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Incidence and risk factors for surgical site infection posthysterectomy in a tertiary care center: Methodologic issues

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ﺮﺛا ﯽﺳرﺮﺑ

ﯽﺘﻇﺎﻔﺣ

ﺮﺑ يور

ﻮﯿﺗاﺪﯿﺴﮐا ﺐﯿﺳآ يﺎﻫﺮﮐرﺎﻣﻮﯿﺑ

نﻮﯿﺗﻻﺎﻣ ﺎﺑ دﺎﺣ سﺎﻤﺗ رد

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ﺮﻧ ﯽﯾاﺮﺤﺻ شﻮﻣ

ﮑﻠﻤﻟاﺪﺒﻋ ﺪﯿﺸﻬﻣ ﯽ 1 ، ﻤﺳﺎﻗ ﻦﺴﺣ ﯽ 1 ، رﺪﯿﺣ ﻞﮐﻮﺗ ي ﻪﺘﺴﯾﺎﺷ 1 ، ﻔﻄﺼﻣ ﯽ ﻨﯿﺴﺣ ﯽ دﻮﺠﯾذ 1 ، ﺮﺒﺠﻧر مﺮﮐا 1  1 ( ناﺪﻤﻫ ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﺖﻓﺎﯾرد ﺦﯾرﺎﺗ : 17 /4 / 92 شﺮﯾﺬﭘ ﺦﯾرﺎﺗ : 11 / 10 / 92 . ﺎﻫ هژاو ي ﺪﯿﻠﮐ ي : ﻮﯿﺗاﺪﯿﺴﮐا سﺮﺘﺳا ،تر ،يور ،نﻮﯿﺗﻻﺎﻣ  لﻮﺌﺴﻣ هﺪﻨﺴﯾﻮﻧ : ﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ناﺪﻤﻫ ﯽ Email: akranjbar1389@yahoo.com هﺪﯿﮑﭼ ﻪﻣﺪﻘﻣ : مﻮﻤﺳ ﻦﯾﺮﺗ فﺮﺼﻣ ﺮﭘ زا ﯽﮑﯾ نﻮﯿﺗﻻﺎﻣ هﺮﻔﺴﻓﻮﻧﺎﮔرا ﺖﺳا ﻪﮐ ﻪﺑ رﻮﻃ ﯽﻣﻮﻤﻋ رد ﺎﯿﻧد هدﺎﻔﺘﺳا ﯽﻣ دﻮﺷ . هوﻼﻋ ﺮﺑ رﺎﻬﻣ ﻢﯾﺰﻧآ ﻦﯿﻟﻮﮐ زاﺮﺘﺳا رد ءﺎﻘﻟا سﺮﺘﺳا ﯿﺗاﺪﯿﺴﮐا ﺰﯿﻧ ﺎﻫ ناﺪﯿﺴﮐا ﺶﯾاﺰﻓا و ﻮ ﺶﻘﻧ دراد . زا ﯽﻓﺮﻃ ﺮﮕﯾد يور ﺰﯿﻧ ﮏﯾ ﺮﺼﻨﻋ ﯽﺗﺎﯿﺣ و ﯽﺳﺎﺳا هدﻮﺑ ﻪﮐ ﺖﯿﺻﺎﺧ ﯽﺘﻧآ ﯽﻧاﺪﯿﺴﮐا ﻪﺘﺷاد و ﺶﻘﻧ ﺖﻈﻓﺎﺤﻣ هﺪﻨﻨﮐ يا رد ﺮﺑاﺮﺑ يﺎﻫ لﺎﮑﯾدار دازآ ءﺎﻔﯾا ﯽﻣ ﺪﻨﮐ . ،ﻪﻌﻟﺎﻄﻣ ﻦﯾا زا فﺪﻫ ﯽﺳرﺮﺑ ﺮﺛا يور ﺮﺑ ﺎﺑ ﺖﯿﻣﻮﻤﺴﻣ ﺖﻓآ ﻮﻧﺎﮔرا ﺶﮐ هﺮﻔﺴﻓ ﯿﺗﻻﺎﻣ ﺪﻨﻧﺎﻤﻫ نﻮ شﻮﻣ رد ﺮﻧ ﯽﯾاﺮﺤﺻ دﻮﺑ . و داﻮﻣ شور ﺎﻫ : رد ﻦﯾا ﻪﻌﻟﺎﻄﻣ زا 20 شﻮﻣ سار ﯽﯾاﺮﺤﺻ داﮋﻧ ﺮﻧ ﯽﻧزو هدوﺪﺤﻣ ﺎﺑ رﺎﺘﺴﯾو 250 -180 مﺮﮔ ، هدﺎﻔﺘﺳا ﺪﺷ . اﺪﺘﺑا تﺎﻧاﻮﯿﺣ ﻪﺑ رﻮﻃ ﯽﻓدﺎﺼﺗ رﺎﻬﭼ ﻪﺑ هوﺮﮔ ) هوﺮﮔ ﺮﻫ 5 ﺮﺳ ( ﻢﯿﺴﻘﺗ ﺪﻧﺪﺷ . هوﺮﮔ رﺎﻬﭼ 5 ﯽﯾﺎﺗ ﻪﮐ هوﺮﮔ رﺎﻤﯿﺗ ﺎﺑ نﻮﯿﺗﻻﺎﻣ ) mg/kg 250 ﺑ ﻪ شور ﯽﻗﺎﻔﺻ ﻞﺧاد ( و هوﺮﮔ ﺪﻫﺎﺷ رﺎﻤﯿﺗ ﺎﺑ لﺎﻣﺮﻧ ﻦﯿﻟﺎﺳ و هوﺮﮔ نﺎﻣرد ﺎﺑ يور ) mg/kg 5 ( و هوﺮﮔ نﺎﻣرد ﺎﺑ يور و نﻮﯿﺗﻻﺎﻣ mg/kg 5 mg/kg+ 250 ﻪﺑ ناﻮﻨﻋ يﺎﻫ هوﺮﮔ درﻮﻣ ﻪﻌﻟﺎﻄﻣ بﺎﺨﺘﻧا ﺪﻧﺪﺷ و ﺪﻌﺑ زا 48 ﺖﻋﺎﺳ تﺎﻧاﻮﯿﺣ ار ﻪﺘﺸﮐ و رد ﻪﻧﻮﻤﻧ يﺎﻤﺳﻼﭘ نﻮﺧ ﺎﻫ نآ ﺖﯿﻟﺎﻌﻓ ﻢﯾﺰﻧآ ﻦﯿﻟﻮﮐ زاﺮﺘﺳا ، ﺖﯿﻓﺮﻇ ﯽﺘﻧآ و مﺎﺗ يﺎﻫ ناﺪﯿﺴﮐا ﺎﻤﺳﻼﭘ لﻮﯿﺗ يﺎﻫ هوﺮﮔ هزاﺪﻧا يﺮﯿﮔ ﺪﺷ . ﺲﭙﺳ هداد مﺮﻧ ﻂﺳﻮﺗ ﺎﻫ راﺰﻓا PSS S يرﺎﻣآ نﻮﻣزآ ﺎﺑ و OneWayANOVA ﺖﻓﺮﮔ راﺮﻗ ﻞﯿﻠﺤﺗ و ﻪﯾﺰﺠﺗ درﻮﻣ . ﯽﻨﻌﻣ ﺢﻄﺳ راد ي P<0.05 ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد ﺪﺷ . ﺶﻫوﮋﭘ يﺎﻫ ﻪﺘﻓﺎﯾ : ﻻﺎﻣ ﻪﮐ داد نﺎﺸﻧ يرﺎﻣآ يﺎﻫ ﺖﺴﺗ ﺞﯾﺎﺘﻧ ﻦﯿﻨﭼ ﻢﻫ و زاﺮﺘﺳا ﻦﯿﻟﻮﮐ ﻢﯾﺰﻧآ ﺖﯿﻟﺎﻌﻓ ناﺰﯿﻣ نﻮﯿﺗ ﺖﺳا هداد يراد ﯽﻨﻌﻣ ﺶﻫﺎﮐ لﺮﺘﻨﮐ هوﺮﮔ ﺎﺑ ﻪﺴﯾﺎﻘﻣ رد ار ﺎﻤﺳﻼﭘ لﻮﯿﺗ يﺎﻫ هوﺮﮔ و مﺎﺗ يﺎﻫ ناﺪﯿﺴﮐا ﯽﺘﻧآ ﺖﯿﻓﺮﻇ . رد ﯽﻟﺎﺣ ﯽﻨﻌﻣ ﺶﯾاﺰﻓا نﻮﯿﺗﻻﺎﻣ هوﺮﮔ ﺎﺑ ﻪﺴﯾﺎﻘﻣ رد ار ﺎﻤﺳﻼﭘ لﻮﯿﺗ يﺎﻫ هوﺮﮔ و مﺎﺗ يﺎﻫ ناﺪﯿﺴﮐا ﯽﺘﻧآ ﺖﯿﻓﺮﻇ يور ﻪﮐ داد يراد . و ﺚﺤﺑ ﻪﺠﯿﺘﻧ يﺮﯿﮔ : ﺎﺑ ﻪﺟﻮﺗ ﻪﺑ ﺞﯾﺎﺘﻧ قﻮﻓ ﻪﺑ ﺮﻈﻧ ﯽﻣ ﺪﺳر ﻪﮐ ﯽﻤﺳ تاﺮﺛا ﺶﻫﺎﮐ ﺚﻋﺎﺑ ﺪﻧاﻮﺗ ﯽﻣ يور ﺎﺑ ﻦﻣﺰﻣ و دﺎﺣ يﺎﻫ ﺖﯿﻣﻮﻤﺴﻣ نﺎﻣرد رد ﺪﯾﺎﺷ و دﻮﺷ ،ددﺮﮔ ﯽﻣ دﺎﺠﯾا دازآ يﺎﻫ لﺎﮑﯾدار ﺶﯾاﺰﻓا ﻖﯾﺮﻃ زا ﻪﮐ نﻮﯿﺗﻻﺎﻣ ددﺮﮔ نﻮﯿﺗﻻﺎﻣ ﺪﻨﻧﺎﻤﻫ ﯽﯾﺎﻫ هﺮﻔﺴﻓ ﻮﻧﺎﮔرا

