ﻲﺳرﺮﺑ
ﺮﺛا ﻲﺸﺨﺑ يﺎﻫادزﺪﻨﮔ ﺞﻳار
ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ﺮﺑ يﺎﻫ
اﺪﺟ هﺪﺷ ﺖﻤﺴﻗ زا يﺎﻫ
ﻒﻠﺘﺨﻣ رد دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﮕﺘﺧﻮﺳ و ﺢﻧاﻮﺳ نﺎﺘﺳرﺎﻤﻴﺑ ﻲﮕﺘﺧﻮﺳ ﺶﺨﺑ لﺎﺳ
1390
نﺎﮔﺪﻨﺴﻳﻮﻧ :
يرﺎﺘﺨﻣ يﺪﻬﻣ يﺪﻧز ﻪﻣﺎﮕﻨﻫ ،1
هﺮﻫﺎﻃ ،2
داز ﻲﻤﺳﺎﺟ يدﺎﺑآ ﻞﻬﺳ ﻪﻤﻃﺎﻓ ،3
يﺮﻈﺘﻨﻣ مﺮﻛا ،4
5
1 . ،ﻂﻴﺤﻣ ﺖﺷاﺪﻬﺑ ﻲﺳﺪﻨﻬﻣ هوﺮﮔ رﺎﻳدﺎﺘﺳا هﺎﮕﺸﻧاد
ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ دﺰﻳ
2 . ،ﻲﺳﺎﻨﺸﺑوﺮﻜﻴﻣ هوﺮﮔ رﺎﻳدﺎﺘﺳا هﺎﮕﺸﻧاد
ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ دﺰﻳ
3 . يﻮﺠﺸﻧاد ﻲﺳﺎﻨﺷرﺎﻛ ﺪﺷرا ﻲﺳﺪﻨﻬﻣ ﺖﺷاﺪﻬﺑ
،ﻂﻴﺤﻣ هﺎﮕﺸﻧاد ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ دﺰﻳ
4 . لﻮﺌﺴﻣ هﺪﻨﺴﻳﻮﻧ :
يﻮﺠﺸﻧاد ﻲﺳﺎﻨﺷرﺎﻛ ﺪﺷرا ﻲﺳﺪﻨﻬﻣ ﺖﺷاﺪﻬﺑ
،ﻂﻴﺤﻣ هﺎﮕﺸﻧاد ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ
ﻲﻗوﺪﺻ ﺪﻴﻬﺷ دﺰﻳ
سﺎﻤﺗ ﻦﻔﻠﺗ : 09153635508
Email: [email protected]
5 . دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﮕﺘﺧﻮﺳ و ﺢﻧاﻮﺳ نﺎﺘﺳرﺎﻤﻴﺑ ﻂﻴﺤﻣ ﺖﺷاﺪﻬﺑ سﺎﻨﺷرﺎﻛ
ﺖﺷاﺪﻬﺑ عﻮﻠﻃ
ﻲﺸﻫوﮋﭘ ﻲﻤﻠﻋ ﻪﻣﺎﻨﻫﺎﻣ ود هﺪﻜﺸﻧاد دﺰﻳ ﺖﺷاﺪﻬﺑ
لﺎﺳ ﻢﻫدرﺎﻬﭼ
هرﺎﻤﺷ : مﻮﺳ
رﻮﻳﺮﻬﺷ و دادﺮﻣ 1394
ﻞﺴﻠﺴﻣ هرﺎﻤﺷ :
51
لﻮﺻو ﺦﻳرﺎﺗ :
25 / 2 / 1392
شﺮﻳﺬﭘ ﺦﻳرﺎﺗ :
17 / 4 / 1392 هﺪﻴﻜﭼ
ﻪﻣﺪﻘﻣ : ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ نآ ﻲﻃ ﻪﻛ ﺖﺳا يﺪﻨﻳآﺮﻓ ﻲﻳادزﺪﻨﮔ ﺮـﻴﻏ حﻮﻄﺳ ياﺰﻳرﺎﻤﻴﺑ يﺎﻫ
زا هﺪـﻧز
ﻲـﻣ ﻦﻴـﺑ ،ﺪـﻧور
بﺎﺨﺘﻧا ﻲﻧﻮﻔﻋﺪﺿ هﺪﻨﻨﻛ ﺐﺳﺎﻨﻣ و يﺮﻴﮔرﺎﻜﺑ شور
يﺎﻫ دراﺪﻧﺎﺘﺳا ﻲﻳادزﺪﻨﮔ ﻲﻣ
ﺪﻧاﻮﺗ رد ﺶﻫﺎﻛ ﺖﻧﻮﻔﻋ يﺎـﻫ
ﺶﻘﻧ ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ يﺮﺛﺆﻣ
ﻪﺘﺷاد ﺪﺷﺎﺑ . فﺪﻫ ﻪﻌﻟﺎﻄﻣ ﻦﻳا ﻲﺑﺎﻳزرا
ترﺪـﻗ ﺮـﺛا ﻲـﺸﺨﺑ ادزﺪـﻨﮔ يﺎـﻫ ﺞـﻳار ﺮـﺑ يور
ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ اﺪﺟ يﺎﻫ
ﺖﻤﺴﻗ زا هﺪﺷ ﺶﺨﺑ ﻒﻠﺘﺨﻣ يﺎﻫ
ﻤﻴﺑ ﻲﮕﺘﺧﻮﺳ ﺪﻴﻬـﺷ ﻲﮕﺘﺧﻮﺳ ﺢﻧاﻮﺳ نﺎﺘﺳرﺎ
ﻲﻗوﺪـﺻ
ﻲﻣ دﺰﻳ ﺪﺷﺎﺑ .
شور ﻲﺳرﺮﺑ رد:
ﻲﻔﻴـﺻﻮﺗ ﻖـﻴﻘﺤﺗ ﻦﻳا -
ﺖﻤـﺴﻗ زا ﻲـﻠﻴﻠﺤﺗ رﻮـﻄﺑ ﻲﮕﺘﺧﻮـﺳ ﺢﻧاﻮـﺳ نﺎﺘـﺳرﺎﻤﻴﺑ ﻒـﻠﺘﺨﻣ يﺎـﻫ
ًﺎﻌﻤﺟ ﻲﻓدﺎﺼﺗ 240
ﻪﻧﻮﻤﻧ ﻪﺘﻓﺮﮔ ﻲﺑوﺮﻜﻴﻣ ﺪﺷ
) ادزﺪﻨﮔ ﺮﻫ ياﺮﺑ 30
ﻪﻧﻮﻤﻧ ﻞـﺒﻗ و 30 ﻪـﻧﻮﻤﻧ زا ﻲﻳادزﺪـﻨﮔ زا ﺪـﻌﺑ
نﺎﻜﻣ كﺮﺘﺸﻣ يﺎﻫ .(
رد ﻪﻧﻮﻤﻧ ،دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﺳﺎﻨﺷ بوﺮﻜﻴﻣ هﺎﮕﺸﻳﺎﻣزآ ﺎﻫ
يور ﺮـﺑ
ﻂﻴﺤﻣ رﺎﮔآ و راد نﻮﺧ رﺎﮔآEMB
ﺖﺸﻛ هداد ﻂﺳﻮﺗ ،هﺪﺷ ﺖﺴﺗ
يﺎـﻫ ﻲﻳﺎﻴﻤﻴـﺷﻮﻴﺑ و هﺪـﻳدﺮﮔ ﺖـﻳﻮﻫ ﻦﻴـﻴﻌﺗ
ﻲﻨﻠﻛ داﺪﻌﺗ ﺪـﺷ ﺺﺨﺸﻣ ﺎﻫ
. ادزﺪـﻨﮔ ﺲﻜﻧﻮـﻛد يﺎـﻫ 50AF
ﻲـﭘا ،ﺪﻴـﺳﻮﻜﺳد ، ﺲـﻜﻣ
درﻮـﻣ ﺖﭙـﺳﻮﻠﻴﺳ وSC
راﺮﻗ ﻲﺳرﺮﺑ ﺖﻓﺮﮔ
. هداد ﺎﻫ ﺎﺑ هدﺎﻔﺘﺳا يرﺎﻣآ نﻮﻣزآ زا T-Test
ﺪﻳدﺮﮔ ﺰﻴﻟﺎﻧآ ﻲﺟوز .
ﻪﺘﻓﺎﻳ :ﺎﻫ يﺮﺘﻛﺎﺑ ﻦﻴﮕﻧﺎﻴﻣ اﺪﺟ يﺎﻫ
زا هﺪﺷ 4
،نﺎﺘﺳرﺎﻤﻴﺑ ﻲﮕﺘﺧﻮﺳ ﺶﺨﺑ ﺖﻤﺴﻗ ﻞـﺒﻗ
زا ﺲﻜﻧﻮـﻛد ﺎـﺑ ﻲﻳادزﺪـﻨﮔ
50AF ﺲﻜﻣ ﻲﭘا ،ﺪﻴﺳﻮﻜﺳد ، ﺐـﻴﺗﺮﺗ ﻪﺑ ،ﺖﭙﺳﻮﻠﻴﺳ وSC
49 / 33737 ، 18 / 25784 ، 65 / 35085 و 77 / 30504 و
زاﺪﻌﺑ ﺐﻴﺗﺮﺗ ﻪﺑ ﻲﻳادزﺪﻨﮔ 3
/ 14 ، 42 / 18569 ، 15 / 2 و 63 / 5 توﺎـﻔﺗ ﻲﮔدﻮـﻟآ ﺶﻫﺎـﻛ ﺎﻫادزﺪـﻨﮔ ﻪـﻤﻫ رد ﻪﻛ دﻮﺑ
ﻲﻨﻌﻣ ﺖﺷاد يراد )
05 / p<0 .(
ﻊﻳﺎﺷ ﻦﻳﺮﺗ ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ يﺎﻫ
يﺎـﻫ اﺪـﺟ هﺪـﺷ ﻼﻴـﺴﺒﻠﻛ ،ازﻮـﻨﻳژوﺮﺋآ سﺎﻧﻮﻣودﻮـﺳ
،ﻪﻴﻧﻮﻣﻮﻨﭘ سﻮﻛﻮﻛﻮﻠﻴﻓﺎﺘﺳا ﻪﻧﻮﮔ،ﺲﻳﺪﻴﻣرﺪﻴﭘا
يﺎﻫ
،ﺮﺘﻛﺎﺑوﺮﺘﻧا ﺮﻤﺨﻣ و ﻲﻠﻛﺎﻴﺸﻳﺮﺷا
دﻮﺑ .
