺎﺸﻣ ﻪﻛ دﻮﺑ هداد خر ﺞﻨﺸﺗ )
14،6 - 16 (.
هداد نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ ا
يرﺎﻤﻴﺑ لﺎﻤﺘﺣا ﻪﻛ ﺪﻧ ﺮﻴﻄﺧ يﺎﻫ
زا زور ﺪﻨﭼ ﻪﻠﺻﺎﻓ ﺎﺑ ﺞﻨﺸﺗ ﻪﻛ ﻲﺗرﻮﺻ رد ﺖﻳﮋﻨﻨﻣ ﺪﻨﻧﺎﻣ ﻲﺒﺼﻋ ﺪﻫد خر ﺐﺗ عوﺮﺷ
، ﺖﺳا ﺮﺘﺸﻴﺑ )
16،1 (
؛ ﻦﻳاﺮﺑﺎﻨﺑ ﻲﻣ
ناﻮﺗ
رد ﺞﻨﺸﺗ عﻮﻗو ﻪﻛ ﺖﻓﺮﮔ ﻪﺠﻴﺘﻧ ﻦﻴﻨﭼ 24
عوﺮﺷ لوا ﺖﻋﺎﺳ
ﺐﺗ
، يﺮﺘﺸﻴﺑ لﺎﻤﺘﺣا ﺎﺑ ﻲﻣ
ﺪﻧاﻮﺗ FC فﺮﻌﻣ
ﻲﻟﻮﻤﻌﻣ ﺪﺷﺎﺑ و
يﺮﻴﮕﺸﻴﭘ ياﺮﺑ نآ زا
ﻣ ﻲ
ﺪﺿ يﺎﻫوراد زا ناﻮﺗ ﺮﻴﻈﻧ ﺞﻨﺸﺗ
ﺪﺿ و مﺎﭘزﺎﻳد دﺮﻛ هدﺎﻔﺘﺳا ﺐﺗ
؛ عﻮﻗو زور ﺪﻨﭼ ﻪﻠﺻﺎﻓ ﺎﺑ ﺞﻨﺸﺗ
ﺐﺗ عوﺮﺷ زا
، مﺰﻠﺘﺴﻣ ﻲﺳرﺮﺑ ﻲﺼﻴﺨﺸﺗ ﺮﺘﺸﻴﺑ
ي ﻲﻣ ﺪﺷﺎﺑ .
ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد
، 8 / 61 % دراﻮﻣ
،FC و هدﺎﺳ عﻮﻧ زا 2
/ 38 %
دﻮﺑ ﺲﻜﭙﻤﻛ عﻮﻧ زا .
فﺮﺷا ﻪﻌﻟﺎﻄﻣ رد هداز
نارﺎﻜﻤﻫ و رد
،ﺪﻬﺸﻣ 46 % دراﻮﻣ FC هﺪﻫﺎﺸﻣ
،هﺪﺷ دﻮﺑ ﺲﻜﭙﻤﻛ عﻮﻧ زا ه
ﺖﺳا ) 17 .(
ﻲﺳرﺮﺑ رد ﺞﻨﺸﺗ زا ﻞﻜﺷ ﻦﻳا عﻮﻴﺷ مﺎﺠﻧا يﺎﻫ
هﺪﺷ
ﺐﻴﺗﺮﺗ ﻪﺑ ﺮﻬﺷﻮﺑ و دﺰﻳ رد 33
% و 5 / 32
% ﺖﺳا هﺪﺷ شراﺰﮔ
) 19،18 (.
