Studies in Medical Sciences
مجله مطالعات علوم پزشکی
Studies in Medical Sciences
Medical Sciences
http://umj.umsu.ac.ir
37
journal37
2717-008X
2717-008X
10.61186/umj
fa
jalali
1392
4
1
gregorian
2013
7
1
24
4
online
1
fulltext
fa
بررسی رابطه تیتر Anti- HBs با گروههای خونی ABO در دانشجویان دندانپزشکی واکسینه در دانشگاه علوم پزشکی تبریز
EVALUATION OF RELATIONSHIP BETWEEN ANTI_HBS TITER WITH ABO BLOOD GROUPS IN VACCINATED DENTAL STUDENTS IN TABRIZ
آناتومی
آناتومی
پژوهشي(توصیفی- تحلیلی)
Research
<p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><b><span lang="AR-SA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt">پیش زمینه و هدف</span></b><span lang="AR-SA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt">: </span><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">بیماری هپاتیت </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">B</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> به عنوان یک معضل سلامتی در سراسر جهان شناخته میشود. آلودگی ویروسی هپاتیت </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">B</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> و پیامد آن یک مشکل بهداشتی عمده است. این ویروس یک مخاطره شغلی برای پرسنل بهداشتی محسوب میشود.<p></p></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">از آنجائیکه بر روی عملکرد سیستم ایمنی عوامل مختلفی دخیل میباشند، در این تحقیق میزان تیتر آنتیبادی دانشجویان با گروههای خونی به عنوان به عنوان یک متغیر متفاوت در عملکرد ایمنی مورد بررسی قرار گرفت.<p></p></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><b><span lang="AR-SA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-ansi-font-size: 8.5pt">مواد و روش کار</span></b><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">: مطالعه حاضر از نوع توصیفی- تحلیلی بود که به صورت تمام شماری در 122 نفر از<font face="Nazanin"><span style="mso-spacerun: yes"><font size="2"> </font></span>دانشجویان دندانپزشکی دانشگاه تبریز صورت گرفت که با ارائه پرسشنامه و آزمایشات سرولوژیک همراه بود. در پرسشنامهها سؤالاتی از قبیل: سن، جنس، وزن، قد، گروه خونی، دریافت واکسن، تعداد دوز واکسن، فاصله زمانی، زمان سپری شده از آخرین دوز واکسن، سابقه پزشکی و سابقه داروئی مورد بررسی قرار گرفت.<p></p></font></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">پس از تکمیل پرسشنامهها از هر فرد </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">cc</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span>3 خون دریافت شد و برای آزمایشهای </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">HBsAg</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span>، </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">Anti0 HBs</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> ، </span><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr"><font face="Times New Roman" size="2">anti- HBe</font></span><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">، </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">anti- HBc</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> به آزمایشگاه ارسال گردید. آزمایش با استفاده از روش کمی لومینسانس </span><span dir="ltr"></span><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr"><span dir="ltr"></span><font face="Times New Roman" size="2">(Chemiluminscence)</font></span><span dir="rtl"></span><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> انجام شد و افرادی که از لحاظ مارکر </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">HBsAg</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span>،<span style="mso-spacerun: yes"><font face="Nazanin" size="2"> </font></span></span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">anti- HBc</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> و </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">anti- HBe</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> مثبت بودند از مطالعه خارج شدند .میزان تیتر </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">anti- HBs</span><span dir="rtl"></span></font></font><span style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> <span lang="FA"><font face="Nazanin" size="2">با متغیرهایی از قبیل گروه خونی، سیگار کشیدن، سن، جنس بررسی شد که در نهایت اطلاعات جمعآوری شده در برنامه نرمافزاری </font></span></span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">spss</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> نسخه 15 مورد آنالیز قرار گرفت.<p></p></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><b><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">نتایج</span></b><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">: وضعیت </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">HBs</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> به دو گروه 100 </span><span dir="ltr"></span><span style="FONT-FAMILY: Symbol mso-fareast-language: EN-US mso-bidi-language: FA mso-ascii-font-family: 'Times New Roman' mso-hansi-font-family: 'Times New Roman' mso-char-type: symbol mso-symbol-font-family: Symbol" dir="ltr"><span dir="ltr"></span><span style="mso-char-type: symbol mso-symbol-font-family: Symbol"><font face="Symbol" size="2">£</font></span></span><span dir="rtl"></span><span style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">anti-HBs</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> (پاسخ دهندههای ضعیف و کسانی که پاسخ ندادند) و 100 </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">anti-HBs></span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> (پاسخ دهندههای