Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service

Detalhes bibliográficos
Autor(a) principal: Gonçalves, Glauca
Data de Publicação: 2000
Outros Autores: Gonçalves, Aguinaldo, Padovani, Carlos Roberto, Parizotto, Nivaldo Antônio
Tipo de documento: Artigo
Idioma: por
Título da fonte: Hansenologia Internationalis (Online)
Texto Completo: https://periodicos.saude.sp.gov.br/hansenologia/article/view/36435
Resumo: Plantar ulcer is a very frequent physical disability caused by leprosy. This fact improses, to endemic countries, the necessity of appling newer technologies to improve the quality of life of such impatients, by developing more resolutive Public Health Services. Aiming to contribute to these objectives, a clinical trial on chronic ulcer healing by laser therapy was conducted, compairing leprous and non leprous lesions, in local health units. Once reference population was defined, inclusion and exclusion criteria were established, and ethical norms observed. Measuring, evaluation and application standardized procedures were adopted, as well as clinical and documental follow up. A set of indicators based on quantitative and qualitativescales has been used, measuring on time width, lenght, depth and volume; in the same manner, clinical lesion signs were also rigorously considered, as erythema, oedema and limits aspects. For statistical analysis, Anova, Wilcoxon and Goodman test (for variations intra and among multinomial populations) were employed. Lesion disappearance prevailed significantly on reduction and worsening among leprosers (66, 7; 16,7% and 16,7%, respectively) and non-leprosers (55,3; 20,0% and 26,7%). This points out not only to expansion of therapeutic possibilities to the studied conditions in local public health services, but also to the sucess of laser therapy in such conditions.
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spelling Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health ServicePromovendo a cicatrização de úlceras hansênicas e não hansênicas com Laserterapia: : ensaio clínico em unidades ambulatoriais do Sistema Único de SaúdeHanseníaseúlcera crônicacicatrizaçãounidades ambulatoriaisSistema Único de SaúdeLeprosychronic ulcerhealingout-patient unitsPublic Health ServicePlantar ulcer is a very frequent physical disability caused by leprosy. This fact improses, to endemic countries, the necessity of appling newer technologies to improve the quality of life of such impatients, by developing more resolutive Public Health Services. Aiming to contribute to these objectives, a clinical trial on chronic ulcer healing by laser therapy was conducted, compairing leprous and non leprous lesions, in local health units. Once reference population was defined, inclusion and exclusion criteria were established, and ethical norms observed. Measuring, evaluation and application standardized procedures were adopted, as well as clinical and documental follow up. A set of indicators based on quantitative and qualitativescales has been used, measuring on time width, lenght, depth and volume; in the same manner, clinical lesion signs were also rigorously considered, as erythema, oedema and limits aspects. For statistical analysis, Anova, Wilcoxon and Goodman test (for variations intra and among multinomial populations) were employed. Lesion disappearance prevailed significantly on reduction and worsening among leprosers (66, 7; 16,7% and 16,7%, respectively) and non-leprosers (55,3; 20,0% and 26,7%). This points out not only to expansion of therapeutic possibilities to the studied conditions in local public health services, but also to the sucess of laser therapy in such conditions.A hanseníase apresenta, como incapacidade decorrente muito comum, a ulceração plantar. Tendo em vista a necessidade de implantação de programas de ação de controle da doença e melhora da qualidade de vida dos portadores desta nos serviços básicos de saúde, este projeto viabilizou, comparativamente a afetados pela mesma lesão, porém de outras etiologias, a utilização da laserterapia de baixa intensidade para cicatrização das úlceras hansênicas de membros inferiores. Na sua adoção, uma vez claramente definidos população de referência, bem como respectivos critérios de inclusão e exclusão, a normalização ética vigente no país prevista foi rigorosamente cumprida. Promoveram-se procedimentos adequados para padronização de condutas de mensuração, avaliação, aplicação e acompanhamento daevolução clínica e documental. Operou-se conjunto de indicadores em escalas de variáveis quantitativas e qualitativas. No primeiro caso, lidou-se com propriedadesdimensionais de profundidade, comprimento, largura e volume, monitoradas pelo tempo; investigaram-se e notificaram-se padrões de secreção e demais sinais semiológicos pertinentes. Inferências paramétricas foram analisadas aos níveis correntes de significãncia, após aplicação das provas de Goodman para variações intra e inter populações multinomiais, Anova e Wilcoxon. Desaparecimento lesional predominou estatisticamente sobre redução e piora entre hansenianos (66,7; 16,7% e 16,7%, respectivamente) e não hansenianos (55,3; 20,0% e 26,7%), apontando não só para aumento de repertório terapêutico, para a condição estudada em unidades ambulatoriais do Sistema Único de Saúde, mas também para o sucesso de seu emprego em tais situações.Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo2000-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionAvaliado pelos paresapplication/pdfhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/3643510.47878/hi.2000.v25.36435Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 25 No. 2 (2000); 133-142Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 25 n. 2 (2000); 133-1421982-5161reponame:Hansenologia Internationalis (Online)instname:Instituto Lauro de Souza Lima (ILSL)instacron:ILSLporhttps://periodicos.saude.sp.gov.br/hansenologia/article/view/36435/34713https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGonçalves, GlaucaGonçalves, AguinaldoPadovani, Carlos RobertoParizotto, Nivaldo Antônio2023-09-27T14:04:17Zoai:ojs.periodicos.saude.sp.gov.br:article/36435Revistahttps://periodicos.saude.sp.gov.br/hansenologiaPRIhttps://periodicos.saude.sp.gov.br/hansenologia/oaihansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br1982-51610100-3283opendoar:2023-09-27T14:04:17Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)false
dc.title.none.fl_str_mv Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service
Promovendo a cicatrização de úlceras hansênicas e não hansênicas com Laserterapia: : ensaio clínico em unidades ambulatoriais do Sistema Único de Saúde
title Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service
spellingShingle Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service
Gonçalves, Glauca
Hanseníase
úlcera crônica
cicatrização
unidades ambulatoriais
Sistema Único de Saúde
Leprosy
chronic ulcer
healing
out-patient units
Public Health Service
title_short Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service
title_full Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service
title_fullStr Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service
title_full_unstemmed Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service
title_sort Laser therapy applied to leprous and non-leprous ulcers healing: : a clinical trial in out-patient units of Public Health Service
author Gonçalves, Glauca
author_facet Gonçalves, Glauca
Gonçalves, Aguinaldo
Padovani, Carlos Roberto
Parizotto, Nivaldo Antônio
author_role author
author2 Gonçalves, Aguinaldo
Padovani, Carlos Roberto
Parizotto, Nivaldo Antônio
author2_role author
author
author
dc.contributor.author.fl_str_mv Gonçalves, Glauca
Gonçalves, Aguinaldo
Padovani, Carlos Roberto
Parizotto, Nivaldo Antônio
dc.subject.por.fl_str_mv Hanseníase
úlcera crônica
cicatrização
unidades ambulatoriais
Sistema Único de Saúde
Leprosy
chronic ulcer
healing
out-patient units
Public Health Service
topic Hanseníase
úlcera crônica
cicatrização
unidades ambulatoriais
Sistema Único de Saúde
Leprosy
chronic ulcer
healing
out-patient units
Public Health Service
description Plantar ulcer is a very frequent physical disability caused by leprosy. This fact improses, to endemic countries, the necessity of appling newer technologies to improve the quality of life of such impatients, by developing more resolutive Public Health Services. Aiming to contribute to these objectives, a clinical trial on chronic ulcer healing by laser therapy was conducted, compairing leprous and non leprous lesions, in local health units. Once reference population was defined, inclusion and exclusion criteria were established, and ethical norms observed. Measuring, evaluation and application standardized procedures were adopted, as well as clinical and documental follow up. A set of indicators based on quantitative and qualitativescales has been used, measuring on time width, lenght, depth and volume; in the same manner, clinical lesion signs were also rigorously considered, as erythema, oedema and limits aspects. For statistical analysis, Anova, Wilcoxon and Goodman test (for variations intra and among multinomial populations) were employed. Lesion disappearance prevailed significantly on reduction and worsening among leprosers (66, 7; 16,7% and 16,7%, respectively) and non-leprosers (55,3; 20,0% and 26,7%). This points out not only to expansion of therapeutic possibilities to the studied conditions in local public health services, but also to the sucess of laser therapy in such conditions.
publishDate 2000
dc.date.none.fl_str_mv 2000-11-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/36435
10.47878/hi.2000.v25.36435
url https://periodicos.saude.sp.gov.br/hansenologia/article/view/36435
identifier_str_mv 10.47878/hi.2000.v25.36435
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.saude.sp.gov.br/hansenologia/article/view/36435/34713
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo
publisher.none.fl_str_mv Instituto Lauro de Souza Lima da Secretaria de Estado da Saúde de São Paulo
dc.source.none.fl_str_mv Hansenologia Internationalis: leprosy and other infectious diseases; Vol. 25 No. 2 (2000); 133-142
Hansenologia Internationalis: hanseníase e outras doenças infecciosas; v. 25 n. 2 (2000); 133-142
1982-5161
reponame:Hansenologia Internationalis (Online)
instname:Instituto Lauro de Souza Lima (ILSL)
instacron:ILSL
instname_str Instituto Lauro de Souza Lima (ILSL)
instacron_str ILSL
institution ILSL
reponame_str Hansenologia Internationalis (Online)
collection Hansenologia Internationalis (Online)
repository.name.fl_str_mv Hansenologia Internationalis (Online) - Instituto Lauro de Souza Lima (ILSL)
repository.mail.fl_str_mv hansen_int@ilsl.br || hansenologia.internationalis@gmail.com || periodicossp@saude.sp.gov.br
_version_ 1796797581423017984

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