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低功率光疗法对糖尿病足慢性伤口组织修复过程的影响

Effects of Low-Power Light Therapy on the Tissue Repair Process of Chronic Wounds in Diabetic Feet.

作者信息

de Alencar Fonseca Santos Joelita, Campelo Mariana Barbosa Dias, de Oliveira Rauirys Alencar, Nicolau Renata Amadei, Rezende Verônica Elis Araújo, Arisawa Emilia Ângela Loschiavo

机构信息

1 Department of Nursing, Lasertherapy and Photobiology Center, Research and Development Institute, IP&D, Universidade do Vale do Paraíba , UNIVAP, São Paulo, Brazil .

2 Department of Nursing, University Federal of Piauí (UFPI) , Teresina, Brazil .

出版信息

Photomed Laser Surg. 2018 Jun;36(6):298-304. doi: 10.1089/pho.2018.4455.

Abstract

OBJECTIVE

To analyze the efficacy of the therapeutic use of Low-Level Laser Therapy (LLLT) on the tissue repair process of chronic wounds in patients with diabetic feet through the analysis of Pressure Ulcer Scale for Healing (PUSH) scales, pain and the measurement done using the ImageJ software.

METHODS

This clinical trial was carried out with 18 patients 30-59 years of age, who had chronic wounds on their foot due to complications of diabetes mellitus. The patients were randomly allocated in two different groups of equal numbers: Control and Laser Groups. The LLLT equipment used in the research has a wavelength of 660 nm, 30 mW power, continuous mode emission, 6 J/cm dosimetry, 48/48 h in a 4-week period. Measurement and the aspect of wounds were noted in the PUSH scale and the pain was evaluated weekly. The Mann-Whitney U nonparametric test was used to compare groups.

RESULTS

The Laser Group presented a significant increase of the tissue repair index when compared with the Control Group, with a significant statistical difference (p < 0.013). There was no significant difference between the groups in all the weeks using the PUSH scale.

CONCLUSIONS

The use of LLLT on chronic wounds in a diabetic foot demonstrated efficacy on the progression of the tissue repair process in a short period.

摘要

目的

通过分析愈合压力性溃疡量表(PUSH)、疼痛情况以及使用ImageJ软件进行的测量,来分析低强度激光疗法(LLLT)对糖尿病足患者慢性伤口组织修复过程的治疗效果。

方法

本临床试验对18名年龄在30至59岁之间、因糖尿病并发症导致足部慢性伤口的患者进行。患者被随机分为两组,每组人数相等:对照组和激光组。研究中使用的LLLT设备波长为660nm,功率30mW,连续模式发射,剂量为6J/cm²,在4周内每周48次,每次间隔48小时。在PUSH量表中记录伤口的测量结果和外观,并每周评估疼痛情况。采用曼-惠特尼U非参数检验对两组进行比较。

结果

与对照组相比,激光组的组织修复指数显著增加,具有显著统计学差异(p < 0.013)。在使用PUSH量表的所有周中,两组之间无显著差异。

结论

在糖尿病足慢性伤口上使用LLLT在短期内对组织修复过程的进展显示出疗效。

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