زا ﻪﻌﻟﺎﻄﻣ ﻚﻳ ﺞﻳﺎﺘﻧ نﺎﺘﺴﻛﺎﭘ
ﻪﻛ داد نﺎﺸﻧ ﺰﻴﻧ 35
%
زا دراﻮﻣ زاFC دﻮﺑ ﺲﻜﭙﻤﻛ عﻮﻧ ﺖﺳا ه
) 20 .(
ﺪﻳﺎﺷ ﻪﻌﻟﺎﻄﻣ رد
ﺮﺿﺎﺣ
، ﺑ لﺮﺘﻨﻛ ﺞﻨﺸﺗ ﺎﺑ نارﺎﻤﻴ ﻞﻳﻻد ﻪﺑ هدﺎﺳ عﻮﻧ زا هﺪﺷ
هﺪﺷ يﺮﺘﺴﺑ ﺮﺘﻤﻛ ﻚﺷﺰﭘ ﺮﻈﻧ ﺎﻳ ﻲﺼﺨﺷ ﻦﻳا ﺎﻳ و ﺪﻧا
ًﺎﻌﻗاو ﻪﻛ
FC عﻮﻴﺷ ترﻮﺻ ﻪﺑ ﭙﻤﻛ
ﻠ ﺲﻜ
، ﻪﻘﻄﻨﻣ رد ﻲﺑﻮﻨﺟ نﺎﺳاﺮﺧ
ﻊﻴﺳو تﺎﻌﻟﺎﻄﻣ ﻪﺑ زﺎﻴﻧ ﻪﻛ ﺖﺳا ﺮﺘﻌﻳﺎﺷ دراد ﺮﺗ
؛ لﺎﺣ ﻦﻳا ﺎﺑ
رد ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد ﻲﻌﺿﻮﻣ ﺞﻨﺸﺗ 8
/ 9 % ﺑ دراﻮﻣ ﻪ ﻪﻛ ﺪﻣآ ﺖﺳد
د ر ﺮﺘﺸﻴﺑ ﻦﻴﺑ ﻲﺑﺮﻏ يﺎﻫرﻮﺸﻛ تﺎﻌﻟﺎﻄﻣ 3
- 5 % هﺪﺷ شراﺰﮔ
ﺖﺳا ) 16 .(
FC عﻮﻴﺷ ﻲﻌﺿﻮﻣ ﺰﻳﺮﺒﺗ رد
4 / 1 ناﺮﻬﺗ رد و
7 / 18 % ﺖﺳا هﺪﺷ شراﺰﮔ )
11،6 ( . ﺞﻨﺸﺗ ندﻮﺑ ﻲﻌﺿﻮﻣ ﺮﻈﻧ زا
ﺶﻴﭘ ﻦﻴﻴﻌﺗ ﻲﻬﮔآ
دراد ﺖﻴﻤﻫا .
زا ﻲﻜﻳ ﺮﻄﺧ ﻞﻣاﻮﻋ عﺮﺻ دﺎﺠﻳا
هﺪﻨﻳآ رد
، ﺗ ﺖﺳا ﻲﻌﺿﻮﻣ ﺞﻨﺸ )
1 (
؛ ﻦﻴﺑ ﻲﻌﻄﻗ طﺎﺒﺗرا ﺪﻨﭼ ﺮﻫ
ﺸﺗ ﺐﺗ زا ﻲﺷﺎﻧ ﺞﻨ ﺲﻳزوﺮﻠﻜﺳا لارﻮﭙﻤﺗ لﺎﻳﺰﻣ و
ﺺﺨﺸﻣ
هﺪﺸﻧ ﺖﺳا ) 21،16 ( ﺮﺗﻻﺎﺑ ﺞﻨﺸﺗ عﻮﻧ ﻦﻳا رد نآ لﺎﻤﺘﺣا ﻲﻟو
ﺖﺳا ) 22 (
؛ ﻲﻌﺿﻮﻣ زا ﻦﻳﺪﻟاو لﺎﺣ حﺮﺷ ﻪﺘﺒﻟا ًﺎﻀﻌﺑ ﺞﻨﺸﺗ ندﻮﺑ
ﺖﺴﻴﻧ دﺎﻤﺘﻋا ﻞﺑﺎﻗ
؛ ﺪﻳﺎﺑ دراﻮﻣ ﻦﻳا رد ﺮﺘﺸﻴﺑ تﺎﻌﻟﺎﻄﻣ ﻦﻳاﺮﺑﺎﻨﺑ
دﻮﺷ مﺎﺠﻧا .