ﻪﺠﻴﺘﻧ :يﺮﻴﮔ
ﻢـﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ﺮـﺑ ،ﻪـﻌﻟﺎﻄﻣ درﻮـﻣ يﺎﻫادزﺪـﻨﮔ ﻪـﻤﻫ داد نﺎﺸﻧ ﺞﻳﺎﺘﻧ و هدﻮـﺑ ﺮﺛﺆـﻣ هﺪـﺷاﺪﺟ يﺎـﻫ
يﺮﺘﻛﺎﺑ داﺪﻌﺗ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻴﺑ ﻦﻴﻨﭽﻤﻫ ﻲﻨﻌﻣ فﻼﺘﺧا ﻲﻳادزﺪﻨﮔ ﺪﻌﺑ و ﻞﺒﻗ ﺎﻫ
ﻲـﭘا ادزﺪﻨﮔ ﻦﻳﺮﺗﺮﺛﺆﻣ و هﺪﻫﺎﺸﻣ يراد -
SC ﺲﻜﻣ ﺪﺷ ﻪﺘﺧﺎﻨﺷ .
هژاو يﺎﻫ يﺪﻴﻠﻛ ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ ﺖﻧﻮﻔﻋ ،ﻲﮕﺘﺧﻮﺳ ﺶﺨﺑ ،ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ،ادزﺪﻨﮔ:
ﻪﻣﺪﻘﻣ و گﺮــﻣ ﻞــﻣاﻮﻋ ﻦﻳﺮــﺗ ﺞــﻳار زا ﻲــﻜﻳ ﻲﮕﺘﺧﻮــﺳ ﻢــﺧز ﺖــﻧﻮﻔﻋ
ﺖـــﺳا ﻲﮕﺘﺧﻮـــﺳ ﻢـــﺧز زا ﺪـــﻌﺑ يﺪـــﺟ تﻼﻜـــﺸﻣ .
،ﻲﮕﺘﺧﻮـــﺳ
،هدﺮــﻛ ﺪﻌﺘــﺴﻣ ﺖــﻧﻮﻔﻋ ياﺮــﺑ ار نﺪــﺑ ﺖــﺳﻮﭘ ﻲﺘﻇﺎــﻔﺣ ﺶــﻘﻧ ﻢـــﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ دورو ﻦﻳاﺮﺑﺎـــﻨﺑ نﺪـــﺑ ﻪـــﺑ ار از يرﺎـــﻤﻴﺑ يﺎـــﻫ
ﻲـﻣ ﻞﻴﻬـﺴﺗ ﺪـﻨﻛ
) 1 .(
نارﺎـﻤﻴﺑ ﻼﺘـﺒﻣ ﻪـﺑ ﻲﮕﺘﺧﻮـﺳ ﻪـﺑ
ﺖـﻠﻋ زا
ﺖـﺳد نداد ﺖــﺳﻮﭘ ﻪــﻛ ﺖــﻬﺟ يزﺮـﻣ يﺮﻴﮔﻮــﻠﺟ
زا ذﻮــﻔﻧ
ﻢـﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ﺎـﻫ
ﻲـﻣ ﺪـﺷﺎﺑ ﻪـﺑ ﺖـﻧﻮﻔﻋ
سﺎـﺴﺣ رﺎﻴـﺴﺑ ﺪﻨﺘـﺴﻫ
.
رد
،ﻦﻤـﺿ ﻢﺘـﺴﻴﺳ ﻲﻋﺎـﻓد ﻦـﻳا نارﺎـﻤﻴﺑ رد ﺦـﺳﺎﭘ
ﺐﻴـﺳآ ﻪـﺑ
ﻲـﺷﺎﻧ زا ﻲﮕﺘﺧﻮـﺳ رﺎﻴـﺴﺑ
لﺎـﻌﻓ هدﻮـﺑ و ﻲـﺗاﺮﻴﻴﻐﺗ رد
ﻢﺘـﺴﻴﺳ
نآ ﻲــﻨﻤﻳا ﺎــﻫ
دﺎــﺠﻳا ﻲــﻣ دﻮــﺷ ) 2،3 .( ﻢــﺧز ﻲﮕﺘﺧﻮــﺳ اﺪــﺘﺑا
ﻞﻳﺮﺘﺳا ﺖـﺳا ﺎـﻣا رد تﺪـﻣ 12
،ﺖﻋﺎـﺳ يﺮﺘﻛﺎـﺑ ﺎـﻫ رد نآ ﺪـﺷر
ﻲــﻣ ﺪــﻨﻨﻛ ) 4 .(
زا
،ﻲــﻓﺮﻃ ﺶــﺨﺑ ﻲﮕﺘﺧﻮــﺳ ﻂﻴــﺤﻣ
ﻲﺒــﺳﺎﻨﻣ
ﺖــﻬﺟ ﺪــﺷر يﺮﺘﻛﺎــﺑ ﻲﻳﺎــﻫ ،ازﻮــﻨﻳژوﺮﺋآ سﺎﻧﻮﻣودﻮــﺳ ﺮــﻴﻈﻧ
ﺮﺘﻛﺎﺑﻮﺘﻴﻨــــﺳا كﻮﻛﻮﻠﻴﻓﺎﺘــــﺳا ،ﺮﺘﻛﺎــــﺑوﺮﺘﻧا يﺎــــﻫ ﻪــــﻧﻮﮔ،ﻲﻧﺎﻣﻮﺑ
سﻮﺋروا و هﺮﻴﻏ ﻲﻣ ﺪﺷﺎﺑ ) 5 .(
زا ﺎـﺠﻧآ ﻪـﻛ سﺎﻧﻮﻣودﻮـﺳ ازﻮـﻨﻳژوﺮﺋآ
يﺮﺘﻛﺎـﺑ ءﺰـﺟ يﺎـﻫ
ﻢـﻛ
زﺎـﻴﻧ ياﺮـﺑ ﺪـﺷر ﻲـﻣ
ﺪـﻧاﻮﺗ ﻲـﻣ ،ﺪـﺷﺎﺑ ﻪـﺑ
ﻲـﺘﺣار رد ﻂﻴـﺤﻣ
فاﺮـﻃا
هﺪـﻧﺎﻣ ﻲﻗﺎـﺑ و
ﻪـﺑ نارﺎـﻤﻴﺑ ﺪﻌﺘـﺴﻣ ﻞـﻘﺘﻨﻣ دﻮـﺷ . ﻖـﺒﻃ
شراﺰـﮔ يﺎـﻫ
،دﻮـﺟﻮﻣ ﻦـﻳا
يﺮﺘﻛﺎـﺑ مﺎـﻘﻣ لوا دﺎـﺠﻳا ﺖـﻧﻮﻔﻋ -
يﺎـﻫ رد ﻲﻧﺎﺘـﺳرﺎﻤﻴﺑ
ﻲﻧﺎـﻣرد ﺰـﻛاﺮﻣ ﻲﮕﺘﺧﻮـﺳ
ار ﺖـﺳاراد و
ﺐـﻠﻏا ﺖـﻧﻮﻔﻋ ار ﺎـﻫ رد نارﺎـﻤﻴﺑ ﻲﮕﺘﺧﻮـﺳ ﺐﺒـﺳ
ﻲـﻣ دﻮـﺷ ) 6 .(
ﻲـﻜﻳ زا ﻞﺋﺎـﺴﻣ ﻢـﻬﻣ و هﺪـﻤﻋ ﻪـﻛ رد لﺎـﺣ
،ﺮـﺿﺎﺣ ﺰـﻛاﺮﻣ
ﻲـﺷزﻮﻣآ ﻲﻧﺎـﻣرد-
و نﺎﺘـﺳرﺎﻤﻴﺑ ﺎـﻫ
ﺎـﺑ نآ ﻪـﻬﺟاﻮﻣ ﻲـﻣ
،ﺪﻨـﺷﺎﺑ ﺖــﻧﻮﻔﻋ ﺶﻳاﺰــﻓا
يﺎــﻫ ﻲﻧﺎﺘــﺳرﺎﻤﻴﺑ ﺖــﺳا
. ﻲﮔدﻮــﻟآ حﻮﻄــﺳ
ﻲــﻣ يزﺎــﺑ ﺶــﻘﻧ يرﺎــﻤﻴﺑ لﺎــﻘﺘﻧا رد ﺰــﻴﻧ ﻲــﻄﻴﺤﻣ ﺪــﻨﻨﻛ
) 9 - 7 .(
رد
ﻲﮔدﻮـــﻟآ ،ﺖـــﺴﻴﻧ هﺪـــﺷ ﻪﺘﺧﺎﻨـــﺷ ًﺎـــﻘﻴﻗد ﻂﻴـــﺤﻣ ﺶـــﻘﻧ ﻪـــﻜﻴﻟﺎﺣ و ﻚﻴﻣﺪــﻧآ ﺖــﻧﻮﻔﻋ رﺎــﺸﺘﻧا ﺚــﻋﺎﺑ ﺖــﺳا ﻦــﻜﻤﻣ ﻲــﻄﻴﺤﻣ حﻮﻄــﺳ ﺪﻧﻮﺷ ﻚﻴﻣﺪﻴﭘا )
10 .(
ﺎـــــﺑ رﺎـــــﻤﻴﺑ ﻲـــــﻜﻳدﺰﻧ رد ﻲـــــﻄﻴﺤﻣ حﻮﻄـــــﺳ هﺪـــــﺷ ﺖـــــﺑﺎﺛ ﻢــﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ﻲــﻣ هدﻮــﻟآ ﻲﻜﻳژﻮﻟﻮﻴﻣﺪــﻴﭘا ﻢــﻬﻣ يﺎــﻫ
و ﺪﻧﻮــﺷ
ﻢـــﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ﻦـــﻳا نﺎﺘـــﺳرﺎﻤﻴﺑ ﻒـــﻠﺘﺨﻣ حﻮﻄـــﺳ يور ﺮـــﺑ ﺎـــﻫ
ﻲــﻣ هﺪــﻧز ﺪــﻨﻧﺎﻣ
) 11 ( يﺮﺘﻛﺎــﺑ زا يرﺎﻴــﺴﺑ. ياﺮــﺑ ﻲــﻔﻨﻣ مﺮــﮔ يﺎــﻫ
ﻲــﻣ ﺎــﻫ هﺎــﻣ ﺪــﻨﻧﺎﻤﺑ هﺪــﻧز ﺪــﻨﻧاﻮﺗ
) 12 .(
ﻪــﻧﻮﮔ ،لﺎــﺜﻣ ياﺮــﺑ يﺎــﻫ
ﻲـــﻣ ﺮﺘﻛﺎﺑﻮﺘﻨﻴـــﺳا زا ﺪـــﻨﻧاﻮﺗ
3 ﺎـــﺗ زور 5 حﻮﻄـــﺳ يور ﺮـــﺑ هﺎـــﻣ
ﺪﻨﻧﺎﻤﺑ موﺎﻘﻣ ﻚﺸﺧ )
12،13 .(
ياﺮـﺑ زوﺮـﺑ و راﺮﻘﺘـﺳا ﺖـﻧﻮﻔﻋ رد ﻂﻴـﺤﻣ ﻲﻧﺎـﻣرد و ﺰـﻛاﺮﻣ
ﻲــﺷزﻮﻣآ
،ﻲﻧﺎــﻣرد – ﻲﮔدﻮــﻟآ
ﺎــﻫ زا هار ﺎــﻫ و مﺰﻴﻧﺎــﻜﻣ يﺎــﻫ
ﻲﻔﻠﺘﺨﻣ دراو ﻂﻴـﺤﻣ ﻲـﻣ و ﺪﻧﻮـﺷ ﻞـﻣاﻮﻋ يدﺪـﻌﺘﻣ ﻲـﻣ ﺪـﻨﻧاﻮﺗ رد
لﺎـﻘﺘﻧا ﺖـﻧﻮﻔﻋ ﺶـﻘﻧ ﻪﺘـﺷاد ﺪﻨـﺷﺎﺑ . زا ﻞـﻣاﻮﻋ ﻢـﻬﻣ شﺮﺘـﺴﮔ
ﺖـﻧﻮﻔﻋ يﺎـﻫ ﻲﻧﺎﺘـﺳرﺎﻤﻴﺑ ﻲـﻣ
ناﻮـﺗ ﻪـﺑ
هدﺎﻔﺘـﺳا مﺪـﻋ ﺢﻴﺤـﺻ
زا
ﺎﻫادزﺪﻨﮔ هرﺎﺷا
دﺮﻛ .
