fa بررسی اثربخشی کرم گیاهی ترمیم کننده دکتر کامکار بر بهبود زخم‌های فشاری درجات یک تا سه تخصصي Special پژوهشي Research <strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زمینه و هدف: </span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زخم</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">‌های </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">فشاری</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">یکی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">از مهمترین</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">اختلالات</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">پوستی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بافتی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">هستند</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">هزینه زیادی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">را</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بر</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">سیستم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">سلامتی فرد و جامعه تحمیل</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> می‌</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">کن</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">ن</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">د</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">. </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بروز این</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زخم‌ها موجب</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بین</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">رفتن</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">اولین</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">خط</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">دفاعی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بدن شده در نتیجه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">احتمال</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">ابتلا </span></span>&nbsp;<span style="font-family:B Lotus;"><span style="font-size:10.0pt;">به</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">عفونت، سپتی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">سمی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">و حتی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">مرگ می</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شود</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">.</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> امروزه درمانهای رایج بسیار گران قیمت می‌باشند،</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> بنابراین </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">ساخت درمانهای جدید با هزینه کمتر مانند داروهای گیاهی، ضروری بنظر می‌رسد. </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">لذا هدف از</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">این </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بررسی </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">اثربخشی کرم گیاهی ترمیم کننده دکتر کامکار بر بهبود درجات 1-3 زخم فشاری می‌باشد. </span></span><br> <strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">مواد و روش‌ها: </span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">کارآزمایی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بالینی یک سوکور بر روی 65</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بیمار</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">با</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زخم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">فشاری</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">درجات 1-3 در محدوده سنی </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">40-80 </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بیمارستان</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">امام علی کرج، بصورت </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">داوطلبانه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">پس</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">از</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">همسان</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">سازی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">تصادفی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">در</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">دو</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">گروه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">آزمون (پانسمان</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">با کرم گیاهی ترمیم کننده دکتر کامکار) و شاهد(پانسمان زینک اکسید )</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">انجام</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شد</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">.</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> ابزار</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">ارزیابی</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زخم، </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">Pressure Ulcer Scale (PUSH)</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> از بدو ورود</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">تا 8 هفته </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">صورت گرفت . داده‌ها با نرم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">افزار</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">آماری </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">SPSS</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> (نسخه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">23) مورد تجزیه و تحلیل قرار گرفتند.</span></span><br> <strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">یافته‌ها: </span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">یافته‌ها</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نشان</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">داد</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">در گروه آزمون شیب کاهش نمره پوش بسیار تندتر از گروه شاهد بود. ترمیم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زخم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">از نظر</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">مساحت زخم، ترشح ، بهبود وضع بافت در گروه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">آزمون </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">(85 درصد) و در</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">گروه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شاهد (18درصد) بود . </span></span><br> <strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نتیجه‌گیری: </span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نتایج</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">این</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">مطالعه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نشان</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">داد</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">که</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">اختلاف</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">معنی داری در ترمیم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زخم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">فشاری</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بین دو گروه</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شاهد</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">و</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">آزمون وجود داشت </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">(</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:9.0pt;">P &le; 0.0001</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">). لذا می‌</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">توان</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">گفت استفاده</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">از کرم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">ترمیم کننده گیاهی دکتر کامکار</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> در بهبود کامل</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">درجات 1-3 </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زخم</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">فشاری</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">موثر</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> می‌</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">باشد.</span></span> <strong>Background:</strong> Pressure ulcers are among the most serious skin and tissue disorders and put a heavy financial burden on healthcare systems. These ulcers break through the body&rsquo;s first line of defense and can lead to severe consequences such as septicemia and death. Nowadays, most conventional treatments are very costly; therefore, the production of less expensive medications including herbal remedies is crucial. This study aimed to determine the healing effect of Dr Kamkar<strong>^&rsquo;</strong>s herbal cream in one to third stage Pressure Ulcer.<br> <strong>Methods: </strong>This single-blind randomized clinical trial was conducted on 65 patients aged 40-80 years with stage1- 3 Pressure ulcers at Imam Ali Hospital in Karaj.<br> The control group was treated with zinc oxide cream, while the intervention group was treated with Dr Kamkar<strong>^&rsquo;</strong>s herbal cream. Ulcers were measured according to the Pressure Ulcer Scale (PUSH) at the beginning of hospitalization and weekly for 8 weeks and the PUSH scores in the two groups were compered. Data analysis was carried out using SPSS version 23.<br> <strong>Results: </strong>The results showed that in the intervention group the slop of decline in the PUSH score was greater in comparison to the control group. Regarding the area of the lesions, exudation and tissue regeneration, the levels of improvement in the intervention and control groups were 85% and 18%, respectively.<br> <strong>Conclusion: </strong>According to our data, a significant difference in the mean scores of the pressure ulcer was observed between the two groups (P &le; 0.0001). It can be concluded that Dr Kamkar<strong>^,</strong>s healing cream is effective in the treatment of stage one to third pressure ulcers. کرم ترمیم کننده گیاهی دکتر کامکار, بهبود زخم, زخم فشاری درجه یک تا سه Dr Kamkar’s herbal cream, wound healing, stage one to third Pressure ulcers 335 344 http://aums.abzums.ac.ir/browse.php?a_code=A-10-695-4&slc_lang=fa&sid=1 Ideh Kamkar ایده کامکار 10031947532846006609 10031947532846006609 No International Laboratories of Dr Kamkar, Tehran, Iran لابراتوارهای بین المللی و تحقیقاتی دکتر کامکار، تهران، ایران Mohammad Mehdi Kamkar محمدمهدی کامکار 10031947532846006610 10031947532846006610 No International Laboratories of Dr Kamkar, Tehran, Iran لابراتوارهای بین المللی و تحقیقاتی دکتر کامکار، تهران، ایران Mohammad Noorisepehr محمد نوری سپهر 10031947532846006611 10031947532846006611 No Department of Environmental Health Engineering, Alborz University of Medical Sciences, Karaj, Iran; Research Center for Health, Safety and Environment, Alborz University of Medical Sciences, Karaj, Iran گروه مهندسی بهداشت محیط، دانشکده بهداشت، دانشگاه علوم پزشکی البرز،کرج، ایران ؛ مرکز تحقیقات بهداشت، ایمنی و محیط زیست، دانشگاه علوم پزشکی البرز،کرج، ایران Behzad Naghash بهزاد نقاش 10031947532846006612 10031947532846006612 No International Laboratories of Dr Kamkar, Tehran, Iran لابراتوارهای بین المللی و تحقیقاتی دکتر کامکار، تهران، ایران Mehrzad Mehdizadeh مهرزاد مهدیزاده 10031947532846006613 10031947532846006613 No Associate Professor of Tehran Medical University دانشیار دانشگاه علوم پزشکی تهران Narges Golab نرگس گلاب Narges.Golab@yahoo.com 10031947532846006614 10031947532846006614 Yes International Laboratories of Dr Kamkar, Tehran, Iran لابراتوارهای بین المللی و تحقیقاتی دکتر کامکار، تهران، ایران