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Vojnosanitetski pregled
2008, vol. 65, br. 12, str. 906-912
jezik rada: engleski
vrsta rada: originalan članak
objavljeno: 08/01/2009
doi: 10.2298/VSP0812906D
Uticaj terapije polarizovanom svetlošću na zarastanje dekubitusne ulceracije
aVojnomedicinska akademija, Klinika za fizikalnu medicinu i rehabilitaciju, Beograd
bVojnomedicinska akademija, Beograd
cVojnomedicinska akademija, Institut za vazduhoplovnu medicinu, Beograd

e-adresa: zbrdareski@yahoo.com

Sažetak

Uvod/Cilj. Zanemarivanje polarizovane svetlosti kao pomoćne terapije za dekubitusne ulceracije i metode u trijažama izaziva dileme i kontradiktornosti. Cilj ovog rada bio je da se utvrde efekti primene polarizovane svetlosti na zarastanje dekubitusne ulceracije. Metode. Ova prospektivna randomizovana jednostruko slepa studija uključila je 40 bolesnika sa dekubitusnom ulceracijom faze I-III. Bolesnici eksperimentne grupe (E) bili su podvrgnuti, pored terapije polarizovanom svetlosti, i standardnom čišćenju i premazivanju rane. U kontrolnoj grupi (C) jedina primenjena terapija bilo je standardno čišćenje i premazivanje rane. Kao izvor polarizovane svetlosti korišćena je lampa Bioptron. Terapija polarizovanom svetlosti trajala je šest minuta dnevno, pet puta nedeljno, tokom četiri nedelje. Za određivanje efekata polarizovane svetlosti korišćena je skala zaceljivanja dekubitusnih ulceracija (Pressure Ulcer Scale for Healing - PUSH). Za statističku analizu primenjeni su testovi Mann Whitney, Fisher Exact i Wilcoxon Signed Rank. Rezultati. Nađena je značajna razlika između grupa na kraju tretmana. Naime, bolesnici eksperimentne grupe, kod kojih je osim standardne terapije primenjena i polarizovana svetlost, imali su značajno bolje zarastanje od bolesnika kontrolne grupe kod kojih nije primenjena polarizovana svetlost, u odnosu na površinu dekubitusne ulceracije (E: 10,80±19,18; C: 22,97±25,47; p = 0,0005), na grupu dekubitusne ulceracije (E: 5,90±2,48; C: 8,6±1,05; p = 0,0005) i ukupni skor PUSH (E; 7,35±3,17; C: 11,85±2,35; p = 0,0003). Zaključak. Posle četiri sedmice terapije polarizovanom svetlosti 20 bolesnika u fazi I-III dekubitusne ulceracije imalo je značajno bolje zaceljenje dekubitusnih ulceracija, te je poželjno primenjivati polarizovanu svetlost u lečenju dekubitusnih ulceracija.

Ključne reči

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