静脉曲张性溃疡患者的社会人口学和临床研究

作     者：Fernandes Abbade L.P.Department of Dermatology Clinical Hospital of the Medical School of Botucatu Unesp Botucatu-SP 18618-000 Brazil Dr Lastó ria S. de Almeida Rollo H. Stolf H.O. 党倩丽 

作者机构：DepartmentofDermatologyClinicalHospitaloftheMedicalSchoolofBotucatuUnespBotucatu-SP18618-000Brazil 

出 版 物：《世界核心医学期刊文摘（皮肤病学分册）》 (Digest of the World Core Medical JOurnals:Dermatology)

年 卷 期：2006年第2卷第3期

页      面：55-55页

学科分类：1006[医学-中西医结合] 100507[医学-中医外科学] 1005[医学-中医学] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100602[医学-中西医结合临床] 100404[医学-儿少卫生与妇幼保健学] 10[医学] 

主　　题：静脉曲张性溃疡 社会人口学 患者 临床研究 慢性静脉功能不全 慢性下肢溃疡 临床特征 职业影响 体重指数 动脉疾病 

摘      要：Background: Venous ulcer is the most serious consequence of chronic venous insufficiency and is responsible for almost 70% of chronic leg ulcers. The main purpose of this research was to describe social, demographic and clinical characteristics of patients with venous ulcers and to identify some professional repercussions of this pathology. Subjects and methods: We evaluated patients with a clinical picture compatible with venous ulcer. The sociodemographic characteristics of the patients, and the clinical characteristics and professional repercussions of the pathology were studied. We used the ankle- brachial index to identify associated arterial disease. The body mass index (BMI) was used for the classification of the nutritional condition of the patients. Results: A total of 120 patients were included in the study (90 females and 30 males; 80.8% White; 44.2% 60 years old). Ninety-one per cent of the patients had been in educatin for less than 4 years, and 89.7% were on the poverty line. Thirty-five per cent were retired, 2.5% were receiving government help due to disease and 4.2% were unemployed. About 16% of patients were out of work due to the disease, and 49.2% presented some degree of disability in terms of work tasks. The ulcer area was less than 30 cm2 in 69.1% of patients. The first ulcer episode occurred in 13.4 years on average, and 64.2% of patients had recurrent episodes. Females presented on average 5.65 pregnancies, and 75.4% of patients were overweight. Conclusion: Venous ulcer occurred mainly in the low-income population, who presented with little formal education. Generally, the ulcers were present for a long time and were recurrent, with repercussions for the capabilities of patients to work.