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ﻪﻣﺪﻘﻣ داﻮــﻣ ﻦﯾﺮــﺗ ﯽﻣﻮــﻤﻋ زا ﯽــﮑﯾ هﺮﻔﺴــﻓﻮﻧﺎﮔرا تﺎــﺒﯿﮐﺮﺗ رد ﻪﮐ ﺪﻨﺘﺴﻫ ﯽﯾﺎﯿﻤﯿﺷ ﻂﯿﺤﻣ ﺖﺴﯾز ، ﺖﻓآ ار تاﺮﺸـﺣ و ﺎﻫ ﯽﻣ لﺮﺘﻨﮐ ﺪﻨﻨﮐ . ﺖﯿﻤـﺳ ﯽﻠﺻا ﻢﺴﯿﻧﺎﮑﻣ يﺎـﻫ ﺶـﮐ ﺖـﻓآ را هﺮﻔﺴﻓﻮﻧﺎﮔ ، ﻞﯿﺘـﺳا ﻢﯾﺰـﻧآ ﺖـﯿﻟﺎﻌﻓ ﺖﺸـﮔﺮﺑ ﻞﺑﺎﻗ ﺮﯿﻏ رﺎﻬﻣ ﻦﯿﻟﻮﮐ زاﺮﺘﺳا ) AChE ( ﻢﺘﺴﯿﺳ رد ﯽﻄﯿﺤﻣ و يﺰﮐﺮﻣ ﯽﺒﺼﻋ ﺪﺷﺎﺑ ﯽﻣ ،) 2، 1( . رﻮـﻃ ﻪﺑ ﻪﮐ ﺖﺳا ﯽﺗﺎﺒﯿﮐﺮﺗ زا ﯽﮑﯾ نﻮﯿﺗﻻﺎﻣ ﺎﯿﻧد رد ﯽﻣﻮﻤﻋ رد يﺎﻫرﻮﺸـﮐ رد صﻮﺼـﺧ ﻪﺑ ﻪﻌـﺳﻮﺗ لﺎـﺣ دﻮﺷ ﯽﻣ هدﺎﻔﺘﺳا . ﺮـﺑ هوﻼﻋ ﻢﯾﺰـﻧآ رﺎـﻬﻣ AChE ، سﺮﺘـﺳا ﮐا ﻢﺴـﯿﻧﺎﮑﻣ ﮏـﯾ ناﻮﻨﻋ ﻪﺑ ﺰﯿﻧ ﻮﯿﺗاﺪﯿﺴ ﯽﻟﻮـﮑﻟﻮﻣ رد ﯽﻠـﺻا ﺎﻤﺳﻼﭘ رد نﻮﯿﺗﻻﺎﻣ ﺖﯿﻤﺳ ، ،ﺪﺒﮐ ،ساﺮﮑﻧﺎﭘ و تﻼﻀـﻋ ﺰـﻐﻣ ﺖﺳا هﺪﺷ ﻪﺘﺧﺎﻨﺷ .) 4، 3( ﻔﺴﻓﻮﻧﺎﮔرا هﺮ ﺐﺒـﺳ زاﺮﺘـﺳا ﻦﯿﻟﻮـﮐ ﻢﯾﺰـﻧآ رﺎـﻬﻣ ﺎﺑ ﺎﻫ ﺎﻨﺑ و ﻦﯿﻟﻮﮐ ﻞﯿﺘﺳا ﺶﯾاﺰﻓا ﺮـﺑ ﺎﻫرﻮﺘﭙـﺳر ﮏـﯾﺮﺤﺗ ﻦـﯾا ي ﺪﻧﻮـﺷ ﯽـﻣ ﯽﻨﯾرﺎﮑـﺳﻮﻣ و ﯽﻨﯿﺗﻮﮑﯿﻧ ،) 6، 5 ( . نﻮﯿﺗﻻﺎـﻣ ﮏـﯾ رﻮـﻃ ﻪـﺑ ﻪﮐ ﺖﺳا ﯽﺳﺎﻤﺗ هﺮﻔﺴﻓﻮﻧﺎﮔرا ناﻮـﻨﻋ ﻪـﺑ هدﺮﺘﺴـﮔ ﺶﮐ هﺮﺸﺣ و يرواد ناﻮﻨﻋ ﻪﺑ و ﺶﮐ ﺖﻓآ ﺪﺿ ماد رد مﺮـﮐ دﻮﺷ ﯽﻣ هدﺎﻔﺘﺳا ﯽﮑﺷﺰﭘ ،) 7( . ﻪـﮐ ﺪـﻫد ﯽـﻣ نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ تاﺮﺛا ﻢﯾﺰـﻧآ رﺎـﻬﻣ ﻪﺑ دوﺪﺤﻣ ﺎﻫ هﺮﻔﺴﻓﻮﻧﺎﮔرا زا ﯽﺧﺮﺑ ﯽﻤﺳ ﺎـﺒﻧد ﻪـﺑ ﻪـﮑﻠﺑ ،ﺖﺴـﯿﻧ زاﺮﺘﺳا ﻦﯿﻟﻮﮐ ل ﮐ ناﺮـﺤﺑ ﮏـﯾژﺮﻨﯿﻠ يﺎﻫﺎﺸﻏ ﻪﺑ ﺐﯿﺳآ ﺪﻨﻧﺎﻣ ﯽﺗاﺮﯿﯿﻐﺗ يﺎـﻫ ﻪـﻧﻮﮔ ﺪـﯿﻟﻮﺗ ،ﯽﻟﻮﻠﺳ نﮋﯿﺴﮐا لﺎﻌﻓ ROS ﻢﺘﺴﯿﺳ رد لﻼﺘﺧا و ﯽﻧاﺪﯿﺴـﮐا ﯽـﺘﻧآ دﻮﺷ ﯽﻣ هﺪﻫﺎﺸﻣ ﺰﯿﻧ نﺪﺑ ،) 8( . رد و ﺪـﯿﻟﻮﺗ ﻦﯿﺑ ﯽﻌﯿﺒﻃ ﻂﯾاﺮﺷ نﮋﯿﺴﮐا لﺎﻌﻓ يﺎﻫ ﻪﻧﻮﮔ فﺬﺣ دراد دﻮـﺟو لدﺎـﻌﺗ راد . مﺪـﻋ ﺐـﺟﻮﻣ ﺪـﻨﯾاﺮﻓ ﻦـﯾا رد لدﺎﻌﺗ ﻮﺧ ﻮﯿﺗاﺪﯿﺴـﮐا سﺮﺘـﺳا ﺪـﻫا ﺪﺷ .) 