慢性伤口患者幼虫治疗的临床和流行病学方面及可接受性

Taís Paim Fidalgo do Nascimento, Ana Carolina Medeiros Debelian, Tomás Cardoso Yokozawa, Wellington Thadeu de Alcantara Azevedo, Valéria Magalhães Aguiar, Cláudia Soares Santos Lessa
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摘要

目的:了解创伤患者的流行病学、临床特点及对幼虫疗法的可接受性。方法:对15例慢性创伤患者进行随访,并记录临床资料。结果:患者不知道lt,年龄45 ~ 73岁,黑人(46.66%)、白人(26.66%)、黄种人(20.00%),以女性为主(73.33%)。小学(53.33%)、高中(20.00%)和高等教育(26.60%)。60%居住在里约热内卢;伤口(平均年龄6岁;下肢远端三分之一(53.00%)和足部(47.00%)的平均面积为9.4 cm²,血管起源(40.88%),压力(31.69%),糖尿病(16.66%)和感染性溃疡(10.77%)。患者有3处(20.00%)、2处(20.00%)或1处(60.00%)伤口,并伴有坏死(80.00%)、感染(37.60%)、肉芽肿(50.30%)、上皮化(15.00%)、疼痛(54.00%)和运动困难(47.00%)。静脉功能不全是最常见的病理前因。LT的可接受度为93.33%。结论:肝移植是提高生活质量的一种选择。
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Clinical and epidemiological aspects and acceptability of larval therapy in patients with chronic wounds
Objective: To evaluate the epidemiological and clinical profile of patients with wounds and acceptability to Larval Therapy (LT). Method: Followed 15 patients with chronic wounds and recorded in clinical records. Results: Patients didn’t know LT. Ages varied (45 to 73 y.o.), were black (46.66%), white (26.66%) and yellow (20.00%), predominantly women (73.33%). They had Elementary (53.33%), High (20.00%) and Higher education (26.60%). 60% lived in Rio de Janeiro; Wounds (mean age of 6 years; mean area of 9.4 cm²) in the distal third of the legs (53.00%) and feet (47.00%), with vascular origin (40.88%), pressure (31.69%), diabetic (16.66%) and infectious ulcers (10.77%). Patients had three (20.00%), two (20.00%) or one wound (60.00%), with necrosis (80.00%), infection (37.60%), granulation (50.30%), epithelialization (15.00%), pain (54.00%) and locomotion difficulty (47.00%). Venous insufficiency as the most observed pathological antecedent. Acceptability for LT was 93.33%. Conclusion: LT is an alternative to better quality of life.
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