Fernandes Gilderlene Alves, Lima Andréa Conceição Gomes, Gonzaga Isabel Clarisse Albuquerque, de Barros Araújo Raimundo, de Oliveira Rauirys Alencar, Nicolau Renata Amadei
Lasertherapy and Photobiology Center, Research and Development Institute, IP&D, Universidade do Vale do Paraíba, UNIVAP, São Paulo, Brazil.
Uninovafapi College, Teresina, Piauí, Brazil.
Lasers Med Sci. 2016 Dec;31(9):1907-1913. doi: 10.1007/s10103-016-2069-6. Epub 2016 Sep 20.
The aim of this study was to analyze the healing effects of low-level laser therapy (LLLT) on the longitudinal sternotomy incisions of patients who underwent coronary artery bypass graft (CABG). The volunteers were randomized into three groups of equal size (n = 30): control, placebo, and laser (λ = 660 nm and spatial average energy fluency [SAEF] = 1.06 J/cm). The patients in the laser group underwent irradiation on postoperative days 2, 4, 6, and 8, and their sternotomy incisions were photographed immediately after the surgery and 8 days later for analysis. Three researchers who were blinded to the patient treatment groups analyzed the incision photographs to assess hyperemia and wound closure on the day of hospital discharge (eighth postoperative day). The sternotomy incisions in the LLLT group demonstrated less hyperemia, incisional bleeding, and dehiscence (p ≤ 0.005).
本研究的目的是分析低强度激光疗法(LLLT)对接受冠状动脉旁路移植术(CABG)患者的胸骨正中切口的愈合效果。志愿者被随机分为三组,每组人数相等(n = 30):对照组、安慰剂组和激光组(波长λ = 660 nm,空间平均能量通量[SAEF] = 1.06 J/cm)。激光组患者在术后第2、4、6和8天接受照射,术后立即及8天后拍摄其胸骨正中切口照片进行分析。三名对患者治疗分组不知情的研究人员分析切口照片,以评估出院当天(术后第八天)的充血情况和伤口愈合情况。低强度激光疗法组的胸骨正中切口充血、切口出血和裂开情况较少(p≤ 0.005)。