9،10 ( ﻢﺘﺴﯿﺳ نﺪﺑ رد ﺎـﺑ ﻪـﻠﺑﺎﻘﻣ ياﺮـﺑ ﯽـﺻﺎﺧ ﯽﻋﺎـﻓد يﺎﻫ ﻪـﮐ ﺖـﺳا هﺪﺷ ﻪﯿﺒﻌﺗ لﺎﻌﻓ يﺎﻫ ﻪﻧﻮﮔ ﻦﯾا ﺐﯿﺳآ زا ﺪـﻨﺗرﺎﺒﻋ ﯽﺘﻧآ عﺎﻓد يﺎﻫ ﻢﺘﺴﯿﺳ ﯽـﻤﯾﺰﻧآ ﺮـﯿﻏ و ﯽـﻤﯾﺰﻧآ ﯽﻧاﺪﯿﺴـﮐا . ﯽـﻣ ﯽﻧاﺪﯿﺴـﮐا ﯽﺘﻧآ عﺎﻓد ﺶﯾاﺰﻓا ياﺮﺑ ﯽـﺘﻧآ دﻮـﻣ زا ناﻮـﺗ ﻧاﺪﯿﺴﮐا ﯽ تﺎﺒﯿﮐﺮﺗ ﺪﻨﻧﺎﻣ ﺋﻮﻧووﻼﻓ يوﺎﺣ ﺪـﻨﻧﺎﻣ يداﻮـﻣ ﺎـﯾ ﺪﯿ و ﻢﯿﻨﻠﺳ ... دﻮﻤﻧ هدﺎﻔﺘﺳا .) 12 ، 11 ( ﺮﮕﯾد ﯽﻓﺮﻃ زا ﺮﺼﻨﻋ ﯽﺳﺎﺳا و ﯽﺗﺎﯿﺣ ﺮﺼﻨﻋ ﮏﯾ يور ﺖـﯿﻟﺎﻌﻓ ﺎـﺑ ﯽﮑﯾدﺰﻧ طﺎﺒﺗرا ﻪﮐ هدﻮﺑ ﺶﯿـﺑ زا 300 ـﺑ ﻢﯾﺰـﻧآ ﻪ ﻢﯾﺰﻧآﻮﻟﺎﺘﻣ ﺮﯾﺎﺳ و زاﺮﻤﯿﻠﭘ صﻮﺼﺧ و ﺎـﻫ ﻦﯿﺌﺗوﺮـﭘ ﺰﺘﻨـﺳ ﺎﻫ ﯽﻟﻮﻠﺳ ﻢﯿﺴﻘﺗ و ﺎﻫﺪﯿﺳا ﮏﯿﺌﻠﮐﻮﻧ دراد ﻦﯿﻨﭼ ﻢﻫ رد ﺎﻌﻓ ﺖـﯿﻟ رد ﻦﯿﺗﺎﻣوﺮﮐ نﺎﻤﺘﺧﺎﺳ نﺪﻧﺎﻣ راﺪﯾﺎﭘ و ﺰﻧژﻮﺗﺎﻣﺮﭙﺳا ،ﻞﺜﻣ ﺪﯿﻟﻮﺗ ﺑ ﺶﻘﻧ ياراد ﯽﻟﻮﻠﺳ ﻪﺘﺴﻫ ﻪ ﺖﺳا ﯽﯾاﺰﺳ . ﺮﺼـﻨﻋ ﮏـﯾ يور رد يا هﺪـﻨﻨﮐ ﺖـﻈﻓﺎﺤﻣ و ﻢﻬﻣ ﺶﻘﻧ و ﺖﺳا ﯽﻧاﺪﯿﺴﮐا ﯽﺘﻧآ نﮋﯿﺴﮐا لﺎﻌﻓ يﺎﻫ ﻪﻧﻮﮔ ﺮﺑاﺮﺑ دراد راد ،) 15 -13 ( . ﺎﻨﺑ ﺮـﺑ ﻦـﯾا ﺎﺑ يﺎﻫ ﻢﺴﯿﻧﺎﮑﻣ ﻪﺑ ﻪﺟﻮﺗ ﺶـﮐ ﺖـﻓآ ﺖﯿﻤـﺳ ﺪـﯾﺪﺟ يﺎـﻫ هﺮﻔﺴﻓ ﻮﻧﺎﮔرا ﯽـﺳرﺮﺑ رﻮـﻈﻨﻣ ﻪﺑ ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﯽﻧﺎـﻣرد تاﺮـﺛا ﺎـﺑ دﺎﺣ سﺎﻤﺗ ﺮﺑ ار يور نﻮﯿﺗﻻﺎـﻣ ﻪـﺘﻓﺮﮔ مﺎـﺠﻧا ﺎـﺗ تاﺮـﺛا ﺗﺎﺒﯿﮐﺮﺗ ﯽﻧﺎﻣرد ﯽ ﺮﺼﻨﻋ ﺪﻨﻧﺎﻤﻫ ﺖﯿﻣﻮﻤﺴﻣ ﻪﻧﻮﮔ ﻦﯾا رد يور ﺶﻫﺎﮐ ﻖﯾﺮﻃ زا ﺎﻫ نﮋﯿﺴـﮐا لﺎﻌﻓ يﺎﻫ ﻪﻧﻮﮔ زا ﯽﺷﺎﻧ ﺐﯿﺳآ راد ﯽﺳرﺮﺑ دﻮﺷ . شور و داﻮﻣ ﺎﻫ ﯾا رد ﻪﻌﻟﺎﻄﻣ ﻦ ﯽﺑﺮﺠﺗ رﺎﺘﺴﯾو داﮋﻧ ﺮﻧ ﯽﯾاﺮﺤﺻ شﻮﻣ زا ﯽﻧزو هدوﺪﺤﻣ رد 250 -180 هدﺎﻔﺘﺳا مﺮﮔ ﺪﺷ . تﺎﻧاﻮﯿﺣ رد رادرﻮﺧﺮﺑ و اﺬﻏ و بآ ﻪﺑ دازآ ﯽﺳﺮﺘﺳد ﺎﺑ ﻪﻧﺎﺨﻧاﻮﯿﺣ ﻂﯾاﺮﺷ زا ندﻮﺑ 12 و ﯽﯾﺎﻨﺷور ﺖﻋﺎﺳ 12 ﺖﻋﺎﺳ راﺪﻬﮕﻧ ﯽﮑﯾرﺎﺗ ي ﺪﻧﺪﺷ . ﺖﯾﺎﻋر ﯽﻫﺎﮕﺸﯾﺎﻣزآ تﺎﻧاﻮﯿﺣ ﺎﺑ رﺎﮐ ﯽﻗﻼﺧا ﻦﯾزاﻮﻣ ﺪﺷ . ﺳ ﻪﺑ ﯽﻓدﺎﺼﺗ رﻮﻃ ﻪﺑ تﺎﻧاﻮﯿﺣ ﺲﭙ رﺎﻬﭼ هوﺮﮔ )5 سار شﻮﻣ هوﺮﮔ ﺮﻫ رد ( ﺪﻧﺪﺷ ﻢﯿﺴﻘﺗ . يﺎﻫ هوﺮﮔ ﻪﻌﻟﺎﻄﻣ درﻮﻣ ،ﻞﻣﺎﺷ هوﺮﮔ رﺎﻤﯿﺗ نﻮﯿﺗﻻﺎﻣ ﺎﺑ ) mg/kg 250 شور ﻪﺑ ﻞﺧاد ﯽﻗﺎﻔﺻ ( هوﺮﮔ و ﺪﻫﺎﺷ رﺎﻤﯿﺗ ﻦﯿﻟﺎﺳ لﺎﻣﺮﻧ ﺎﺑ ، هوﺮﮔ رﺎﻤﯿﺗ ﺎﺑ يور ) mg/kg 5 ( هوﺮﮔ و رﺎﻤﯿﺗ نﻮﯿﺗﻻﺎﻣ و يور ﺎﺑ ) mg/kg 5 + mg/kg 250 (،) 16 (، هوﺮﮔ ناﻮﻨﻋ ﻪﺑ ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ ﺪﻧﺪﺷ بﺎﺨﺘﻧا . زا ﺪﻌﺑ و 48 ﻪﺘﺸﮐ ار تﺎﻧاﻮﯿﺣ ﺖﻋﺎﺳ رد و نآ نﻮﺧ يﺎﻤﺳﻼﭘ ﻪﻧﻮﻤﻧ ﻫ ﺎ ﺮﯾز يﺎﻫﺮﮐرﺎﻣﻮﯿﺑ ﮔ هزاﺪﻧا ﯿﺮ ي ﺪﺷ . ﯽﺘﻧآ ﺖﯿﻓﺮﻇ ناﺰﯿﻣ يﺮﯿﮔ هزاﺪﻧا ناﺪﯿﺴـﮐا مﺎـﺗ يﺎـﻫ ﺎﻤـﺳﻼﭘ (TAC) ﻪـﺑ شور FRAP : ﺎــﺳا ﺮـﺑ شور ﻦـﯾا س نﻮــﯾ يﺎــﯿﺣا رد ﺎﻤــﺳﻼﭘ ﯽﯾﺎــﻧاﻮﺗ يﺎــﻫ + 3 Fe ) ﮏــﯾﺮﻓ ( ﻪــﺑ + 2 Fe ) وﺮــﻓ ( مﺎــﻧ ﻪــﺑ يا هدﺎــﻣ رﻮﻀــﺣ رد ) tripuridyl-S-triazine) TPTZ ( ﺖـــﺳا راﻮﺘـــﺳا . ﺲﮑﻠﭙـــﻤﮐ + 2 Fe TPTZ+ ، ﻢﻤﯾﺰﮐﺎـﻣ ﺎﺑ ﯽﮕﻧر ﯽﺑآ ﺲﮑﻠﭙﻤﮐ بﺬـﺟ رد nm 593 ﺖﺳا . ﺎﻤﺳﻼﭘ ﯽﮔﺪﻨﻨﮐ ءﺎﯿﺣا ترﺪﻗ ناﺰﯿﻣ ﻪـﻧﻮﻤﻧ ﺮـﻫ ﺎﯾ يا ﻓا ﻖﯾﺮﻃ زا ﻂـﺳﻮﺗ قﻮﻓ ﺲﮑﻠﭙﻤﮐ ﺖﻈﻠﻏ ﺶﯾاﺰ هﺎﮕﺘـﺳد دﻮﺷ ﯽﻣ يﺮﯿﮔ هزاﺪﻧا ﺮﺘﻣﻮﺘﻓوﺮﺘﮑﭙﺳا .) 17 ( هوﺮﮔ ناﺰﯿﻣ يﺮﯿﮔ هزاﺪﻧا ﺎﻤﺳﻼﭘ لﻮﯿﺗ يﺎﻫ ) TTG ( : هوﺮﮔ ﺐﯿﺳآ يﺎﻫﺮﮐرﺎﻣ زا ﺮﮕﯾد ﯽﮑﯾ ﺰﯿﻧ ﺎﻤﺳﻼﭘ لﻮﯿﺗ يﺎﻫ لﺎﮑﯾدار ﺪﺷﺎﺑ ﯽﻣ دازآ يﺎﻫ . ﻮﯿﺗاﺪﯿﺴﮐا ﺐﯿﺳآ ﻪﺑ ﻞﻣﻮﻋ ﻦﯾا ﺐﯿﺳآ ﻦﯾا ﻪﺠﯿﺘﻧ رد و هدﻮﺑ سﺎﺴﺣ ﺪﻨﺑﺎﯾ ﯽﻣ ﺶﻫﺎﮐ ﺎﻫ . يﺮﺘﻤﯾﺮﻟﺎﮐ شور زا ﻞﻣاﻮﻋ ﻦﯾا ﯽﺑﺎﯾزرا ياﺮﺑ Hu زا فﺮﻌﻣ 2 ﺪﯿﺳا ﮏﯿﺋوﺰﻨﺑوﺮﺘﯿﻧ ﻮﯿﺗ يد ) DTNB ( جﻮﻣ لﻮﻃ رد nm 412 ﺪﺷ هدﺎﻔﺘﺳا .) 18 ( زاﺮﺘﺳا ﻦﯿﻟﻮﮐ ﻢﯾﺰﻧآ ﺖﯿﻟﺎﻌﻓ يﺮﯿﮔ هزاﺪﻧا ) ChE ( : شور ﻢﯾﺰﻧآ ﺖﯿﻟﺎﻌﻓ يﺮﯿﮔ هزاﺪﻧا ياﺮﺑ لواﺪﺘﻣ شور زاﺮﺘﺳا ﻦﯿﻟﻮﮐ Ellman ﺖﺳا لﺎﺳ زا ﻪﮐ 1961 ﺞﯾار ﺪﺷ . شور ﻦﯾا رد رد ﻢﯾﺰﻧآ ﻦﯾا ﺖﯿﻟﺎﻌﻓ و ﺎﻤﺳﻼﭘ ﺰﻣﺮﻗ لﻮﺒﻠﮔ ﯽﻣ يﺮﯿﮔ هزاﺪﻧا