ﺪﻌﺘﻣ تﺎﻌﻟﺎﻄﻣ د ﻚﻴﺘﻧژ ﺶﻘﻧ ﺮﺑ يد
زوﺮﺑ ر ﺞﻨﺸﺗ زا ﻲﺷﺎﻧ
ﺐﺗ ﺖﻟﻻد دراد . رد ،ﻪﻌﻟﺎﻄﻣ ﻦﻳا 7
/ 16 % ﻲﻠﻴﻣﺎﻓ ﻪﻘﺑﺎﺳ نﺎﻛدﻮﻛ
و FC 8 / 10 % ﺘﺷاد ﺐﺗ نوﺪﺑ ﺞﻨﺸﺗ ﻪﻘﺑﺎﺳ ﺪﻨ
. عﻮﻴﺷ ﻪﻘﺑﺎﺳ
ﺖﺒﺜﻣ ﻲﻠﻴﻣﺎﻓ ﺰﻳﺮﺒﺗ ﻪﻌﻟﺎﻄﻣ رد FC
5 / 35
%
، ﺮﻄﻗ ﻪﻌﻟﺎﻄﻣ رد
22 % ﻦﻴﭼ ﻪﻌﻟﺎﻄﻣ رد و 5
/ 11 % ﺖﺳا هﺪﺷ شراﺰﮔ )
10،9،6 ( .
ا ﻪﺑﺎﺸﻣ ﻢﻫ ﺮﮕﻳد تﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﺖﺳ
) 16،7 .(
ﻪﺟﻮﺗ ﻞﺑﺎﻗ ﻪﺘﻜﻧ
نﺎﻛدﻮﻛ رد ﻪﻛ ﻦﻳا ياراد
ﺖﺒﺜﻣ ﻲﻠﻴﻣﺎﻓ ﻪﻘﺑﺎﺳ
،FC دﻮﻋ ﺮﻄﺧ
ﺖﺳا ﺮﺘﺸﻴﺑ )
16،1 (
؛ ﻦﻳاﺮﺑﺎﻨﺑ يﺮﻴﮕﺸﻴﭘ ﻂﻳاﺮﺷ رد مﺎﭘزﺎﻳد ﺎﺑ
ﻪﻴﺻﻮﺗ نﺎﻛدﻮﻛ زا هوﺮﮔ ﻦﻳا ياﺮﺑ صﻮﺼﺨﺑ ﺐﺗ ﻲﻣ
دﻮﺷ .
ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد ﻲﮔداﻮﻧﺎﺧ ﻪﻘﺑﺎﺳ ﺎﺑ نﺎﻛدﻮﻛ رد هدﺎﺳ FC
و FC ﺐﺗ زا ﻲﺷﺎﻧ ﺞﻨﺸﺗ ﭙﻤﻛ
ﻠ ﺎﺑ نﺎﻛدﻮﻛ رد ﺲﻜ ﺞﻨﺸﺗ ﻪﻘﺑﺎﺳ
ﺐﺗ نوﺪﺑ
، ﻲﻨﻌﻣ طﺎﺒﺗرا ﻲﻟو دﻮﺑ ﺮﺘﻌﻳﺎﺷ يراد
ﺖﺷاﺪﻧ دﻮﺟو .
دﺎﺠﻳا رد
ﺪﻌﺘﻣ ﻞﻣاﻮﻋ FC ﺖﺳا ﻞﻴﺧد يد
) 1 ( . رد ﻲﻀﻌﺑ
رد رﺎﮕﻴﺳ فﺮﺼﻣ طﺎﺒﺗرا تﺎﻌﻟﺎﻄﻣ ردﺎﻣ
و رد ندﻮﺑ ضﺮﻌﻣ رد
و رﺎﮕﻴﺳ ﺎﺑ ﻲﻨﻴﻨﺟ نارود ﺐﺗ زا ﻲﺷﺎﻧ ﺞﻨﺸﺗ
هﺪﺷ ﺮﻛذ )
23 -
26 ( ﻪﻌﻟﺎﻄﻣ رد ﻲﻟو ﺮﺿﺎﺣ
ر ﻲﻨﻌﻣ طﺎﺒﺗ يراد
ﺑ ﻪ ﺪﻣﺎﻴﻧ ﺖﺳد .
