Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.202301591
Jornal Vascular Brasileiro
Review Article

Uso de laserterapia de baixa intensidade em lesões flebostáticas como terapia adjuvante

Use of low-level laser therapy as an adjuvant therapy for phlebostatic lesions

Lucas Dalvi Armond Rezende; Davi de Souza Catabriga; Alicia de Oliveira Pacheco; Aline de Oliveira Ramalho; Paula de Souza Silva Freitas

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Resumo

A laserterapia de baixa intensidade (LBI) é comumente utilizada como terapia adjuvante para tratamento de lesões. Essa revisão integrativa de literatura foi realizada nas bases MEDLINE, LILACS, CUMED, BDENF, SPORTDiscus, Dentistry & Oral Sciences Source, Fonte Acadêmica e CINAHL. Entre os critérios de inclusão estavam: intervalo de 2011 a 2021, nos idiomas inglês, português e espanhol e qualquer estudo, com exceção de preprints e livros. Respondeu-se à questão: “Qual a eficácia descrita na literatura do uso da laserterapia de baixa intensidade (LBI) no tratamento de lesões venosas?”. O comprimento de onda usado nos estudos variou de 635 nm de raio vermelho ah 780 nm de raio infravermelho, gerando melhora cicatricial em qualquer comprimento. A LBI apresentou-se como uma opção coadjuvante de baixo custo e de fácil aplicação, amenizando queixas álgicas e melhorando a cicatrização de pacientes com lesões vasculogênicas.

Palavras-chave

insuficiência venosa, terapia com luz de baixa intensidade, úlcera varicosa

Abstract

Low-intensity laser therapy (LILT) is commonly used as an adjuvant therapy for treating injuries. This integrative literature review was carried out in the MEDLINE, LILACS, CUMED, BDENF, SPORTDiscus, Dentistry & Oral Sciences Source, Academic Source and CINAHL databases. Among the inclusion criteria were: range from 2011 to 2021, in English, Portuguese and Spanish and any study, with the exception of preprints and books. The question was answered: “What is the effectiveness described in the literature of using low-intensity laser therapy (LILT) in the treatment of venous lesions?” The wavelength used in studies varied from 635 nm of red ray to 780 nm of infrared ray, generating healing improvement at any length. LBI presented itself as a low-cost and easy-to-apply adjuvant option, alleviating pain complaints and improving healing in patients with vasculogenic lesions.

Keywords

 venous insufficiency; terapia com luz de baixa intensidade; venous ulcer

References

1 Mansilha A, Sousa J. Pathophysiological mechanisms of chronic venous disease and implications for venoactive drug therapy. Int J Mol Sci. 2018;19(6):1669. http://doi.org/10.3390/ijms19061669. PMid:29874834.

2 Abbade LPF, Frade MAC, Pegas JRP, et al. Consenso no diagnóstico e manejo das úlceras crônicas de perna - Sociedade Brasileira de Dermatologia. An Bras Dermatol. 2020;95:1-18. http://doi.org/10.1016/j.abd.2020.06.002. PMid:33371937.

3 Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med (Korean Assoc Intern Med). 2019;34(2):269-83. http://doi.org/10.3904/kjim.2018.230. PMid:30360023.

4 Tan MKH, Luo R, Onida S, Maccatrozzo S, Davies AH. Venous leg ulcer clinical practice guidelines: what is agreed? Eur J Vasc Endovasc Surg. 2019;57(1):121-9. http://doi.org/10.1016/j.ejvs.2018.08.043. PMid:30287207.

5 De Carvalho MR, Peixoto BU, Silveira IA, de Oliveria BGRB. A meta-analysis to compare four-layer to short-stretch compression bandaging for venous leg ulcer healing. Eur J Vasc Endovasc Surg. 2018;64(5):30-7. http://doi.org/10.25270/owm.2018.5.3038. PMid:29847309.

6 Coral FE, Guarinello GG, Cavassola AP, Rocha ALM, Guidi MM, Pires H. Insuficiência venosa crônica e uso de meia elástica de compressão graduada: uma análise sobre a adesão ao tratamento em pacientes do SUS. J Vasc Bras. 2021;20:e20200034. http://doi.org/10.1590/1677-5449.200034. PMid:34163533.

7 Crawford JM, Lal BK, Durán WN, Pappas PJ. Pathophysiology of venous ulceration. J Vasc Surg Venous Lymphat Disord. 2017;5(4):596-605. http://doi.org/10.1016/j.jvsv.2017.03.015. PMid:28624002.