خوب) تقسیم شدند. تیتر </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">anti-</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> میزان تیتر آنتی بادی در گروههای خونی </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">AB</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> (68/623) ، </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">B</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> (60/660)، </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">O</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> (34/657) و </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">A</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> (19/608) بود. برحسب نتایج بدست آمده از پژوهش حاضر ارتباط معنیداری بین گروههای خونی و </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">anti-HBs</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> وجود نداشت.<p></p></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">در متغیرهای دیگری که مورد بررسی قرار گرفت با سن رابطه معنیداری بدست آمد. نتایج بیانگر این موضوع بود که 8/96 درصد از افراد مورد مطالعه از نظر مارکر </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">Anti- HBs</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> مثبت بودند. 100 نفر پاسخ دهنده خوب، 20 نفر پاسخ دهنده ضعیف و 2 نفر کسانی بودند که پاسخ ندادند.<p></p></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl"><b><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">بحث</span></b><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt">: در مورد عدم ارتباط تیتر </span><font size="2"><font face="Times New Roman"><span style="mso-fareast-language: EN-US mso-bidi-language: FA" dir="ltr">Anti-HBs</span><span dir="rtl"></span></font></font><span lang="FA" style="FONT-FAMILY: Nazanin FONT-SIZE: 9.5pt mso-fareast-language: EN-US mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><span dir="rtl"></span> با گروههای خونی شایان ذکر است که مطالعه حاضر در نمونههای محدود و در گروه سنی خاصی انجام شده است. لذا پیشنهاد میشود جهت بررسی این ارتباط تحقیقات بیشتری صورت گیرد.<p></p></span></p><p class="Chekide" style="TEXT-JUSTIFY: kashida TEXT-ALIGN: justify TEXT-KASHIDA: 0% MARGIN: 0in 0in 0pt unicode-bidi: embed DIRECTION: rtl" dir="rtl" >
<p> <strong></strong></p><p> <a name="OLE_LINK1"></a><a name="OLE_LINK2"> <i><strong>Background & Aim</strong></i>: Hepatitis B illness is recognized as a worldwide health problem. Hepatitis B virus infection and its consequences is a major health problem. This virus is an occupational hazard for health care workers. Since different factors involves in immune function, we aimed to focus on students with blood group antibody titer as a variable in immune function. </a></p><p> <strong><i>Materials and Methods</i></strong>: This is a descriptive - analytic study conducted on 122 students of Tabriz Dental Faculty that was accompanied by a questionnaire and serologic tests. Through the questionnaire, questions such as age, sex, weight, height, blood, vaccines, Vaccine dosage, duration, time elapsed after the last dose of vaccine, medical history were studied. Next three cc of blood was obtained from them for Test of HBsAg, Anti HBs Ab, anti-HBe Ab, and anti-HBc Ab . Laboratory studies were performed using chemiluminescence method and those that HBsAg, anti-HBc and anti-Hbe markers were positive excluded from the study. Finally correlation between levels of anti-HBs Ab titers and variables such as blood group, smoking, age, and sex were studied, these data were analyzed using the version 15 SPSS software. </p><p> <strong><i>Results</i></strong>: Anti-HBs titer status was divided in two groups: 1-antiHBs< 100 (weak responders and those who lacked any response) 2- anti-HBs>100(good responders). Anti-IgG antibody titer detected as blood group AB (68/623), B (60/660), O (34/657) and A (19/608) respectively. According to the results of the present study, there was no significant association between blood groups and anti-HBs in other variables but there was a significant association with age. Results suggested that 96.8% of subjects were positive for Anti-HBs markers, there was 100 good responders and 20 poor responders and 2 persons did not respond. </p><p> <strong><i>Conclusion</i></strong>: About the absence of relationship between Anti-HBs with blood groups, it should be stated that current study was performed on limited samples and particular age groups, therefore more research is needed. </p><p> SOURCE: URMIA MED J 2013: 24(4): 249 ISSN: 1027-3727 </p>
Anti-HBc، Anti- HBs، Anti- HBe، ویروس هپاتیت B (HBV)، گروههای خونی ABO
Anti-HBS, Anti-HBc, Anti-HBe, HBV, ABO
244
249
http://umj.umsu.ac.ir/browse.php?a_code=A-10-582-352&slc_lang=fa&sid=1
Masumeh
Mehdipour
معصومه
مهدیپور
370031947532846007125
370031947532846007125
No
Shahid Beheshti University of Medical Sciences
دانشکده دندانپزشکی شهید بهشتی
Ali
Taghavi zanouz
علی
تقوی زنوز
370031947532846007126
370031947532846007126
No
Tabriz University of Medical Sciences,
دانشکده دندانپزشکی تبریز
Hossein
Khoeini poorfar
حسین
خوئینی پورفر
370031947532846007127
370031947532846007127
No
Hamadan University of Medical Sciences
دانشگاه علوم پزشکی همدان
Narges
Gholizadeh
نرگس
قلیزاده
: n.gholizadeh88@gmail.com
370031947532846007128
370031947532846007128
Yes
Tabriz University of Medical Sciences
دانشکده دندانپزشکی تبریز
Sherli
Jahanshahi
شرلی
جهانشاهی
370031947532846007129
370031947532846007129
No