ﻪﻨﻴﻣز ﻞﻠﻋ ﺐﺗ يرﺎﻤﻴﺑ زﺎﺳ
يرﺎﻤﻴﺑ يﻮﮕﻟا ﺎﺑ راد يﺎﻫ
ﻲﻧﻮﻔﻋ
ﺐﺗ هﺪﻨﻨﻛدﺎﺠﻳا
ّﻨﺳ هوﺮﮔ ﻦﻳا رد ﻪﺑﺎﺸﻣ و ﺖﺷاد ﺖﻘﺑﺎﻄﻣ ﻲ
تﺎﻌﻟﺎﻄﻣ ﺮﻳﺎﺳ
، ﺖﻧﻮﻔﻋ و ﻲﻧﺎﻗﻮﻓ ﻲﺴﻔﻨﺗ هﺎﮕﺘﺳد يﺎﻫ
يرﺎﻤﻴﺑ ﺪﻧدﻮﺑ ﺐﺗ ﻞﻠﻋ ﻦﻳﺮﺘﻌﻳﺎﺷ زا ﻲﻟﺎﻬﺳا يﺎﻫ )
17،6 ( .
ﺐﺗ زا ﻲﺷﺎﻧ تﺎﺠﻨﺸﺗ ﻪﭼﺮﮔا رد
ﺮﺘﺸﻴﺑ شﻮﺧ دراﻮﻣ ﻢﻴﺧ
ﻲﻘﻠﺗ ﻲﻣ ﻪﺿرﺎﻋ و دﻮﺷ ﺚﻋﺎﺑ ﻲﻟو دراﺪﻧ لﺎﺒﻧد ﻪﺑ هﺪﻨﻳآ رد يا
ﻦﻳﺪﻟاو باﺮﻄﺿا و سﺮﺗ ﻲﻣ
دﺮﮔ د . ﺖﻴﻫﺎﻣ زا عﻼﻃا مﺪﻋ
ﺐﺳﺎﻨﻣ درﻮﺧﺮﺑ و يرﺎﻤﻴﺑ يو هداﻮﻧﺎﺧ و رﺎﻤﻴﺑ
ﻞﻜﺸﻣ رﺎﭼد ار
ﻲﻣ دزﺎﺳ . ،ﻞﻴﻟد ﻦﻴﻤﻫ ﻪﺑ ﺪﻴﻔﻣ ﻦﻳﺪﻟاو شزﻮﻣآ
ﺖﺳا دﺎﻬﻨﺸﻴﭘ و
ﻲﻣ ا ﻲﻳﺎﻨﺷآ ياﺮﺑ دﻮﺷ ﻪﻌﻣﺎﺟ داﺮﻓ
، ﻪﻣﺎﻧﺮﺑ ﺎﻫ و ﻲﻬﻴﺟﻮﺗ ي
ﻪﻧﺎﺳر ﻖﻳﺮﻃ زا ﻲﺷزﻮﻣآ ﺎﻫ
دﻮﺷ ﻪﺘﺷاﺬﮔ ﻲﻌﻤﺟ ي .
ﻪﺠﻴﺘﻧ يﺮﻴﮔ
تﺎﻴﺻﻮﺼﺧ ﺖﻴﻌﻤﺟ
ﻲﺘﺧﺎﻨﺷ ﻲﻨﻴﻟﺎﺑ و ﻪﻌﻟﺎﻄﻣ ردFC
ﺮﺿﺎﺣ
ﻖﻃﺎﻨﻣ ﺮﮕﻳد تﺎﻌﻟﺎﻄﻣ ﻪﺑﺎﺸﻣ ﻲﻣ
ﺪﺷﺎﺑ
؛ ﺪﻨﭼﺮﻫ ﺖﺳد ﻪﺑ ناﺰﻴﻣ
هﺪﻣآ ﻞﻜﺷ عﻮﻴﺷ ﺲﻜﻠﭙﻤﻛ
ﺪﻨﺟﺮﻴﺑ رد FC ﻪﺟﻮﺗ ﻞﺑﺎﻗ
ﺖﺳا
ﺪﺟ درﻮﺧﺮﺑ ﻪﻛ ي
ﺮﺗ ي ار ﻲﻣ ﺪﺒﻠﻃ . ﺑ تﺎﻌﻟﺎﻄﻣ ﻴ
ﺮﺘﺸ زا ﻪﻠﻤﺟ ﻢﻫ تﺎﻌﻟﺎﻄﻣ ﻲﻫوﺮﮔ
ﺮﺑ ور ي نﺎﻛدﻮﻛ ﻼﺘﺒﻣ
FC ﻪﺑ اﺮﺑ ي
ﺳرﺮﺑ ﻲ ﻐﺘﻣ ﻴ ﺮ ﺎﻫ ي ﻒﻠﺘﺨﻣ
، ﻲﻣ ﺎﺳﺎﻨﺷ رد ﺪﻧاﻮﺗ ﻲﻳ
ﻧﺎﻛدﻮﻛ ﻲ ﻪﻛ
ﻧﻴ ﺪﻨﻣزﺎ و ﻪﺟﻮﺗ ﺑ ﺖﺒﻗاﺮﻣ ﻴ ﺮﺘﺸ ﺪﺷﺎﺑ ﺪﻴﻔﻣ ﺪﻨﺘﺴﻫ .