8 Konchugova TV, Askhadulin EV, Kulchitskaya DB, Fesyun AD, Melnikova EA, Nikitin MV. The effectiveness of combined laser therapy in patients with trophic leg ulcer and chronic venous insufficiency. Vopr Kurortol Fizioter Lech Fiz Kult. 2020;97(5):45-51. http://doi.org/10.17116/kurort20209705145. PMid:33054008.

9 Botelho LLR, Cunha CCA, Macedo M. O método da revisão integrativa nos estudos organizacionais. Ges Socied. 2011;5(11):121. http://doi.org/10.21171/ges.v5i11.1220.

10 Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008;17(4):758-64. http://doi.org/10.1590/S0104-07072008000400018.

11 Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the prisma statement. PLoS Med. 2009;6(7):e1000097. http://doi.org/10.1371/journal.pmed.1000097. PMid:19621072.

12 Bernardo WM, Nobre MRC, Jatene FB. A prática clínica baseada em evidências: parte II - buscando as evidências em fontes de informação. Rev Assoc Med Bras. 2004;50(1):104-8. http://doi.org/10.1590/S0104-42302004000100045. PMid:15253037.

13 Carbinatto FM, de Aquino AE, Coelho VHM, Bagnato VS. Photonic technology for the treatments of venous and arterial ulcers: case report. Photodiagn Photodyn Ther. 2018;22:39-41. http://doi.org/10.1016/j.pdpdt.2018.02.011. PMid:29471148.

14 de la Cruz FY, del Olmos PD, Quiñones CM, Zulueta SA. Comportamiento de las úlceras venosas de los miembros inferiores tratadas con láser de baja potencia. Rev Cub de Angi Cir Vasc. 2012 [citado 2021 dez 7];13(1):1-7. https://www.medigraphic.com/pdfs/revcubangcirvas/cac-2012/cac121b.pdf

15 Vitse J, Bekara F, Byun S, Herlin C, Teot L. A double-blind, placebo-controlled randomized evaluation of the effect of low-level laser therapy on venous leg ulcers. T Int J Low Extr Woun. 2017;16(1):29-35. http://doi.org/10.1177/1534734617690948. PMid:28682676.

16 Lucio FD, Paula CFB. Fotobiomodulação no processo cicatricial de lesões - estudo de caso. CuidArte, Enferm. 2020:14(1):111-4.

17 Bavaresco T, Pires AU, Moraes VM, Osmarin VM, Silveira DT, Lucena AD. Low-level laser therapy for treatment of venous ulcers evaluated with the Nursing Outcome Classification: study protocol for a randomized controlled trial. Trials. 2018;19(1):372. http://doi.org/10.1186/s13063-018-2729-x. PMid:30001202.

18 Jennings R, Suggs C. Randomized controlled trial for treatment of pain and assessment of wound healing in chronic venous leg ulcers using near infrared laser therapy [Internet]. Bethesda: ClinicalTrials.gov; 2018. [citado 2024 mar 3]. https://clinicaltrials.gov/study/NCT03716167

19 Galvão CM. Níveis de evidência. Acta Paul Enferm. 2006;19(2):5. https://doi.org/10.1590/S0103-21002006000200001.

20 Wang P-H, Huang B-S, Horng H-C, Yeh C-C, Chen Y-J. Wound healing. J Chin Med Assoc. 2018;81(2):94-101. http://doi.org/10.1016/j.jcma.2017.11.002. PMid:29169897.

21 Gupta A, Dai T, Hamblin MR. Effect of red and near-infrared wavelengths on low-level laser (Light) therapy-induced healing of partial-thickness dermal abrasion in mice. Lasers Med Sci. 2014;29(1):257-65. http://doi.org/10.1007/s10103-013-1319-0. PMid:23619627.

22 Martin P, Nunan R. Cellular and molecular mechanisms of repair in acute and chronic wound healing. Br J Dermatol. 2015;173(2):370-8. http://doi.org/10.1111/bjd.13954. PMid:26175283.

23 Cury V, Moretti AIS, Assis L, et al. Low level laser therapy increases angiogenesis in a model of ischemic skin flap in rats mediated by VEGF, HIF-1α and MMP-2. J Photochem Photobiol B. 2013;125:164-70. http://doi.org/10.1016/j.jphotobiol.2013.06.004. PMid:23831843.

24 Bavaresco T, Lucena AD. Low-laser light therapy in venous ulcer healing: a randomized clinical trial. Rev Bras Enferm. 2022;75(3):e20210396. http://doi.org/10.1590/0034-7167-2021-0396. PMid:34787240.
 


Submitted date:
10/19/2023

Accepted date:
11/18/2023

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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