(3)

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

Control Mal Zinc Mal+Zinc

C h E U /m g p ro te in i n p la s m a ) bb aa 0 0.05 0.1 0.15 0.2 0.25 0.3

Control Mal Zinc Mal+Zinc

T T G ( n m o l/ m g p ro te in i n p la s m a ) aa bb دﻮﺷ . شور ﻦﯾا رد زا فﺮﻌﻣ Ellman )2 ﻮﯿﺗ يد ﺪﯿﺳا ﮏﯿﺋوﺰﻨﺑوﺮﺘﯿﻧ DTNB ( و ،ﺮﺘﻣﻮﺘﻓوﺮﺘﮑﭙﺳا هﺎﮕﺘﺳد جﻮﻣ لﻮﻃ nm 412 ﺪﺷ هدﺎﻔﺘﺳا .) 19 ( ا رد ﯾ ﻦ ﻪـﻌﻟﺎﻄﻣ ، هداد ـﺑ ﺎـﻫ راﺰـﻓا مﺮـﻧ زا هدﺎﻔﺘـﺳا ﺎ يرﺎﻣآ SPSS vol.16 ﺪﺷ ﻞﯿﻠﺤﺗ و ﻪﯾﺰﺠﺗ . مﺎـﺠﻧا زا ﺪـﻌﺑ ﻟﺎﻣﺮﻧ ﺖﺴــﺗ ﯿ ﻪــﺘ (Kolmogorov Smirnov)K.S زا نﻮﻣزآ ﻪـﻓﺮﻃ ﮏﯾ ﺲﻧﺎﯾراو ﺰﯿﻟﺎﻧآ One-way ANONA و Post Hoc ﯽﮐﻮــﺗ اﺮــﺑ ي ﺎﻘﻣ ــﯾ ﻪﺴ ﻣ ــﯿ ﮕﻧﺎ ﯿ ﻦ هوﺮــﮔ ﺎــﻫ ﺪﺷ هدﺎﻔﺘﺳا . P<0.05 ﯽﻨﻌﻣ ﺪـﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد راد . ﺞﯾﺎـﺘﻧ ترﻮﺻ ﻪﺑ ﻦﯿﮕﻧﺎﯿﻣ ± ﺪﺷ نﺎﯿﺑ رﺎﯿﻌﻣ فاﺮﺤﻧا . ﻪﺘﻓﺎ ﺎﻫ ﺶﻫوﮋﭘ ي زاﺮﺘـﺳا ﻦﯿﻟﻮﮐ ﻢﯾﺰﻧآ ﺖﯿﻟﺎﻌﻓ نﻮﯿﺗﻻﺎـﻣ ﻪـﮐ ﯽـﻫوﺮﮔ رد يراد ﯽـﻨﻌﻣ ﺶﻫﺎـﮐ لﺮـﺘﻨﮐ هوﺮـﮔ ﻪﺑ ﺖﺒﺴﻧ ﺪﻧدﺮﮐ ﺖﻓﺎﯾرد ﺖﻓﺎﯾ ). P<0.05 ( ﻢﻫ ﺪـﻧدﺮﮐ ﺖﻓﺎﯾرد يور ﻪﮐ ﯽﻫوﺮﮔ ﻦﯿﻨﭼ ﺖـﻓﺎﯾرد نﻮﯿﺗﻻﺎـﻣ ﻪﮐ ﯽﻫوﺮﮔ ﻪﺑ ﺖﺒﺴﻧ يراد ﯽﻨﻌﻣ ﺶﯾاﺰﻓا ﺮﮐ ،ﺪﻧد داد نﺎﺸﻧ .) P<0.05 ، رادﻮﻤﻧ هرﺎﻤﺷ 1 ( هوﺮﮔ نﻮﯿﺗﻻﺎـﻣ ﻪـﮐ ﯽـﻫوﺮﮔ رد ﺎﻤـﺳﻼﭘ لﻮـﯿﺗ يﺎـﻫ يراد ﯽـﻨﻌﻣ ﺶﻫﺎـﮐ لﺮـﺘﻨﮐ هوﺮـﮔ ﻪﺑ ﺖﺒﺴﻧ ﺪﻧدﺮﮐ ﺖﻓﺎﯾرد داد نﺎﺸـﻧ ). P<0.05 ( ﻢــﻫ هوﺮــﮔ ﻦﯿـﻨﭼ رد لﻮــﯿﺗ يﺎـﻫ رد يراد ﯽـﻨﻌﻣ ﺶﯾاﺰـﻓا ﺪـﻧدﻮﻤﻧ ﺖـﻓﺎﯾرد يور ﻪـﮐ ﯽﻫوﺮﮔ نﻮﯿﺗﻻﺎـﻣ ﻪـﮐ ﯽـﻫوﺮﮔ ﺎـﺑ ﻪﺴﯾﺎﻘﻣ نﺎﺸـﻧ ،ﺪـﻧدﻮﻤﻧ ﺖـﻓﺎﯾرد داد .) P<0.05 ، هرﺎﻤﺷ رادﻮﻤﻧ 2 ( ﻪـﺑ ﺰـﯿﻧ ﺎﻤﺳﻼﭘ مﺎﺗ يﺎﻫ ناﺪﯿﺴﮐا ﯽﺘﻧآ ﺖﯿﻓﺮﻇ رﻮـﻃ ﯽﻨﻌﻣ يراد رد ﻪﺑ ﺖﺒﺴﻧ ،ﺪﻧدﺮﮐ ﺖﻓﺎﯾرد نﻮﯿﺗﻻﺎﻣ ﻪﮐ ﯽﻫوﺮﮔ ﺶﻫﺎﮐ لﺮﺘﻨﮐ هوﺮﮔ ﺖﻓﺎﯾ ). P<0.05 ( ﻢﻫ ﯽـﻫوﺮﮔ رد ﻦﯿﻨﭼ ﺖﻓﺎﯾرد يور ﻪﮐ ﻮﺑ هدﺮﮐ ﺪﻧد ﺖﯿﻓﺮﻇ ، مﺎﺗ يﺎﻫ ناﺪﯿﺴﮐا ﯽﺘﻧآ ﻼﭘ ﺎﻤـﺳ ﻪـﮐ ﯽـﻫوﺮﮔ ﺎـﺑ ﻪﺴـﯾﺎﻘﻣ رد يراد ﯽـﻨﻌﻣ ﺶﯾاﺰـﻓا داد نﺎﺸﻧ ،ﺪﻧدﻮﻤﻧ ﺖﻓﺎﯾرد نﻮﯿﺗﻻﺎﻣ .) P<0.05 ، هرﺎﻤﺷ رادﻮﻤﻧ 3( رادﻮﻤﻧ هرﺎﻤﺷ 1 . ناﺰﯿﻣ زاﺮﺘﺳا ﻦﯿﻟﻮﮐ ﻢﯾﺰﻧآ ﺖﯿﻟﺎﻌﻓ هوﺮﮔ رد ﺎﻤﺳﻼ ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ ﺎﻫ هداد ﻪﺑ ترﻮﺻ ) Mean±SE, 95% CI ( هوﺮﮔ رد ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ n=5 ﯽﻣ ﺪﺷﺎﺑ . aa هوﺮﮔ ﺎﺑ راد ﯽﻨﻌﻣ فﻼﺘﺧا لﺮﺘﻨﮐ bb فﻼﺘﺧا نﻮﯿﺗﻻﺎﻣ هوﺮﮔ ﺎﺑ راد ﯽﻨﻌﻣ . هوﺮﮔ ﺎﻫ : يور ،يور ،نﻮﯿﺗﻻﺎﻣ ،لﺮﺘﻨﮐ + نﻮﯿﺗﻻﺎﻣ رادﻮﻤﻧ هرﺎﻤﺷ 2 . ناﺰﯿﻣ هوﺮﮔ لﻮﯿﺗ يﺎﻫ رد ﺎﻤﺳﻼ هوﺮﮔ ﻬﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ ﺎﻫ هداﺪ ترﻮﺻ ﻪﺑ ) Mean±SE, 95% CI ( وﺮﮔ رد ه ﻟﺎﻄﻣ درﻮﻣ يﺎﻫ ﻪﻌ n=5 ﺪﺷﺎﺑ ﯽﻣ . aa لﺮﺘﻨﮐ هوﺮﮔ ﺎﺑ راد ﯽﻨﻌﻣ فﻼﺘﺧا bb نﻮﯿﺗﻻﺎﻣ هوﺮﮔ ﺎﺑ راد ﯽﻨﻌﻣ فﻼﺘﺧا . هوﺮﮔ ﺎﻫ : يور ،يور ،نﻮﯿﺗﻻﺎﻣ ،لﺮﺘﻨﮐ + نﻮﯿﺗﻻﺎﻣ

