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Type: Artigo de Periódico
Title: Úlcera de perna: um estudo de casos em Juiz de Fora-MG (Brasil) e região
Author: Frade, Marco Andrey Cipriani
Cursi, Igor Brum
Andrade, Felipe Fortes
Soares, Samara Casemiro
Ribeiro, Wendel S.
Santos, Sandro V.
Foss, Norma Tiraboschi
Resumo: FUNDAMENTOS: Úlcera de perna (UP) caracteriza-se por perda do tegumento nas extremidades dos membros inferiores causada geralmente por disfunção vascular. OBJETIVOS: Caracterizar clínica e epidemiologicamente a amostra populacional com UP atendida nos centros de saúde de Juiz de Fora. PACIENTES E MÉTODOS: Submetidos ao protocolo clínico 124 pacientes com UP, de Juiz de Fora e região de janeiro/1999 a agosto/2001. RESULTADOS: A média de idade foi 64 anos, 65,3% do sexo feminino, média de 3,7 indivíduos/família e renda inferior a R$540,00 (86,8%). Associavam-se às úlceras insuficiência venosa (90,3%), hipertensão arterial sistêmica (54%), obesidade (20,2%) e diabetes mellitus (16,1%). A associação insuficiência venosa e hipertensão arterial foi freqüente (43,7%) e significante (p<0.01) para predisposição às úlceras. Foram classificadas como venosas (79%), hipertensivas (15,4%), mistas e outras(5,6%). Acometiam terço distal das pernas (90%), de tamanho grande (>5cm) em cerca de 90% da amostra, com médias de 8,7cm e 9,6cm para os eixos vertical e horizontal, respectivamente. Estavam acompanhadas de hipercromia (92,7%), lipodermatoesclerose (68,5%) e varicosidades (66,9%), com duração média de 94,2 meses, e 50% das úlceras eram recidivantes. CONCLUSÕES: Os dados sugerem que a úlcera de perna seja doença crônica significativa na população idosa e de baixa renda de Juiz de Fora e região.
Abstract: BACKGROUND: Leg ulcers are characterized as tissue loss in the lower extremities, generally caused by vascular dysfunction.OBJECTIVES: Verify the clinical and epidemiological profiles of the population sample with leg ulcers treated at the health centers of Juiz deFora (Brazil).MATERIAL ANDMETHODS: 124 leg-wound patients were evaluated between January 1999 and August 2001 and submitted to aclinical protocol.RESULTS: The mean age was 64 years, with females in the majority (65.3%). The mean family composition was 3.7 persons, and family inco-me was around US$200.00 (86.8%). Venous insufficiency (90.3%), systemic arterial hypertension (54%), obesity (20.2%) and diabetes melli-tus (16.1%) were the most frequent events associated with the ulcers. An association of venous insufficiency and arterial hypertension wasfrequent in 43.7% of the sample, and significant (p<0.01) to predisposition to the ulcers. These were classified as venous (79%),hypertensive (15.4%), mixed and other (5.6%). The ulcers were generally localized in the distal third of legs (90%) and considered large (>5cm) in about 90% of the sample, with means of 8.7 cm and 9.6 cm to vertical and horizontal axes, respectively. The ulcers wereaccompanied mainly by hyperpigmentation (92.7%), lipodermatosclerosis (68.5%) and varicose veins (66.9%), with a mean duration of 94.2months and 50% of them recurrent. CONCLUSIONS: The data suggested that leg ulcer is an important chronic disease in the elderly and poor population of Juiz de Fora and region.
Keywords: Idoso
Renda
Renda familiar
Úlcera da perna/epidemiologia
Varizes
Income
Family income
Leg ulcers/ epidemiology
Varicose veins
CNPq: -
Language: por
Country: Brasil
Publisher: -
Institution Initials: -
Access Type: Acesso Aberto
DOI: http://dx.doi.org/10.1590/S0365-05962005000100006
URI: https://repositorio.ufjf.br/jspui/handle/ufjf/9105
Issue Date: Feb-2005
Appears in Collections:Artigos de Periódicos



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