مﺰﻴﻧﺎــﮔراوﺮﻜﻴﻣ زا يرﺎﻴــﺴﺑ ﺎــﻳ ﻪــﻤﻫ فﺬــﺣ ﺪــﻨﻳاﺮﻓ ،ﻲﻳادزﺪــﻨﮔ -
يﺮﺘﻛﺎـﺑ رﻮﭙـﺳا ﺰـﺟ ﻪـﺑ نﺎـﺟ ﻲـﺑ حﻮﻄـﺳ يور ﺮـﺑ اﺰﻳرﺎـﻤﻴﺑ يﺎﻫ ﺎـﻫ
ﺖــﺳا . دﻮــﺷ مﺎــﺠﻧا ﻲﻳادزﺪــﻨﮔ ﺪــﻳﺎﺑ يزﺎــﺴﻛﺎﭘ لﺎــﺒﻧد ﻪــﺑ )
14 ( ،
شور نﻮــﭼ ياﺮــﺑ ﺖــﺳا ﻦــﻜﻤﻣ ﺎــﻫ ﺖــﻨﺟﺮﺗد ﺎــﺑ يزﺎــﺴﻛﺎﭘ يﺎــﻫ
نژﻮﺗﺎــﭘ ﻦــﻳا ﻦﺘــﺸﻛ ﺎﻧ نﺎﺘــﺳرﺎﻤﻴﺑ ﻂﻴــﺤﻣ رد ﺎــﻫ
ﺪــﺷﺎﺑ ﻲﻓﺎــﻛ )
11 ( و
ﻦﻴـــﻣز يور ﻲـــﺑوﺮﻜﻴﻣ رﺎـــﺑ ﺶﻫﺎـــﻛ رد ﺎﻫادزﺪـــﻨﮔ ﻲـــﻓﺮﻃ زا
ﺖـﻨﺟﺮﺗد زا ﺮﺗﺮﺛﺆـﻣ ﺪﻨﺘـﺴﻫ ﺎـﻫ
) 10 .(
داﻮـﻣ ﻲﻧﻮﻔﻋﺪـﺿ هﺪـﻨﻨﻛ
و
ﺎﻫادزﺪـﻨﮔ ﻪـﻤﻫ
هزور ياﺮـﺑ
ندﺮـﻛ ﻞﻳﺮﺘـﺳا و
ﺎـﻳ ﺪـﺿ ﻲﻧﻮـﻔﻋ
ندﺮﻛ هﺎﮕﺘـﺳد ﺎـﻫ و ﻞﺋﺎـﺳو ﻲﻜـﺷﺰﭘ و ﻦﻴـﻨﭽﻤﻫ قﺎـﺗا يﺎـﻫ ﻞـﻤﻋ
و
،نﺎـﻤﻳاز ﺶـﺨﺑ يﺎـﻫ
ﻦﻴـﻨﭽﻤﻫ ،ﻲﮕﺘﺧﻮـﺳ ﻒـﻛ
ﺮﻫار ﺎـﻫو و
حﻮﻄــﺳ ﻲــﻜﻳﺰﻴﻓ ﺎــﻫ نﺎﺘــﺳرﺎﻤﻴﺑ رﺎــﻜﺑ
ﻪــﺘﻓﺮﮔ ﻲــﻣ ﺪﻧﻮــﺷ ) 15 .(
شور زا ﻲــــﻜﻳ ﻲﻳﺎﻴﻤﻴــــﺷ داﻮــــﻣ زا هدﺎﻔﺘــــﺳا ﻲﻳادزﺪــــﻨﮔ يﺎــــﻫ
ﺖﺳادزﺪﻨﮔ )
16 .(
ﺖــﻧﻮﻔﻋ زا يﺮﻴﮕــﺸﻴﭘ رد ﻢــﻬﻣ رﻮﺘﻛﺎــﻓ ،ﺎﻫادزﺪــﻨﮔ ﺮﺛﺆــﻣ هدﺎﻔﺘــﺳا -
ﺖـــﺳا ﻲﻧﺎﺘـــﺳرﺎﻤﻴﺑ يﺎـــﻫ )
8 .(
رد ﺖـــﻴﻟﺎﻌﻓ ،ادزﺪـــﻨﮔ بﺎـــﺨﺘﻧا رد
نژﻮﺗﺎــﭘ ﺮــﺑاﺮﺑ ﺎــﺑ هاﺮــﻤﻫ يﺪــﻴﻠﻛ يﺎــﻫ
زا ﻲﮔﺪﻨــﺸﻛ ﻞــﻤﻋ ﺖﻋﺮــﺳ
ﻢــﻬﻣ ﺪﻨﺘــﺴﻫ ﺎــﻫرﻮﺘﻛﺎﻓ ﻦﻳﺮــﺗ )
17 (.
ﺖــﺳا ﻦــﻜﻤﻣ ﻦــﻳا ﺮــﺑ هوﻼــﻋ
و ﻪﺘـــﺷاد ﺮـــﻄﺧ ﻂﻴـــﺤﻣ و نارﺎـــﻤﻴﺑ ،ناﺪـــﻨﻣرﺎﻛ ياﺮـــﺑ ﺎﻫادزﺪـــﻨﮔ ﺪﻨﺘـﺴﻫ صﺎـﺧ ﻲـﻨﻤﻳا تﺎـﻃﺎﻴﺘﺣا ﺪـﻨﻣزﺎﻴﻧ ﻦﻳاﺮﺑﺎـﻨﺑ )
18 ( هدﺎﻔﺘـﺳا و
زا لﻮﻠﺤﻣ يﺎـﻫ ﻲﻧﻮﻔﻋﺪـﺿ هﺪـﻨﻨﻛ
ﺮﺛﺆـﻣ و ﻲـﺑ ﺮـﻄﺧ و
ﻞﻗاﺪـﺣ ﺎـﺑ
ﺐﻴـﺳآ ﻪـﺑ ﻞﻳﺎـﺳو و ﻞﻨـﺳﺮﭘ ـﻜﻳ ﻲ زا لﻮـﺻا
ﻲﻧﻮﻔﻋﺪـﺿ ﻲـﺳﺎﺳا
ندﺮﻛ ﻲﻣ ﺪﺷﺎﺑ .
ﻪـﻜﻨﻳا ﻪـﺑ ﻪـﺟﻮﺗ ﺎـﺑ رد
ﻂﻴـﺤﻣ يﺎـﻫ ﻲﻧﺎـﻣرد بﺎـﺨﺘﻧا عﻮـﻧ هدﺎـﻣ
ياراد ادزﺪــﻨﮔ ﺖــﻴﻤﻫا
ﻲــﻣ نﺎﺘــﺳرﺎﻤﻴﺑ رد ﻪــﻛ ﺎــﺠﻧآ زا و ﺪــﺷﺎﺑ
يﺎﻫادزﺪــﻨﮔ زا ﻲــﺧﺮﺑ ﺮــﺛا دﺰــﻳ ﻲﻗوﺪــﺻ ﺪﻴﻬــﺷ ﻲﮕﺘﺧﻮــﺳ ﺢﻧاﻮــﺳ ﻢﻴﻤــﺼﺗ اﺬــﻟ ،ﺖــﺳا ﻪــﺘﻓﺮﮕﻧ راﺮــﻗ ﻲــﺳرﺮﺑ درﻮــﻣ نﻮﻨﻛﺎــﺗ دﻮــﺟﻮﻣ ﺮــﺛا ﻢﻴﺘﻓﺮــﮔ 4
ﺲﻜﻧﻮــﻛد يادزﺪــﻨﮔ AF50
ﺲــﻜﻣ ﻲــﭘا ، ،SC
ﻢــــﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ يور ﺮــــﺑ ار ﺖﭙــــﺳﻮﻠﻴﺳ و ﺪﻴــــﺳﻮﻜﺳد يﺎــــﻫ
ﺑﺎـــﻳزرا درﻮـــﻣ ﻲﮕﺘﺧﻮـــﺳ ﺶـــﺨﺑ رد دﻮـــﺟﻮﻣ راﺮـــﻗ ﻪـــﺴﻳﺎﻘﻣ و ﻲ
ﻢﻴﻫد . ﻲﺳرﺮﺑ شور
ﻲﻔﻴـﺻﻮﺗ عﻮـﻧ زا ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ -
رد يرادﺮـﺑ ﻪـﻧﻮﻤﻧ و هدﻮـﺑ ﻲـﻠﻴﻠﺤﺗ
ﺮﻬـﺷ ﻲﻗوﺪـﺻ ﺪﻴﻬـﺷ ﻲﮕﺘﺧﻮـﺳ ﺢﻧاﻮـﺳ نﺎﺘﺳرﺎﻤﻴﺑ ﻲﮕﺘﺧﻮﺳ ﺶﺨﺑ ﺪﺷ مﺎﺠﻧا دﺰﻳ .