ﻊﺑﺎﻨﻣ :
1- Kliegman RM, Behrman RE, Jenson HB, Stanton B. Nelson Textbook of Pediatrics. 18th ed. USA: WB Saunders;
2007.
2- Sillanpää M, Camfield P, Camfield C, Haataja L, Aromaa M, Helenius H, et al. Incidence of febrile seizures in Finland: prospective population-based study. Pediatr Neurol. 2008; 38(6): 391-94.
3- Menkes JK. Textbook of Child Neurology. 5th ed. Baltimore: Williams and Wilkins; 1995.
4- Racacho LJ, McLachlan RS, Ebers GC, Maher J, Bulman DE. Evidence favoring genetic heterogeneity for febrile convulsions. Epilepsia. 2000; 41(2): 132-39.
5- Forsgren L, Sidenvall R, Blomquist HK, Heijbel J, Nyström L. An incident case-referent study of febrile convulsions in children: genetical and social aspects. Neuropediatrics. 1990; 21(3): 153-59.
6- Barzegar M, Kargar MH, Keivancher N. Epidemiologic and clinical features of first febrile convulsion in children.
Medical Journal of Tabriz University of Medical Sciences. 2006; 28(4): 17-21. [Persian]
7- Alaei M. Etiologic risk factors in with convulsion children. Kowsar Medical Journal. 2004; 9: 51-58. [Persian]
8- Ghotbi N, Soleymani S. Frequency of causes of children convulsion among 1 month to 12 years old children admitted to Besat Hospital. Scientific Journal of Kurdistan University of Medical Sscience. 2002; 7(1): 32-37. [Persian]
9- Chung B, Wat LC, Wong V. Febrile seizures in southern Chinese children: incidence and recurrence. Pediatr Neurol.
2006; 34(2): 121-26.
10- Bessisso MS, Elsaid MF, Almula NA, Kadomi NK, Zeidan SH, Azzam SB, et al. Recurrence risk after a first febrile convulsion. Saudi Med J. 2001; 22(3): 254-58.
11- Khoda Panahandeh F. Survey on 107 children with febrile convulsion in Firooz-Abadi Hospital. Journal of Iran University of Medical Science. 2001; 8(25): 269-72. [Persian]
12- Talebia A, Honarpisheh A, Mohajeri S, Taghadosi M. Surveying the risk factors for first febrile convulsion. FEYZ.
2003; 7(2): 55-58. [Persian]
13- Naghavi MA, Sobhani AR, Kharazi H. Recurrence of attack and associated factors in children with febrile convulsion admitted in hospital. Journal of Guilan University of Medical Sciences. 2000; 9(35-36): 22-27. [Persian]
14- Ling SG. Febrile convulsion: acute seizure characteristics and anti-convulsant therapy. Ann Trop Paediatr. 2000;
20(3): 227-30.
15- Pavlovic MV, Jarebinski MS, Pekmezovic TD, Marjanovic BD, Levic ZM. Febrile convulsions in a Serbian region:
a 10-year epidemiological study. Eur J Neurol. 1999; 6(1): 39-42.
16- Leung AK, Robson WL. Febrile seizures. J Pediatr Health Care. 2007; 21(4): 250-55.
