Raposo Marcos Túlio, Caminha Ana Virgínia de Queiroz, Heukelbach Jorg, Sánchez-González Miguel Ángel, de Medeiros Jovany Luis Alves, Nemes Maria Ines Battistella
Departamento de Saúde, Universidade Estadual do Sudoeste da Bahia, Jequié, BA, Brasil.
Rev Inst Med Trop Sao Paulo. 2011 Mar-Apr;53(2):77-81. doi: 10.1590/s0036-46652011000200004.
This cross-sectional study assessed the grade of physical impairments in 61 individuals with leprosy receiving multidrug therapy (MDT) under the Brazilian Unified Health System (SUS), and residing in Campina Grande, Paraíba State, Brazil. Impairments were assessed using the disability grade (DG) standardized by the WHO, and the EHF score (Eye-Hand-Foot sum of impairment scores). Impairments were detected in 25 (41%) of the subjects. A total of 14 (23%) patients scored DG 1, while 11 (18%) were assigned DG 2. The EHF score ranged from 1 to 10 points in the group of patients with physical impairments, with a mean score of 3.6 points. The majority of individuals with impairments were affected in at least two sites. We conclude that the EHF score showed overlapping impairments in the segments examined and may be more appropriate than the DG classification system for describing the degree of physical impairment of leprosy patients.
这项横断面研究评估了巴西帕拉伊巴州大坎皮纳市61名在巴西统一卫生系统（SUS）接受多药联合化疗（MDT）的麻风病患者的身体损伤程度。使用世界卫生组织标准化的残疾等级（DG）和EHF评分（眼-手-足损伤评分总和）对损伤进行评估。在25名（41%）受试者中检测到损伤。共有14名（23%）患者的DG评分为1级，而11名（18%）患者被评定为DG 2级。身体有损伤的患者组的EHF评分在1至10分之间，平均评分为3.6分。大多数有损伤的个体至少在两个部位受到影响。我们得出结论，EHF评分在所检查的部位显示出重叠损伤，并且在描述麻风病患者身体损伤程度方面可能比DG分类系统更合适。