رد ﻦﻳا رﺎـﻤﻴﺑ سﺎـﻤﺗ ﺢﻄﺳ ﻦﻳﺮﺘﺸﻴﺑ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻖﻴﻘﺤﺗ
داﺪﻌﺗ ﻞﻨﺳﺮﭘ و 30
ﺖﻤﺴﻗ زا ﻞﺤﻣ قﺎﺗا رد ﻒﻠﺘﺨﻣ يﺎﻫ
ﺮﺘﺴﺑ يﺎﻫ ،ي
و بﺎـﺨﺘﻧا نﺎﺘـﺳرﺎﻤﻴﺑ ﻲﮕﺘﺧﻮـﺳ ﺶـﺨﺑ روﺪﻳﺮﻛ و نﺎﻤﺴﻧﺎﭘ ،ﻪﻟوﺰﻳا
ًﺎـﻌﻤﺟ ﻲﻓدﺎـﺼﺗ ترﻮـﺻ ﻪـﺑ و ﺪﻳدﺮﮔ يراﺬﮔ ﺖﻣﻼﻋ 240
ﻪـﻧﻮﻤﻧ
ﻪﺘﻓﺮﮔ ﻲﺑوﺮﻜﻴﻣ ﺪﺷ
) ادزﺪﻨﮔ ﺮﻫ ياﺮﺑ 30
ﻪﻧﻮﻤﻧ ﻞﺒﻗ و 30 ﻪـﻧﻮﻤﻧ ﺪـﻌﺑ
نﺎﻜﻣ زا ﻲﻳادزﺪﻨﮔ زا كﺮﺘﺸﻣ يﺎﻫ
.(
تﺎﻋﺎﺳ رد 11
- 10 ﻚـﻳ ،حﻮﻄـﺳ ندﺮـﻛ ﻲﻳادزﺪـﻨﮔ زا ﻞـﺒﻗ ،ﺢﺒﺻ
و هدﺮـﻛ بﻮﻃﺮﻣ ﻞﻳﺮﺘﺳا ﻚﻳژﻮﻟﻮﻳﺰﻴﻓ مﺮﺳ ﻪﻠﻴﺳﻮﺑ ار ﻞﻳﺮﺘﺳا پاﻮﺳ رد و ﺪـﺷ يﺮـﻴﮔ ﻪـﻧﻮﻤﻧ پاﻮﺳ ﻪﻠﻴﺳﻮﺑ يراﺬﮔ ﺖﻣﻼﻋ ﺢﻄﺳ مﺎﻤﺗ زا يوﺎﺣ ﻪﻟﻮﻟ 3
ثاﺮـﺑ يﻮﺴﻜﻴﺗ ﭗﻳﺮﺗ ﺖﺸﻛ ﻂﻴﺤﻣ ﺮﺘﻴﻟ ﻲﻠﻴﻣ TSB)
(
) نﺎﻤﻟآ كﺮﻣ ﺖﻛﺮﺷ (
ﺪﺷ هداد راﺮﻗ .
ﻞـﺤﻣ ﺲﭙﺳ يراﺬـﮔ ﺖـﻣﻼﻋ
ﻲﻳادزﺪـﻨﮔ ،ﻪـﻃﻮﺑﺮﻣ ﻞﻤﻌﻟارﻮﺘـﺳد ﻖـﺒﻃ ادزﺪـﻨﮔ هدﺎﻣ ﻪﻠﻴﺳو ﻪﺑ هﺪﺷ ادزﺪـﻨﮔ هدﺎـﻣ نﺪـﺷ ﻚـﺸﺧ و سﺎـﻤﺗ نﺎـﻣز مﺎـﻤﺗا زا ﺪﻌﺑ و ﺪﻳدﺮﮔ ﺪﺷ مﺎﺠﻧا يﺮﻴﮔ ﻪﻧﻮﻤﻧ هﺪﺷ ﺮﻛذ شور ﻖﺒﻃ ًادﺪﺠﻣ .
ﻪﻧﻮﻤﻧ ﻲﻜـﺷﺰﭘ هﺪﻜﺸﻧاد ﻲﺳﺎﻨﺷ بوﺮﻜﻴﻣ هﺎﮕﺸﻳﺎﻣزآ ﻪﺑ ﻪﻠﺻﺎﻓﻼﺑ ﺎﻫ
ﻗوﺪــﺻ ﺪﻴﻬــﺷ ﻲﻜــﺷﺰﭘ مﻮــﻠﻋ هﺎﮕــﺸﻧاد ﺪــﻳدﺮﮔ ﻞــﻘﺘﻨﻣ دﺰــﻳ ﻲ
. رد
ﻂﺳﻮﺗ ﻪﻧﻮﻤﻧ يوﺎﺣ ﻪﻟﻮﻟ اﺪﺘﺑا هﺎﮕﺸﻳﺎﻣزآ Vortex
و هﺪـﺷ طﻮـﻠﺨﻣ
100
ﻂﻴـﺤﻣ ﻪـﺑ ﺮﻠﭙﻤـﺳ ﻂﺳﻮﺗ ﻪﻧﻮﻤﻧ زا ﺮﺘﻴﻟوﺮﻜﻴﻣ رﺎـﮔآ ﺖـﺸﻛ يﺎـﻫ
ﻦﻳزﻮﺋآ و راﺪﻧﻮﺧ -
ﻮﻠﺑ ﻦﻠﻴﺘﻣ )
) (EMB
ﺖﺧﺎﺳ ﺖﺸﻛ ﻂﻴﺤﻣ ود ﺮﻫ
نﺎﻤﻟآ كﺮﻣ ﺖﻛﺮﺷ (
مﺎـﻤﺗ رد ﻞﻳﺮﺘـﺳا پﻮـﻟ ﻂـﺳﻮﺗ و هﺪـﺷ ﻞﻘﺘﻨﻣ
د ﺖﺸﻛ ،ﻂﻴﺤﻣ ﺢﻄﺳ ﺪﺷ هدا
. ﺖﻴﻠﭘ هداد ﺖـﺸﻛ ﻪـﻧﻮﻤﻧ يوﺎـﺣ يﺎـﻫ
يﺎﻣد رد هﺪﺷ 37
تﺪﻣ ﻪﺑ داﺮﮔ ﻲﺘﻧﺎﺳ ﻪﺟرد 48
مﺮـﮔ ﺖﻋﺎﺳ ﻪـﻧﺎﺧ
ﺪﺷ يراﺬﮔ .
ﺖﻴﻠﭘ ،يراﺬﮔ ﻪﻧﺎﺨﻣﺮﮔ زا ﺪﻌﺑ ﺖﺸﻛ ﻪﻧﻮﻤﻧ يوﺎﺣ يﺎﻫ
هﺪﺷ هداد ) ادزﺪـﻨﮔ ﻪﻠﻴـﺳﻮﺑ ﻲﻳادزﺪـﻨﮔ زا ﺪﻌﺑ و ﻞﺒﻗ (
رد و ﻲـﺳرﺮﺑ
ﻲﻨﻠﻛ دﻮﺟو ترﻮﺻ
و مﺮـﮔ يﺰـﻴﻣآ ﮓـﻧر ﻪﻠﻴـﺳﻮﺑ ،كﻮﻜـﺸﻣ يﺎﻫ
ﺪﻧﺪـﺷ ﺖـﻳﻮﻫ ﻦﻴـﻴﻌﺗ ﻦﻴـﺗور ﻲﻳﺎﻴﻤﻴـﺷﻮﻴﺑ تﺎﺸﻳﺎﻣزآ .
ﻦﻴـﻴﻌﺗ زا ﺪـﻌﺑ
ﻲﻨﻠﻛ ﻞﻛ داﺪﻌﺗ ،يﺮﺘﻛﺎﺑ ﺖﻳﻮﻫ ﻪـﻧﻮﻤﻧ يوﺎـﺣ ﺖﻴﻠﭘ رد دﻮﺟﻮﻣ يﺎﻫ
ﺮــﻈﻧ رد ﺎـﺑ و ﺪﻧﺪــﺷ شرﺎﻤـﺷ ،ﻲﻳادزﺪـﻨﮔ زا ﻞــﺒﻗ هﺪـﺷ هداد ﺖـﺸﻛ ﺮـﺘﻴﻟ ﻲـﻠﻴﻣ ﻚـﻳ رد يﺮﺘﻛﺎـﺑ داﺪـﻌﺗ ،ﺖﻗر ﺐﻳﺮﺿ ﻦﺘﻓﺮﮔ cfu/ml)
(
ﺪﻳدﺮﮔ ﻦﻴﻴﻌﺗ .
رد ﻲــﻨﻠﻛ دﻮــﺟو ترﻮــﺻ رد ﺖــﻬﺟ ﺰــﻴﻧ ،ﻲﻳادزﺪــﻨﮔ زا ﺪــﻌﺑ ﺖــﻴﻠﭘ
ﺪﺷ هدﺎﻔﺘﺳا هﺪﺷ ﺮﻛذ شور زا شرﺎﻤﺷ .
ﻲﻨﻠﻛ داﺪﻌﺗ ﻪﺴﻳﺎﻘﻣ ﺖﻬﺟ
يﺮﺘﻛﺎــﺑ ﻞــﺤﻣ مﺎــﻤﺗ رد داﻮــﻣ مﺎــﻤﺗ درﻮــﻣ رد و هﺪــﺷ ﻦﻴــﻴﻌﺗ يﺎــﻫ
ﺪـﻳدﺮﮔ هدﺎﻔﺘﺳا شور ﻦﻳا زا هﺪﺷ هدﺎﻔﺘﺳا يادزﺪﻨﮔ .
ادزﺪـﻨﮔ داﻮـﻣ
ﺲﻜﻧﻮﻛد ﻞﻣﺎﺷ ﻲﺳرﺮﺑ درﻮﻣ 50AF
) ،ﻚـﻴﻧﺎﻳرآ ﺖﻛﺮـﺷ ﺖﺧﺎﺳ
ﺲﻴﻳﻮﺳ (
، ﺲﻜﻣ ﻲﭘا ) SC
ناﺮـﻳا ،دﺎﻤﻋ يزﺎﺳوراد ﺖﻛﺮﺷ ﺖﺧﺎﺳ (
،
ﺪﻴــﺳﻮﻜﺳد )
نﺎــﻤﻟآ ،ﻦﻳﺮــﻓا نﻮــﺘﻟآ ﺖﻛﺮــﺷ ﺖﺧﺎــﺳ (
ﺖﭙــﺳﻮﻠﻴﺳ و
) ناﺮﻳا ،ﻚﺗﻮﺘﻴﻛ ﺖﻛﺮﺷ ﺖﺧﺎﺳ (
ﻲﻣ ﺪﺷﺎﺑ . يﺮﻴﮔ ﻪﻧﻮﻤﻧ ﻞﺣاﺮﻣ مﺎﻤﺗ
ﺪـﺷ مﺎـﺠﻧا ﻲـﻠﻜﻟا غاﺮﭼ رﺎﻨﻛ رد .
هدﺎـﻣ ﻚـﻳ زا ﻂـﻘﻓ زور ﻚـﻳ رد
ﺪﺷ هدﺎﻔﺘﺳا ادزﺪﻨﮔ .
ﻞﺤﻣ مﺎﻤﺗ زا ﺖﺳا ﺮﻛذ ﻪﺑ مزﻻ يﺎﻫ
،هﺪﺷ ﻦﻴﻴﻌﺗ
ﺪـﻳدﺮﮔ يﺮـﻴﮔ ﻪـﻧﻮﻤﻧ هﺪﺷ ﺮﻛذ شور ﻖﺒﻃ .
ﺖـﺸﻛ ﺞﻳﺎـﺘﻧ ﻞﻣﺎـﺷ ﺎـﻫ
هﺪـﺷ ﺖـﻳﻮﻫ ﻦﻴـﻴﻌﺗ يﺮﺘﻛﺎـﺑ ﻪﻳﻮﺳ ،هﺪﺷ اﺪﺟ يﺮﺘﻛﺎﺑ داﺪﻌﺗ ﻦﻴﮕﻧﺎﻴﻣ راﺰﻓا مﺮﻧ ﻪﻠﻴﺳﻮﺑ هﺪﺷ ﻲﺣاﺮﻃ لواﺪﺟ رد ﺪﻳدﺮﮔ ﺖﺒﺛSPSS
. ياﺮـﺑ
هداد ﻞـﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ يرﺎـﻣآ نﻮـﻣزآ و ﻲﻔﻴـﺻﻮﺗ لواﺪـﺟ زا ﺎـﻫ
T-
ﻲﺟوزTest ) Paired T –test (
ﺪﺷ هدﺎﻔﺘﺳا .
ﺎﻫ ﻪﺘﻓﺎﻳ
ﻪـﻌﻟﺎﻄﻣ ﻦﻳا رد 240
ﺖﻤـﺴﻗ زا ﻪـﻧﻮﻤﻧ يﺮﺘـﺴﺑ قﺎـﺗا رد ﻒـﻠﺘﺨﻣ يﺎـﻫ
) هﺮﻴﮕﺘـﺳد ،ﺖـﺨﺗ ،ﺲﻳوﺮﺳ غاﺮﭼ ،اﺬﻏ ﺰﻴﻣ ،ﺪﻤﻛ ،لﺎﭽﺨﻳ هﺮﻴﮕﺘﺳد
قﺎﺗا رد ( ﻪﻟوﺰﻳا قﺎﺗا ، )
،قﺮـﺑ ﺪـﻴﻠﻛ ،بآ ﺮﻴـﺷ ،بآ ﺮﻴـﺷ ﺮﺳ ،ﻊﻳﺎﻣﺎﺟ
،اﺬـﻏ ﺰـﻴﻣ ،ﺪـﻤﻛ ،ﻦـﻔﻠﺗ ﻲـﺷﻮﮔ ،نﮋﻴـﺴﻛا ﺮﺘﻣﻮـﻠﻓ ،لﺎﭽﺨﻳ هﺮﻴﮕﺘﺳد بﻮﭼرﺎﭼ رد
( نﺎﻤﺴﻧﺎﭘ قﺎﺗا ، )
،ﺮﻴﺷ شود ﻪﺘﺳد ،ﺖﺨﺗ ،ﻲﻟﺪﻨﺻ ﻪﺘﺳد
ﻦـﻔﻠﺗ ﻲـﺷﻮﮔ ،ﻊﻳﺎﻣ ﺎﺟ ،بآ ﺮﻴﺷ (
روﺪـﻳﺮﻛ و )
،ﻪـﻧﺎﻧز ﻲﻳﻮـﺸﺘﺳد رد
ﺮﻴــﺷ ﺮــﺳ ،ﻪــﻧﺎﻧز ﻲﻳﻮــﺸﺘﺳد ﻊﻳﺎــﻣﺎﺟ ،ﻪــﻧﺎﻧز ﻲﻳﻮــﺸﺘﺳد رد هﺮﻴﮕﺘــﺳد ﻲﻳﻮـﺸﺘﺳد رد هﺮﻴﮕﺘـﺳد ،ﻪـﻧﺎﻧز ﻲﻳﻮـﺸﺘﺳد بآ ﺮﻴـﺷ ،ﻪﻧﺎﻧز ﻲﻳﻮﺸﺘﺳد يرﺎﺘﺳﺮﭘ هﺎﮕﺘﺴﻳا ،ﻦﻔﻠﺗ ﻲﺷﻮﮔ ،ﻪﻧادﺮﻣ (
ﻴﺑ ﻲﮕﺘﺧﻮـﺳ ﺢﻧاﻮﺳ نﺎﺘﺳرﺎﻤ
ﻪــﺘﻓﺮﮔ ﻲﻗوﺪــﺻ ﺪﻴﻬــﺷ ﻲﻜــﺷﺰﭘ مﻮــﻠﻋ هﺎﮕــﺸﻧاد ﻪــﺑ ﻪﺘــﺴﺑاو دﺰــﻳ ﺪﺷ ) لواﺪﺟ 3 - 2 .(
يﺮﺘﻛﺎﺑ ﻲﻨﻠﻛ داﺪﻌﺗ ﻦﻴﮕﻧﺎﻴﻣ ﺶـﺨﺑ ﺖﻤـﺴﻗ رﺎـﻬﭼ زا هﺪـﺷ اﺪﺟ يﺎﻫ
،نﺎﺘــﺳرﺎﻤﻴﺑ ﻲﮕﺘﺧﻮــﺳ ﻞــﺒﻗ
زا ﺲﻜﻧﻮــﻛد ﺎــﺑ ﻲﻳادزﺪــﻨﮔ 50AF
،
ﺲــﻜﻣ ﻲــﭘا ،ﺪﻴــﺳﻮﻜﺳد ﺐــﻴﺗﺮﺗ ﻪــﺑ ،ﺖﭙــﺳﻮﻠﻴﺳ وSC
49 / 33737 ،
18 / 25784 ، 65 / 35085 و 77 / 30504 ﺪﻌﺑ و زا ﺐـﻴﺗﺮﺗ ﻪـﺑ ﻲﻳادزﺪـﻨﮔ
3 / 14 ، 42 / 18569 ، 15 / 2 و 63 / 5 دﻮﺑ ) لوﺪﺟ 1 .(
ﻲﻣ نﺎﺸﻧ ﺞﻳﺎﺘﻧ ﺪـﻫد
ار يراد ﻲـــﻨﻌﻣ توﺎـــﻔﺗ ﻲﮔدﻮـــﻟآ ﺶﻫﺎـــﻛ ﺎﻫادزﺪـــﻨﮔ ﻪـــﻤﻫ رد ﺖﺷاد ) 05 / p<0 .(
يﺮﺘﻛﺎﺑ ﻲﻨﻠﻛ توﺎﻔﺗ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺎﻣا زا ﺪﻌﺑ و ﻞﺒﻗ ﺎﻫ
ﺲﻜﻣ ﻲﭘا لﻮﻠﺤﻣ ﻲﺸﺨﺑ ﺮﺛا عﻮﻤﺠﻣ رد ﻲﻳادزﺪﻨﮔ SC
ﻪـﻴﻘﺑ زا ﺮﺘﻬﺑ
دﻮﺑ ﺎﻫادزﺪﻨﮔ .
ﻊﻳﺎﺷ ﻦﻳﺮﺗ ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ يﺎﻫ
اﺪـﺟ هﺪـﺷ حﻮﻄـﺳ زا
ﻲﮕﺘﺧﻮــﺳ ﺶــﺨﺑ رد هﺪــﺷ ﺺﺨــﺸﻣ ﻒــﻠﺘﺨﻣ ،ﻲﻳادزﺪــﻨﮔ زا ﻞــﺒﻗ
،سﻮﻠﻴــﺳﺎﺑ ،سﻮــﺋروا كﻮﻛﻮﻠﻴﻓﺎﺘــﺳا ،ازﻮــﻨﻳژوﺮﺋآ سﺎﻧﻮﻣودﻮــﺳ كﻮﻛﻮﻠﻴﻓﺎﺘﺳا
،ﺲﻳﺪﻴﻣرﺪﻴﭘا ﺮﻤﺨﻣ و ﻲﻠﻛﺎﻴﺸﻳﺮﺷا
ﺪﻧدﻮﺑ .