(4)

0 1 2 3 4 5 6 7

Control Mal Zinc Mal+Zinc

T A C ( u m o l/ m g p ro te in i n p la s m a ) bb aa رادﻮﻤﻧ هرﺎﻤﺷ 3 . ناﺰﯿﻣ ناﺪﯿﺴﮐا ﯽﺘﻧآ ﺖﯿﻓﺮﻇ مﺎﺗ يﺎﻫ هوﺮﮔ رد ﺎﻤﺳﻼ ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ ﺎﻫ هداد ترﻮﺻ ﻪﺑ ) Mean±SE, 95% CI ( هوﺮﮔ رد ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ n=5 ﺪﺷﺎﺑ ﯽﻣ . aa لﺮﺘﻨﮐ هوﺮﮔ ﺎﺑ راد ﯽﻨﻌﻣ فﻼﺘﺧا bb نﻮﯿﺗﻻﺎﻣ هوﺮﮔ ﺎﺑ راد ﯽﻨﻌﻣ فﻼﺘﺧا . هوﺮﮔ ﺎﻫ : يور ،يور ،نﻮﯿﺗﻻﺎﻣ ،لﺮﺘﻨﮐ + نﻮﯿﺗﻻﺎﻣ ﺚﺤﺑ يﺮﯿﮔ ﻪﺠﯿﺘﻧ و ﺐﯿﺳآ ءﺎﻘﻟا رد ار نﻮﯿﺗﻻﺎﻣ ﺖﯿﻤﺳ ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﺞﯾﺎﺘﻧ ﻮﯿﺗاﺪﯿﺴﮐا ار د ﯽﻣ نﺎﺸﻧ ﺪﻫ . ﺞﯾﺎﺘﻧ ﻢﯾﺰﻧآ ﺖﯿﻟﺎﻌﻓ زاﺮﺘﺳا ﻦﯿﻟﻮﮐ ﺶﻫﺎﮐ ندﺮﮐ ﺖﻓﺎﯾرد نﻮﯿﺗﻻﺎﻣ ﻪﮐ ﯽﻫوﺮﮔ رد ار نﺎﺸﻧ داد . ﻢﻫ و ﯽﻧاﺪﯿﺴﮐا ﯽﺘﻧآ ترﺪﻗ ﻦﯿﻨﭼ هوﺮﮔ لﻮﯿﺗ يﺎﻫ ﺦﺳﺎﭘ رد نﻮﯿﺗﻻﺎﻣ سﺎﻤﺗ ﻪﺑ ﺶﻫﺎﮐ داد نﺎﺸﻧ . يور ﯽﻟو ﻪﮐ ﺖﺳا ردﺎﻗ ﻂﺳﻮﺗ هﺪﺷ ءﺎﻘﻟا تاﺮﯿﯿﻐﺗ يﺎﻫﺮﮐرﺎﻣﻮﯿﺑ ﺐﻠﻏا رد ار نﻮﯿﺗﻻﺎﻣ هﺪﺷ ﺖﺴﺗ ﺑ ﺪﺸﺨﺑ دﻮﺒﻬ . ﺖﯿﻟﺎﻌﻓ ﯽﯾﺎﻬﻨﺗ ﻪﺑ نﻮﯿﺗﻻﺎﻣ Redox-cycling دراد ﯽﺋﺎﺟ نآ ﻪﮐ ياﺮﺑ نوﺮﺘﮑﻟا ﮏﯾ لﺎﮑﯾدار ﻞﯿﮑﺸﺗ دازآ يﺎﻫ لﺎﻘﺘﻧا ﺲﭙﺳ و نآ نﮋﯿﺴﮐا ﻪﺑ ﺎﻫ ﺑ ياﺮ و ﺪﯿﺴﮐاﺮﭘﻮﺳ نﻮﯿﻧآ ﻞﯿﮑﺸﺗ زا نژورﺪﯿﻫ ﺪﯿﺴﮐاﺮﭘ ﺶﻨﮐاو ﻖﯾﺮﻃ يﺎﻫ يا هﺮﯿﺠﻧز ترﻮﺻ دﺮﯿﮔ ﯽﻣ . ﻢﻫ ﻦﯿﻨﭼ ﻧﺎﮔرا ﻪﮐ ﺖﺳا هﺪﺷ ﺖﺑﺎﺛ ﺎﻫ هﺮﻔﺴﻓﻮ ﯽﺘﻧآ ﯽﻌﯿﺒﻃ زﺎﺘﺳﻮﻤﻫ ﻖﯾﺮﻃ زا اﺪﺘﺑا ار ﯽﻧاﺪﯿﺴﮐا لﺎﻌﻓ ﯽﺘﻧآ ﺖﯿﻟﺎﻌﻓ يزﺎﺳ ﺲﭙﺳ و ﺪﻨﻫد ﯽﻣ ﺮﯿﯿﻐﺗ ﯽﻧاﺪﯿﺴﮐا ﯽﺘﻧآ ﺪﺷ مزﻻ ﺮﮔا ناﺪﯿﺴﮐا ﮕﯾد يﺎﻫ يﺮ ﺮﮐذ ﺎﺟ ﻦﯾا رد ﻪﮐ رد ﺖﺳا هﺪﺸﻧ سﺎﻤﺗ ﻦﻣﺰﻣ و دﺎﺣ ﺶﻫﺎﮐ ﺪﻨﻫد ،) 20 ، 13 ( . ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻪﮐ ﺞﯾﺎﺘﻧ ﻦﯾا ﺰﯿﻧ ﯽﻬﺑﺎﺸﻣ نﺎﺸﻧ ار داد . ﻦﯿﻘﻘﺤﻣ ا ﻪﻌﻟﺎﻄﻣ رد ي رد لﺎﺳ 2001 ﺮﺛا ﯽﮐارﻮﺧ يور رد سﻮﻔﯾدوﺮﻠﮐ زا ﯽﺷﺎﻧ يﺪﺒﮐ ﺐﯿﺳآ ﺮﺑ ا ﻪﺑ تر ﯾ ﻦ ﺘﻧ ﯿ ﻪﺠ ﺳر ﯿ ﺪﻧﺪ ﻪﮐ ﺖﯿﺳﻮﺗﺎﭙﻫ يور ﺪﺳر ﯽﻣ ﺮﻈﻧ ﻪﺑ رد ار ﺪﺒﮐ يﺎﻫ ﺎﻫ هﺮﻔﺴﻓﻮﻧﺎﮔرا ﺎﺑ ﺖﯿﻣﻮﻤﺴﻣ ﺮﺑاﺮﺑ ﺪﻨﮐ ﯽﻣ ﺖﻈﻓﺎﺤﻣ ،) 21 (. ﻪﮐ ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد يور سﺮﺘﺳا يﺎﻫﺮﮐرﺎﻣﻮﯿﺑ ار ﻮﯿﺗاﺪﯿﺴﮐا ًﺎﺒﯾﺮﻘﺗ هﺪﺷ ﺖﺴﺗ يﺎﻫ ﻪﻧﻮﻤﻧ رد ﺖﺳا هﺪﯿﺸﺨﺑ دﻮﺒﻬﺑ . رد ﻪﺘﺒﻟا يﺮﮕﯾد ﻪﻌﻟﺎﻄﻣ Ebisch لﺎﺳ رد نارﺎﮑﻤﻫ و 2007 ﺎﺑ ا ﻪﺑ يرورﺎﺑﺎﻧ زا يﺮﯿﮔﻮﻠﺟ ﯾ ﻦ ﺘﻧ ﯿ ﻪﺠ ﺳر ﯿ ﺪﻧﺪ ﻪﮐ يﺬﻐﻣ داﻮﻣ ﻮﯿﺑ يﺎﻫﺪﻨﯾاﺮﻓ ﺮﺑ ﺮﯿﺛﺎﺗ ﺎﺑ يور ﺪﻨﻧﺎﻤﻫ رد نﺪﺑ ﯽﮑﯾژﻮﻟ دﻮﺒﻬﺑ ﺪﺷﺎﺑ ﯽﻣ ﺮﺛﻮﻣ يرورﺎﺑﺎﻧ .) 22 ( ﺰﯿﻧ يﺮﮕﯾد ﻪﻌﻟﺎﻄﻣ رد زا ﯽﺷﺎﻧ ﺖﯿﻤﺳ ﺮﺑ يور ﺮﺛا ﻪﻌﻟﺎﻄﻣ ﺞﯾﺎﺘﻧ ﻪﮐ ﺪﺷ ﯽﺳرﺮﺑ ﻦﻣﺰﻣ يﺎﻫ سﺎﻤﺗ رد نﻮﯿﺗﻻﺎﻣ ﻦﯿﻟﻮﮐ ﻞﯿﺘﺳا ﻢﯾﺰﻧآ ﻞﻣﺎﮐ ﺐﯾﺮﺨﺗ زا يور ﻪﮐ داد نﺎﺸﻧ نﺎﯿﺑ يور ﺰﯾﻮﺠﺗ و دﺮﮑﻧ يﺮﯿﮔﻮﻠﺟ زاﺮﺘﺳا HSP60 ار ﻣا داد ﺶﯾاﺰﻓا نﺎﯿﺑ ﺎ نژ HSP70 داﺪﻧ ﺮﯿﯿﻐﺗ ار ﺮﯿﻏ تاﺮﺛا و نﻮﯿﺗﻻﺎﻣ ﯽﮑﯾژﺮﻨﯿﻟﻮﮐ ) ﯽﻧاﺪﯿﺴﮐا ﯽﺘﻧآ يﺎﻫ ﻢﯾﺰﻧآ ﺮﺑ ﺮﺛا ( ﺪﺑﺎﯾ ﯽﻣ دﻮﺒﻬﺑ يور ﻂﺳﻮﺗ ،) 23 (، ﻪﺑﺎﺸﻣ ﻪﮐ ﯽﺳرﺮﺑ ﻦﯾا ﺞﯾﺎﺘﻧ ﻦﯾا عﻮﻧ ﻪﮐ ﺖﺳا ﻦﯾا ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﺎﺑ نآ توﺎﻔﺗ و ﺪﺷﺎﺑ ﯽﻣ ﺪﺷﺎﺑ ﯽﻣ دﺎﺣ ﺖﯿﻤﺳ ﻪﻌﻟﺎﻄﻣ . ﺴﮐا ﯽﺘﻧآ داﻮﻣ ـ ﯾز ﯽﻧاﺪﯿ ـ دﺎ ﻤﺳ ي ـــ ﮐا ﺖﯿ ــ ﯽﻧاﺪﯿﺴ ﺷﺎﻧ ــ ﻓﻮﻧﺎﮔرا زا ﯽ ـ ﺧ ﻪﺑ ﺎﻫ هﺮﻔﺴ ــ ﯿﺗﻻﺎﻣ صﻮﺼ ــ ار نﻮ ﺗ ــ ﯾﺪﻌ ــ ﻤﻧ ﯽﻣ ﻞ ــ ﺪﻨﯾﺎ ،) 26 -24 (. ﻪﻌﻟﺎﻄﻣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻪﮐ ﺳ ﺶﻫﺎﮐ رد ﺰﯿﻧ يور ﺮﺿﺎﺣ ــ ﻤﺳ ﻦﯾا ﺖﯿﻤ ــ ﺪﻧاﻮﺗ ﯽﻣ مﻮ ﺪﺷﺎﺑ ﺮﺛﻮﻣ . ﺴﻣ نﺎﻣرد ﻪﺑ ﺪﯾﺎﺷ و ــ ﻦﻣﺰﻣ و دﺎﺣ يﺎﻫ ﺖﯿﻣﻮﻤ ﺳ ﻦﯾا ــ ﻤﮐ مﻮﻤ ـ ﻧ ﮏ ـ ﺪﯾﺎﻤ . ﺛا ـ ﻧآ تاﺮ يﻮﯿﺗاﺪﯿﺴﮐا ﯽﺘ ﺴﺑ ـ داﻮﻣ زا يرﺎﯿ ي ﺪﻨﻧﺎﻤﻫ ﻫﺎﮐ رد يور ــ ﺳ ﺶ ــ ﺮﯿﻏ ﺖﯿﻤ ﯿﻟﻮﮐ ــ ﮑﯾژﺮﻨ ـ ﺳ ﯽ ـ ﻧﺎﮔرا مﻮﻤ ـ ﻓ ﻮ ـ ﺷ هﺮﻔﺴ ـ ﻃ زا ﺪﯾﺎ ـ ﯾﺮ ـ ﻖ ﺴﯿﻧﺎﮑﻣ ـ ﻫ ﻢ ـ ﺳ يﺎ ـ ﻟﻮﻠ ـ و ﯽ ﻪﮐ ﺪﺷﺎﺑ يﺮﺗ ﻖﯿﻗد ﯽﻟﻮﮑﻟﻮﻣ تﺎﻘﯿﻘﺤﺗ مﺎﺠﻧا ﻪﺑ زﺎﯿﻧ يﺮﺘﺸﯿﺑ دراد يﺎﻫ ﻢﯾﺰﻧآ نﺎﯿﺑ ﺪﻨﻧﺎﻤﻫ رد ﺪﻧاﻮﺗ ﯽﻣ ﻪﮐ ﯽﻟﻮﻠﺳ گﺮﻣ يﺎﻫﺮﯿﺴﻣ و ﯽﻧاﺪﯿﺴﮐا ﯽﺘﻧآ دﺎﺣ يﺎﻫ ﺖﯿﻣﻮﻤﺴﻣ نﺎﻣرد ﺪﯿﻔﻣ هﺮﻔﺴﻓﻮﻧﺎﮔرا مﻮﻤﺳ ﻦﻣﺰﻣ و ﺪﺷﺎﺑ .

