低功率光治疗对糖尿病足慢性创伤组织修复过程的影响。

Q2 Medicine

Photomedicine and laser surgery Pub Date : 2018-06-01 DOI:10.1089/pho.2018.4455

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

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引用次数: 39

摘要

目的:通过对压疮愈合量表(PUSH)评分、疼痛程度及ImageJ©软件测量结果的分析，分析低水平激光治疗(LLLT)对糖尿病足慢性伤口组织修复过程的疗效。方法:对18例30 ~ 59岁的糖尿病合并慢性足部创面患者进行临床研究。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660 nm，功率为30 mW，连续模式发射，剂量测定为6 J/cm2，周期为4周，48/48 h。在PUSH量表中记录伤口的测量和方面，每周评估疼痛。采用Mann-Whitney U非参数检验进行组间比较。结果:激光组与对照组相比，组织修复指数显著升高，差异有统计学意义(p)。结论:在糖尿病足慢性创面中使用LLLT可在短时间内促进组织修复过程的进展。

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

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/cm² 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.

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来源期刊

Photomedicine and laser surgery 医学-外科

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Photobiomodulation, Photomedicine, and Laser Surgery (formerly Photomedicine and Laser Surgery) is the essential journal for cutting-edge advances and research in phototherapy, low-level laser therapy (LLLT), and laser medicine and surgery. The Journal delivers basic and clinical findings and procedures to improve the knowledge and application of these techniques in medicine.