لوﺪﺟ 1 : يﺮﺘﻛﺎﺑ ﻲﻨﻠﻛ ﻦﻴﮕﻧﺎﻴﻣ ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫادزﺪﻨﮔ ﺎﺑ ﻲﻳادزﺪﻨﮔ زا ﺪﻌﺑ و ﻞﺒﻗ هﺪﺷ اﺪﺟ يﺎﻫ
p-v ﺪﻌﺑ ﻞﺒﻗ ادزﺪﻨﮔ عﻮﻧ
رﺎﻴﻌﻣ فاﺮﺤﻧا
ﻦﻴﮕﻧﺎﻴﻣ± ﻦﻴﮕﻧﺎﻴﻣ± رﺎﻴﻌﻣ فاﺮﺤﻧا
001 / 0
14/3±5/03 33737/49±13027/9 50AF ﺲﻜﻧﻮﻛد
001 /
0 18569/42±3448/82 25874/18±6910/62 ﺪﻴﺳﻮﻜﺳد
001 / 0
2/15±0/68 35085/65±13811/48 SC ﺲﻜﻣ ﻲﭘا
001 / 0
035/63±1/4 30504/77±10024/ ﺖﭙﺳﻮﻠﻴﺳ
لوﺪﺟ 2 : ﻞﻛ ﻲﮔدﻮﻟآ ﻦﻴﮕﻧﺎﻴﻣ يﺮﺘﻛﺎﺑ
ﺖﻤﺴﻗ رد ﻲﻳادزﺪﻨﮔ زا ﻞﺒﻗ ﺎﻫ نﺎﺘﺳرﺎﻤﻴﺑ ﻲﮕﺘﺧﻮﺳ ﺶﺨﺑ ﻒﻠﺘﺨﻣ يﺎﻫ
ادزﺪﻨﮔ
ﻞﺤﻣ ﺲﻜﻧﻮﻛد
50AF ﺪﻴﺳﻮﻜﺳد
ﺲﻜﻣ ﻲﭘا SC
ﺖﭙﺳﻮﻠﻴﺳ
رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ±
رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ±
رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ±
رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ±
يﺮﺘﺴﺑ قﺎﺗا 83
/
±92 55 / 113 5
/ 16674 99± / 40820 00
/ 16703 04± / 40807 00
/ 16671 ± 7 / 40822
ﻪﻟوﺰﻳا قﺎﺗا 5
/ 20017 4± / 42154 00
/ 10023 7± / 31614 22
/
±10 86 / 12 8
/
±57 34 / 100
نﺎﻤﺴﻧﺎﭘ قﺎﺗا
66 / ± 7 84 / 7 00
/
±2 54 / 1 00
/
± 3 68 / 3 83
/ 16667 25± / 40824
روﺪﻳﺮﻛ 37
/ 23757 05 ± / 44053 00
/
± 17 5 / 28 62
/ 37525 7± / 51733 75
/ 12513 78± / 35349
ﻞﻛ ﻊﻤﺟ 9
/ 13027 49± / 33737 62
/
±6910 18 / 25874 48
/ 13811 65± / 35085 03
/ 10024 77± / 30504
56 p / 0 05
/ 0 008
/ 0 43
/ 0
لوﺪﺟ 3 : يﺮﺘﻛﺎﺑ ﻞﻛ ﻲﮔدﻮﻟآ ﻦﻴﮕﻧﺎﻴﻣ ﺖﻤﺴﻗ رد ﻲﻳادزﺪﻨﮔ زا ﺪﻌﺑ ﺎﻫ
نﺎﺘﺳرﺎﻤﻴﺑ ﻲﮕﺘﺧﻮﺳ ﺶﺨﺑ ﻒﻠﺘﺨﻣ يﺎﻫ
ادزﺪﻨﮔ
ﻞﺤﻣ ﺲﻜﻧﻮﻛد
50AF ﺪﻴﺳﻮﻜﺳد
ﺲﻜﻣ ﻲﭘا
SC ﺖﭙﺳﻮﻠﻴﺳ
رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ±
رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ±
رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ±
رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ±
يﺮﺘﺴﺑ قﺎﺗا
83 /
±12 97 / 29 33
/
±0 51 / 0 00
/
±0 00 / 0 66
/
±0 03 / 1
ﻪﻟوﺰﻳا قﺎﺗا 00
/
±1 82 / 2 10
/ 10000 74± / 31622 33
/
±1 64 / 3 30
/
±3 75 / 9
نﺎﻤﺴﻧﺎﭘ قﺎﺗا 33
/
±1 50 / 1 66
/
±0 21 / 1 00
/
±0 00 / 0 33
/
±0 51 / 0
روﺪﻳﺮﻛ 00
/
±7 12 / 10 28
/
±1 98 / 2 00
/
±1 41 / 1 37
/
±0 74 / 0
ﻞﻛ ﻊﻤﺟ 03
/
±5 30 / 14 82
/
±3448 42 / 18569 68
/
±0 15 / 2 40
/
±1 63 / 5
18 p / 0 96
/ 0 08
/ 0 95
/ 0
لوﺪﺟ 4 : ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ﻲﻳادزﺪﻨﮔ زا ﻞﺒﻗ دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﮕﺘﺧﻮﺳ ﺢﻧاﻮﺳ نﺎﺘﺳرﺎﻤﻴﺑ ﻲﮕﺘﺧﻮﺳ ﺶﺨﺑ ﻒﻠﺘﺨﻣ حﻮﻄﺳ زا هﺪﺷ اﺪﺟ يﺎﻫ
يﺮﺘﻛﺎﺑ اﺰﻳرﺎﻤﻴﺑ يﺎﻫ
يﺮﺘﻛﺎﺑ اﺰﻳرﺎﻤﻴﺑ ﺮﻴﻏ يﺎﻫ
ازﻮﻨﻳژوﺮﺋآ سﺎﻧﻮﻣودﻮﺳ
سﻮﻛﻮﻛﻮﻠﻴﻓﺎﺘﺳا ﺲﻳﺪﻴﻣرﺪﻴﭘا
ﻪﻴﻧﻮﻣﻮﻨﭘ ﻼﻴﺴﺒﻠﻛ سﻮﻜﻴﺘﻴﻓوﺮﭘﺎﺳ سﻮﻛﻮﻛﻮﻠﻴﻓﺎﺘﺳا
سﻮﻛﻮﻛﻮﻠﻴﻓﺎﺘﺳا سﻮﺋوﺮﺋآ
سﻮﻠﻴﺳﺎﺑ يﺎﻫ ﻪﻧﻮﮔ
ﻪﻧﻮﮔ ﺮﺘﻛﺎﺑوﺮﺘﻧا يﺎﻫ ﻞﻴﺳﺎﺑﻮﺘﻛﻻ
ﺎﻫ
ﻲﻠﻛﺎﻴﺸﻳﺮﺷا
كﻮﻛﻮﺘﭘﺮﺘﺳا سﻮﻜﻴﺘﻴﻟﻮﻤﻫ ﺎﻔﻟآ يﺎﻫ
سﻮﻛﻮﻛوﺮﺘﻧا سﻮﻛﻮﻛوﺮﻜﻴﻣ
ﻪﻧﻮﮔ سﻮﺌﺗوﺮﭘ يﺎﻫ
كﻮﻛﻮﺘﭘﺮﺘﺳا ﻚﻴﺘﻴﻟﻮﻤﻫ ﺮﻴﻏ يﺎﻫ
ﺮﺘﻛﺎﺑﻮﺘﻨﻴﺳآ ﺪﻴﺋوﺮﺘﻔﻳد
يﺮﻴﮔ ﻪﺠﻴﺘﻧ و ﺚﺤﺑ
ﻲﻜﻳ زا ﻞﺋﺎﺴﻣ ﻢﻬﻣ و هﺪﻤﻋ ﻪﻛ رد لﺎﺣ ﺮﺿﺎﺣ ﻲﺷزﻮﻣآ ﺰﻛاﺮﻣ -
ﻲﻧﺎﻣرد و ﺎﻫ نﺎﺘﺳرﺎﻤﻴﺑ ﺎﺑ
نآ ﺟاﻮﻣ ﻪ ﻲﻣ
،ﺪﻨﺷﺎﺑ ﺖﻧﻮﻔﻋ ﺶﻳاﺰﻓا يﺎﻫ
ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ ﺖﺳا
) 16 .(
رد ﻲﮕﺘﺧﻮﺳ تﺎﻌﻳﺎﺿ ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﻴﺑ
ﺖﻧﻮﻔﻋ ﻦﻳا ﺮﻄﺧ ضﺮﻌﻣ
ﺪﻨﭼﺮﻫ ﺪﻧراد راﺮﻗ ﺎﻫ
شور زا هدﺎﻔﺘﺳا يﺎﻫ
زﻮﻨﻫ ﺎﻣا ﺖﺳا هداد ﺶﻫﺎﻛ ار ﺖﻧﻮﻔﻋ ﻦﻳا دراﻮﻣ ﺪﻳﺪﺟ ﻲﺘﺒﻗاﺮﻣ
ﺖﻧﻮﻔﻋ زوﺮﺑ نﺎﻜﻣا ﻲﮕﺘﺧﻮﺳ رد رﺎﺒﮔﺮﻣ يﺎﻫ
صﻮﺼﺨﺑ ﺪﻳﺪﺷ يﺎﻫ
دراد دﻮﺟو ﻪﻌﺳﻮﺗ لﺎﺣ رد يﺎﻫرﻮﺸﻛ رد )
19 .(
ﺖﻧﻮﻔﻋ زوﺮﺑ ناﺰﻴﻣ
ﻦﻴﺑ ﻲﻠﻛ رﻮﻄﺑ ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ 15
- 5 ﻲﻣ هدز ﻦﻴﻤﺨﺗ ﺪﺻرد يرﻮﻄﺑ دﻮﺷ
ﻔﻋ ﺎﻜﻳﺮﻣآ رد ﻪﻛ زا ﺶﻴﺑ ﺚﻋﺎﺑ ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ ﺖﻧﻮ
77 رد گﺮﻣ راﺰﻫ
ﻪﻨﻳﺰﻫ ﻪﻧﻻﺎﺳ و ،ﺖﺳا هدﻮﺑ لﺎﺳ ﻦﻴﺑ يا
10 - 5
ﻲﭘ رد ار رﻻد درﺎﻴﻠﻴﻣ
ﻲﻣ ﺎﻣا دراد ﺖﻧﻮﻔﻋ ﻒﺼﻧ زا ﺶﻴﺑ ناﻮﺗ
فﺮﺻ ﺎﺑ ار ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ يﺎﻫ
ﻪﻨﻳﺰﻫ و دﺮﻛ لﺮﺘﻨﻛ نﺎﺘﺳرﺎﻤﻴﺑ ﺖﺷاﺪﻬﺑ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ و ﺮﺘﻤﻛ رﺎﻴﺴﺑ يﺎﻫ
نآ عﻮﻴﺷ زا دﻮﻤﻧ يﺮﻴﮔﻮﻠﺟ ﺎﻫ
) 20 .(
ﻪﻜﻨﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻦﻳاﺮﺑﺎﻨﺑ رد
ﻂﻴﺤﻣ يﺎﻫ ﻲﻧﺎﻣرد بﺎﺨﺘﻧا عﻮﻧ هدﺎﻣ ادزﺪﻨﮔ ياراد ﺖﻴﻤﻫا ﻲﻣ ﺪﺷﺎﺑ
ﺮﺛا دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﮕﺘﺧﻮﺳ ﺢﻧاﻮﺳ نﺎﺘﺳرﺎﻤﻴﺑ رد ﻪﻛ ﺎﺠﻧآ زا و
ﺮﺛا ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد اﺬﻟ دﻮﺒﻧ ﺺﺨﺸﻣ دﻮﺟﻮﻣ يﺎﻫادزﺪﻨﮔ زا ﻲﺧﺮﺑ
4
ﺲﻜﻧﻮﻛد يادزﺪﻨﮔ AF 50
ﺲﻜﻣ ﻲﭘا ، ﻜﺳد ،SC
و ﺪﻴﺳﻮ
ﻠﻴﺳ ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ يور ﺮﺑ ار ﺖﭙﺳﻮ يﺎﻫ
اﺪﺟ
ﺶﺨﺑ زا هﺪﺷ
ﻢﻳداد راﺮﻗ ﻲﺑﺎﻳزرا درﻮﻣ ﻲﮕﺘﺧﻮﺳ .