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نﺎﮔﺪﻨﺴـﯾﻮﻧ ﻪﻠﯿﺳو ﻦﯾﺪﺑ ﯽﺸـﻫوﮋﭘ مﺮـﺘﺤﻣ ﺖـﻧوﺎﻌﻣ زا ﯽﯾﻮﺠﺸـﻧاد تﺎﻘﯿﻘﺤﺗ ﻪﺘﯿﻤﮐ و ناﺪﻤﻫ ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻣ ار ﺶﻫوﮋﭘ ﻦﯾا ﻪﮐ و ﺮﮑﺸـﺗ لﺎـﻤﮐ ﺪـﻧداد راﺮﻗ ﺖﯾﺎﻤﺣ درﻮ راد ار ﯽﻧادرﺪﻗ ﻧﺪ . References

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Assessing the Protective Effects of Zinc on Oxidative Injury

Biomarkers in Acute Malathion Induction In

Male Rats

Abdolmaleki M1, Ghasemi H1, Heidarishayesteh T1, Hosseinizaijood M1, Ranjbar A1*

(Recived: July 8, 2013 Accepted: January 1, 2014)

Abstract

Introduction:Malathion is one of the most

common toxic organophosphorus insec-ticides (OPIs) which is normally used in the world. In addition to enzyme inhibition, ch-olinesterase also plays a role in the induction of oxidative stress and increased oxidants. On the other hand, zing is a crucial element that has antioxidant pro-perties and protects against free radicals. The objective of this study was to inve-stigate the possible protective effects of zinc on organophosphate pesticide poiso-ning similar to malathion in male rats.

Materials & Methods: 20 male Male Wistar

rats weighing 250-180Grm were used in th-is study. The 20 male rats were equally div-ided in to 4 groups (5 rats each). Group I (c-ontrol), while Group II was given mala-hion. Animals of Groups III received only zinc. Group IV was given zinc+ malathion once for acute test. After the treatment, blo-od was isolated. The animals were killed after 48 hours and cholinestrase activity (C-hE) and oxidative stress marker such as

total thiol groups (TTG) and total antio-xidant capacity (TAC) concentration was measured. Data were then analyzed through SPSS software by One Way Anova ana-lysis. The significance level was cons-id-ered to be p<0.05.

Findings: Results of data analysis showed

that malathion significantly reduced the activity of ChE enzyme, TTG and TAC in blood in comparison to the control group. However, zing significantly increased the capacity of TTG and TAC in comparison to the malathion group.

Discussion & Conclusion: Based on the

above findings, it can be suggested that zinc can reduce the oxidative damage of malat-hion by increasing free radicals and can be used in organophosphate pesticide poiso-ning such as malathion.

Keywords: Malathion, zinc, rat, oxidative

stress

1.Hamadan University of Medical Sciences, Hamadan, Iran *(corresponding author)

References

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