17- Ashrafzadeh F, Hashemzadeh A, Malek A. Acute Otitis Media in children with febrile convulsion. The Iranian Journal of Otorhinolaryngology. 2004; 16(1): 33-39. [Persian]
18- Fallah R, Akavan-Karbasi S, MirNaseri FAS. Evaluation of demographic and clinical characteristics of first febrile seizures in children. Journal of Shahid Sadough University of Medical Sciences and Health Services. 2009; 16(5):
61-65. [Persian]
19- Sanayei A, Akhlaghi A, Pazoki R. Clinical risk factors of febrile seizure in a university hospital of in Busheher port.
Iranian South Medical Journal. 2007; 9(2): 168-74. [Persian]
20- Siddiqui TS. Febrile convulsions in children: relationship of family history to type of convulsions and age at presentation. J Ayub Med Coll Abbottabad. 2002; 14(4): 26-28.
21- Shinnar S, Glauser TA. Febrile seizures. J Child Neurol. 2002; 17 Suppl 1: S44-52.
22- Berg AT, Steinschneider M, Kang H, Shinnar S. Classification of complex features of febrile seizures: interrater agreement. Epilepsia. 1992; 33(4): 661-66.
23- Vahidnia F, Eskenazi B, Jewell N. Maternal smoking, alcohol drinking, and febrile convulsion. Seizure. 2008;
17(4): 320-26.
24- Cassano PA, Koepsell TD, Farwell JR. Risk of febrile seizures in childhood in relation to prenatal maternal cigarette smoking and alcohol intake. Am J Epidemiol. 1990; 132(3): 462-73; discussion 474-78.
25- Vestergaard M, Wisborg K, Henriksen TB, Secher NJ, Ostergaard JR, Olsen J. Prenatal exposure to cigarettes, alcohol, and coffee and the risk for febrile seizures. Pediatrics. 2005; 116(5): 1089-94.
26- Berg AT, Shinnar S, Shapiro ED, Salomon ME, Crain EF, Hauser WA. Risk factors for a first febrile seizure: a matched case-control study. Epilepsia. 1995; 36(4): 334-41.
Abstract Original Article
Demographic and clinical characteristic of febrile convulsion in children admitted in Valiasr hospital of Birjand
K. Namakin1, GhR. Sharifzadeh2, S. Rezaee3
Background and Aim: Febrile convulsion (FC) is the most common seizure disorder in childhood and a common cause of admission in pediatric hospitals. The present study was conducted to determine the characteristics of febrile convulsion in children.
Materials and Methods: In this cross-sectional study, all children (9 months to 6 years old) that were admitted with the diagnosis of seizure in pediatric department of Valiasr hospital of Birjand, during one year (March 2007 to 2008) were studied. The obtained data was analyzed by means of SPSS software (version 11) applying chi-square at the significant level of α=0.05.
Results: Out of 145 children with seizure, 102 cases (70.3%) had FC and 43(19.7%) had other causes. Mean age of children with FC was 25.5±18.6 months. FC was more prevalent in the boys than girls (58.8% vs.
41.2%). The most common types of seizure were simple FC (61.8%) and complex FC (38.2%). Generalized tonic-clonic seizure was the most common form (90.2%). The most common underlying causes were respiratory infections (45.1%), followed by gastroenteritis (21.6%). There was no significant correlation between age, sex and the type of seizure. Simple FC was more prevalent in children with the positive family history of this type of seizure. Majority (74.5%) of children were referred with the first attack of FC.
Conclusion: The epidemiological and clinical characteristics of FC in our study were similar to other studies in other places, although the incidence of complex FC was considerable that require a more serious approach.
Key Words: Febrile convulsion, children, clinical characteristics, epidemiology
Journal of Birjand University of Medical Sciences. 2011; 17(4): 281-287 Received: 03.09.2009 Last Revised: 09.10.2010 Accepted: 16.10.2010
1 Corresponding Author; Assistant Professor, Department of Pediatric, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran [email protected]
2 Instructor, Department of Social Medicine, Birjand University of Medical Sciences, Birjand, Iran
3 General Practitioner, Birjand University of Medical Sciences, Birjand, Iran