ﻪﻌﻟﺎﻄﻣ رد يﺮﺘﻛﺎﺑ ﻲﻨﻠﻛ داﺪﻌﺗ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻴﺑ ﺮﺿﺎﺣ
ﺎﻫ ي هﺪﺷ اﺪﺟ ﻞﺒﻗ
ﻲﻳادزﺪﻨﮔ زا ﺪﻌﺑ و ﻲﺳرﺮﺑ درﻮﻣ يﺎﻫادزﺪﻨﮔ ﻪﻤﻫ ﺎﺑ
ﻲﻨﻌﻣ فﻼﺘﺧا
ﺪﺷ هﺪﻫﺎﺸﻣ يراد .
ﻲﻳادزﺪﻨﮔ زا ﺪﻌﺑ هدﺎﻔﺘﺳا درﻮﻣ يﺎﻫادزﺪﻨﮔ ﻪﻤﻫ
ﻲﻳﺎﻳﺮﺘﻛﺎﺑ ﻲﮔدﻮﻟآ ار
ﺎﺑ 05 / P <0 ﺶﻫﺎﻛ ﺪﻧداد . عﻮﻤﺠﻣ رد و
ﺲﻜﻣ ﻲﭘا لﻮﻠﺤﻣ
يﺎﻫادزﺪﻨﮔ ﻪﺑ ﺖﺒﺴﻧ ار يﺮﺘﻬﺑ ﻲﺸﺨﺑﺮﺛا SC
داد نﺎﺸﻧ ﻲﻳﺎﻳﺮﺘﻛﺎﺑ ﻲﮔدﻮﻟآ ﺶﻫﺎﻛ رد ﺮﮕﻳد .
ﻲﻳارﺎﻛ ﺖﻠﻋ ًﻻﺎﻤﺘﺣا
نآ ﻲﺒﻴﻛﺮﺗ ﻪﻳﺎﭘ ﻪﺑ طﻮﺑﺮﻣ ادزﺪﻨﮔ هدﺎﻣ ﻦﻳا ﺮﺘﺸﻴﺑ ﻪﻛ هدﻮﺑ
ياراد
ﻲﻣ ﻞﻜﻟا و ﻲﺘﻴﻓﺮﻇرﺎﻬﭼ مﻮﻴﻧﻮﻣآ ،ﺪﻴﺴﻛاﺮﭘ نژورﺪﻴﻫ ﺪﺷﺎﺑ
. نﻮﻣزآ -
ﻞﺤﻣ و ادزﺪﻨﮔ عﻮﻧ ﻦﻴﺑ يرادﺎﻨﻌﻣ فﻼﺘﺧا يرﺎﻣآ يﺎﻫ
ﻪﻧﻮﻤﻧ يﺎﻫ
درﻮﻣ رد ﺰﺠﺑ ار ﻲﻳادزﺪﻨﮔ زا ﻞﺒﻗ يرادﺮﺑ ﺲﻜﻣ ﻲﭘا
و SC
ﻦﻴﻨﭽﻤﻫ ﺘﺧا ﺪﻧداﺪﻧ نﺎﺸﻧ ار ﻲﻳادزﺪﻨﮔ زا ﺪﻌﺑ رادﺎﻨﻌﻣ فﻼ .
ﻲﻤﻧ ﻪﻛ ﺖﺳا ﻦﻳا ﺮﺿﺎﺣ ﺶﻫوﮋﭘ ﺖﻳدوﺪﺤﻣ ﻪﻤﻫ نﺎﻣز ﻚﻳ رد ناﻮﺗ
نﺎﻜﻣ رد ار ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫادزﺪﻨﮔ ﻲﺳرﺮﺑ هﺪﺷ ﻦﻴﻴﻌﺗ ﻞﺒﻗ زا يﺎﻫ
دﺮﻛ . ﻪﻌﻟﺎﻄﻣ رد رد فﻮﻌﺸﻣ ﻲﻔﺳﻮﻳ ﻪﻛ يا
ﻲﺷزﻮﻣآ ﺰﻛاﺮﻣ ﻲﻧﺎﻣرد –
قﺎﺗا ﻲﻳﺎﻳﺮﺘﻛﺎﺑ ﻲﮔدﻮﻟآ ﻲﺳرﺮﺑ ﺖﻬﺟ ناﺪﻤﻫ ﻫ
ﻪﺴﻳﺎﻘﻣ و ﻞﻤﻋ يﺎ
ﺲﻜﻧﻮﻛد ﻲﮔﺪﻨﻨﻛ ﻲﻧﻮﻔﻋﺪﺿ
ﻲﮔدﻮﻟآ ﺶﻫﺎﻛ رد نﮋﻳﺎﻫ و SB
دﺮﻛ ﺺﺨﺸﻣ ﺞﻳﺎﺘﻧ داد مﺎﺠﻧا ﺮﻫ
ود
،لﻮﻠﺤﻣ ﺮﺛا ﻲﻧﻮﻔﻋﺪﺿ
ﻲﮔﺪﻨﻨﻛ ﻲﺒﺳﺎﻨﻣ ﺮﺑ يﺮﺘﻛﺎﺑ يﺎﻫ اﺪﺟ هﺪﺷ زا قﺎﺗا يﺎﻫ ﻞﻤﻋ ود
نﺎﺘﺳرﺎﻤﻴﺑ
،ﺪﻨﺘﺷاد رد ﻦﻴﻨﭽﻤﻫ ناﺰﻴﻣ
ﺮﺛا ﻲﺸﺨﺑ ﺎﻫادزﺪﻨﮔ رد
ﻲﮔدﻮﻟآ ﺶﻫﺎﻛ توﺎﻔﺗ
يراد ﻲﻨﻌﻣ هﺪﻫﺎﺸﻣ
ﺪﺷ ) 21 ( ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ
ﻲﻟو ﻦﺴﺣ هداز
ترﺪﻗ ﻲﺑﺎﻳزرا رﻮﻈﻨﻣ ﻪﺑ ﻪﻛ نارﺎﻜﻤﻫ و ﻲﻳﻮﻟ
ﺲﻜﻣ ﻲﭘا يﺎﻫادزﺪﻨﮔ ﻲﺸﺨﺑﺮﺛا و S
ﻪﻳﻮﺳ يور ﺮﺑSC ﺐﻟﺎﻏ يﺎﻫ
ﺶﺨﺑ رد
ﻦﻴﺑ داد نﺎﺸﻧ ﺪﺷ مﺎﺠﻧا ﻪﻴﻣورا هﮋﻳو ﺖﺒﻗاﺮﻣ يﺎﻫ
ﺲﻜﻣ ﻲﭘا يﺎﻫادزﺪﻨﮔ و S
SC
ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ ﺖﻧﻮﻔﻋ لﺮﺘﻨﻛ رد
ﺟو يرادﺎﻨﻌﻣ توﺎﻔﺗ ﺖﺷاد دﻮ
) 22 .(
داد نﺎﺸﻧ ﺰﻴﻧ ﻲﺑﻮﻨﺟ يﺎﻨﻴﻟورﺎﻛ رد نارﺎﻜﻤﻫ و تﺮﺑﻮﻫ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ
ﻲﺗاذ ﻲﻳﺎﻳﺮﺘﻛﺎﺑ رﺎﺑ ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ هﺪﺷ ﺪﻴﻳﺎﺗ يﺎﻫادزﺪﻨﮔ ﺎﺑ ندﺮﻛ ﺰﻴﻤﺗ
ﺎﺗ ار يﺮﺘﺴﺑ ﺖﺨﺗ ﻲﻠﻳر حﻮﻄﺳ يور 99
ﻲﻣ ﺶﻫﺎﻛ ﺪﺻرد ﺪﻫد
) 23 ( ﻢﺴﻴﻧﺎﮔراوﺮﻜﻴﻣ ﺶﻫﺎﻛ ﺮﺑ ﻲﻨﺒﻣ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﺎﺑ ﻪﻛ يﺎﻫ
ﻧﺎﺘﺳرﺎﻤﻴﺑ ﺪﻨﺘﺷاد ﺖﻘﺑﺎﻄﻣ ﻲ .
يﺮﺘﻛﺎﺑ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ رد
ﻞﻣﺎﺷ هﺪﺷ اﺪﺟ يﺎﻫ سﺎﻧﻮﻣودﻮﺳ
ﺋآ ـ ﻨﻳژوﺮ ـ ﻧﻮﮔ ،ازﻮ ـ
ﻪ ﺑوﺮﺘﻧا يﺎﻫ ـ
ﺘﻛﺎ ـ
،ﺮ ﻪﻧﻮﮔ ﻫ ـ ﻴﺳﺎﺑ يﺎ ـ
،سﻮﻠ
ﻴﺴﺒﻠﻛ ـ
،ﻪﻴﻧﻮﻣﻮﻨﭘﻼ ﻴﻓﺎﺘﺳا
ـ ﻛﻮﻠ ـ ﻛﻮ ـ ﺋآ سﻮ ـ
،سوﺮ ﻠﻛﺎﻴﺸﻳﺮﺷا ـ
،ﻲ
ﻪﻧﻮﮔ ،كﻮﻛوﺮﺘﻧآ ﺪﻧدﻮﺑ ﺮﺘﻛﺎﺑﻮﺘﻨﻴﺳآ و سﻮﺌﺗوﺮﭘ يﺎﻫ
.
ﺖﻬﺟ يزورﻮﻧ ﻂﺳﻮﺗ ﻲﻘﻴﻘﺤﺗ يﺮﺘﻛﺎﺑ عاﻮﻧا ﻪﺴﻳﺎﻘﻣ ﻲﺳرﺮﺑ
يﺎﻫ
رد هﺪﻣآ ﺖﺳﺪﺑ 3
مﺎﺠﻧا يﺮﻬﻄﻣ ﻲﮕﺘﺧﻮﺳ ﺰﻛﺮﻣ رد توﺎﻔﺘﻣ نﺎﻣز
ﺪﺷ . ﺞﻳﺎﺘﻧ ﺸﻧ ﻪﻌﻟﺎﻄﻣ ـ
ﺘﻛﺎﺑ داد نﺎ ـ
يﺮ ﺟ يﺎﻫ ـ ﻣﺎﺷ هﺪﺷ اﺪ ـ
ﻞ
ﺳ ــ ﻣودﻮ ـ ﻧﻮ ـــ سﺎ ﻨﻳژوﺮﺋآ ـ ﻛﺎﺑوﺮﺘﻧا ،ازﻮ ـ
،ﺮﺘ ﻠﻴﺳﺎﺑ ـ
،سﻮ ﻠﻛ ـ ﺴﺒ ـ
،ﻼﻴ
ﻠﻴﻓﺎﺘﺳا ـ
،كﻮﻛﻮ ﻜﻴﻣ
ـ
،كﻮﻛوﺮ ﺷا
ــــ ﺸﻳﺮ ـ ﻲﻠﻛﺎﻴ و ،مﻮﻳﺪﻳﺮﺘﺴﻠﻛ
،ﺮﺘﻛﺎﺑﻮﺘﻨﻴﺳآ
،سﻮﺌﺗوﺮﭘ ﺮﺘﻛﺎﺑوﺮﺘﻧا
و ﻼﻴﺴﺒﻠﻛ ﺪﻧدﻮﺑ ) 24 ( ﻪﻌﻟﺎﻄﻣ رد
ﻲﺷزﻮﻣآ ﺰﻛاﺮﻣ رد ﻪﻛ نارﺎﻜﻤﻫ و فﻮﻌﺸﻣ -
مﺎﺠﻧا ناﺪﻤﻫ ﻲﻧﺎﻣرد
ﻊﻳﺎﺷ ﺪﺷ ﻦﻳﺮﺗ يﺮﺘﻛﺎﺑ يﺎﻫ اﺪﺟ هﺪﺷ ترﺎﺒﻋ ﺪﻧدﻮﺑ زا : ﺳﺎﺑ ـ سﻮﻠﻴ
،ﺲﻴﻠﻴﺘﺑﻮﺳ ﻴﻓﺎﺘﺳا
ـ كﻮﻛﻮﻠ
،ﺲﻳﺪﻴﻣرﺪﻴﭘا ﺑوﺮﺘﻧا
ـ ﺮﺘﻛﺎ ﻨﻳژوﺮﺋآ ـ
،ازﻮ
ﻪﻨﻳرﻮﻛ مﻮﻳﺮﺘﻛﺎﺑ ﺪﻳوﺮﺘﻔﻳد و
ﻲﻠﻛﺎﻴﺸﻳﺮﺷا )
16 ( و ﻮﻠﻧﺎﻣا ﻪﻌﻟﺎﻄﻣ رد
قﺎﺗا رد نارﺎﻜﻤﻫ نژﻮﺗﺎﭘ ﻞﺑاز نﺎﺘﺳﺮﻬﺷ ﻞﻤﻋ يﺎﻫ
هﺪﺷ اﺪﺟ يﺎﻫ
،ﻼﻴﺴﺒﻠﻛ ،ازﻮﻨﻳژوﺮﺋآ سﺎﻧﻮﻣودﻮﺳ ﻞﻣﺎﺷ كﻮﻛﻮﻠﻴﻓﺎﺘﺳا
و سﻮﺋوﺮﺋا
دﻮﺑ ﻲﻠﻛﺎﻴﺸﻳﺮﺷا )
25 .(
ﺪﻨﺘﺷاد ﺖﻘﺑﺎﻄﻣﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﺎﺑ ﻪﻛ .
رد ﻪﻤﺗﺎﺧ ﺪﻳﺎﺑ ﺖﻔﮔ مﺎﺠﻧا ﺖﺴﺗ ﻣ لﻮﻠﺤ يﺎﻫ ﻲﻳادزﺪﻨﮔ درﻮﻣ
هدﺎﻔﺘﺳا ﻲﺳﺎﺳا ءﺰﺟ رد
ترﺎﻈﻧ ﺮﺑ ﻲﻳادزﺪﻨﮔ ﻲﻣ
ﺪﺷﺎﺑ . ﻖﺒﻃ ﺞﻳﺎﺘﻧ
ﺖﺴﺗ
،ﺎﻫ ﺖﻈﻠﻏ يﺎﻫ هﺪﺷ ﻪﻴﺻﻮﺗ ياﺮﺑ
هدﺎﻔﺘﺳا ﺖﺤﺗ ﻂﻳاﺮﺷ لﺮﺘﻨﻛ
هﺪﺷ ﺖﺳا . ﻲﻬﻳﺪﺑ ﺖﺳا ﻂﻳاﺮﺷ ﻲﻌﻗاو ﻪﻛ رد ادزﺪﻨﮔ نآ
ﺮﺛا
ﻲﻣ
،ﺪﻨﻛ ﺰﮔﺮﻫ ﻞﺑﺎﻗ لﺮﺘﻨﻛ ﺖﺴﻴﻧ . ﻲﻧﺎﺴﻧا يﺎﻫﺎﻄﺧ و
ﻂﻳاﺮﺷ ﺮﻴﻏ
هﺮﻈﺘﻨﻣ
ًﻻﺎﻤﺘﺣا نﺎﻜﻣا ءﺎﻘﺑ و بوﺮﻜﻴﻣ ﺮﻴﺜﻜﺗ ﺎﻫ
ار ﻢﻫاﺮﻓ ﻫاﻮﺧ ـ ﺪ
ﺖﺧﺎﺳ ) 26 .(
ﺖﻬﺟ ﻦﻳاﺮﺑﺎﻨﺑ ﻦﺘﺳﺎﻛ
رﺎﺸﺘﻧا ﻲﮔدﻮﻟآ يﺎﻫ ﻲﺑوﺮﻜﻴﻣ
نﺎﺘﺳرﺎﻤﻴﺑ ﺎﻫ دﺎﻬﻨﺸﻴﭘ ﻲﻣ
،ددﺮﮔ بﺎﺨﺘﻧا و ادزﺪﻨﮔ شور
يﺎﻫ
ﻲﻳادزﺪﻨﮔ ﻞﺤﻣ رد ًﺎﻘﻴﻗد
درﻮﻣ ﺪﻘﻧ و راﺮﻗ ﻲﺳرﺮﺑ ﺪﻧﺮﻴﮔ
و ﺎﺑ
شزﻮﻣآ مواﺪﻣ نﺎﻨﻛرﺎﻛ ﻂﺑﺮﻳذ نﺎﺘﺳرﺎﻤﻴﺑ شور ،ﺎﻫ يﺎﻫ ﺮﺛﺆﻣ
لﺮﺘﻨﻛ ﺖﻧﻮﻔﻋ يﺎﻫ ﻲﻧﺎﺘﺳرﺎﻤﻴﺑ دﺮﻴﮔ راﺮﻗ ﻪﺟﻮﺗ درﻮﻣ
. ﻲﻧادرﺪﻗ و ﺮﻜﺸﺗ
تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﻟﺎﻣ ﺖﻳﺎﻤﺣ ﺎﺑ ﻖﻴﻘﺤﺗ ﻦﻳا
ﻪﻛ ﺖﺳا هﺪﺷ مﺎﺠﻧا ﻲﺗﺎﻘﻴﻘﺤﺗ حﺮﻃ ﺐﻟﺎﻗ رد دﺰﻳ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ ﻲﻣ ﻲﻧادرﺪﻗ و ﺮﻜﺸﺗ ﻪﻠﻴﺳﻮﻨﻳﺪﺑ دﻮﺷ
.
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The Evaluation of Efficacy of Common Disinfectants on Microorganisms Isolated from Different Parts of Shahid Sadoughi Accidents Burns Hospital in Yazd in 2011
Mokhtari M(Ph.D)1,Zandi Z (Ph.D)2,Jasemizad T(M.Sc)3,Sahlabadi F (M.Sc)4,Montazeri A (BS) 5
1. Assistant Professor:Environmental Health Department. Faculty of Public Health, Yazd University of Medical Sciences, Yazd, Iran
2. Assistant Professor. Department of Microbiology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3. MS Student of Environmental Health, Faculty of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4. Corresponding Author: MS Student of Environmental Health, Faculty of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
5. BS. Environmental Health expert of Shahid Sadughi accidents burns hospital Abstract
Introduction: Disinfection is a process which pathogenic microorganisms on non-living surfaces are destroyed, so choose of appropriate disinfectant and standard disinfection methods can be effective in reducing nosocomial infections. The aim of this study was to evaluate the efficacy of common disinfectants on microorganisms isolated from different parts of Shahid Sadughi accidents burns hospital in Yazd in 2011.
Methods: In this cross sectional descriptive-analytic study the sampling method has done randomly. In this study 240 samples were collected from 30 different parts of surfaces of 4 different parts of hospital. 30 samples before and 30 samples after disinfection were taken for each disinfectant. The samples were cultured on blood agar and EMB culture media in the Microbiology laboratory of Medical Sciences University. Disinfectants of Deconex 50 AF, Descoscid, Epimax SC and Silvosep have investigated. Data were analyzed using T-test.
Results: The average of bacteria isolated from 4 parts of the burn unit of the hospital, before disinfection by Deconex 50 AF, Descoscid, Epimax SC and Silvosep were 33737.49, 25784,18, 35085.65, 30504.77, respectively and after disinfection were, 14.3, 18569.42, 2.15 and 5.63, respectively that all of these disinfectants, have shown a significant difference (p<0.05) in decreasing of microorganisms. More commonly isolated microorganisms were Pseudomonas aeruginosa, Klebsiella pneumoniae, Staphylococcus epidermice, Enterobacter species, Escherichia coli and yeast.
Conclusion: The results showed that these disinfectants were effective against isolated microorganisms and also the number average of bacteria have shown a significant difference before and after disinfection and the most effective disinfectants was Epimax SC.
Keywords:disinfectant, microorganism, burn unit, nosocomial infection
