Abstract
Burns are traumas of great importance, not only because of the frequency with which they occur, but, above all, because of their ability to cause sequelae, prolong hospitalization and negatively impact quality of life. Photobiomodulation therapy is a promising treatment to aid in the healing of acute or chronic wounds, stimulating microcirculation, reducing inflammation, edema, pain and bacterial load, with a consequent reduction in costs related to dressings, antibiotics and length of stay. Mapping available evidence regarding photobiomodulation in the healing process of burns: an integrative review. Integrative literature review, described by Whittemore and Knafl. After accessing the databases and applying the inclusion and exclusion criteria, 07 articles were selected, published between 2013 and 2023. From the analysis of the articles, three categories emerged: Increased cell proliferation, organization of collagen fibers, neoangiogenesis and decreased inflammation mediated by photobiomodulation; photobiomodulation in reducing bacterial load in infected burn wounds; and association of therapies in the healing of burns. It is concluded that photobiomodulation offers a non-invasive and promising approach in the treatment of burns, accelerating healing, reducing inflammation and improving the aesthetic appearance. With further research and technological advances, this therapy is expected to become increasingly effective and widely used in the care of burn patients.
References
- AMORIM, F. C. M. et al. Preclinical study of experimental burns treated with photobiomodulation and Human Amniotic Membrane, both isolated and associated. Revista Latino-Americana de Enfermagem, [S.L.], v. 31, p. 1-11, dez. 2023. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/1518-8345.5552.3726. Disponível em: https://www.scielo.br/j/rlae/a/nJYXDfk5HsqQVxvfFTKHPcL/. Acesso em: 19 maio 2023.
- BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de atenção especializada. Cartilha para tratamento de emergência das queimaduras. Ministério da Saúde. Brasília, 2012.Disponível em: <http://bvsms.saude.gov.br/bvs/publicacoes/cartilha_tratamento_emergencia_queima duras.pdf>. Acesso em: 04 mar. 2021.
- BRASIL. Ministério da Saúde. Biblioteca Virtual em Saúde. Queimaduras. Brasília: Ministério da Saúde, 2019. Disponível em: <http://bvsms.saude.gov.br/dicas-emsaude/2109-queimaduras>. Acesso em: 04 mar. 2023.
- FREITAS, R. P. de A. et al. Laserterapia e microcorrente na cicatrização de queimadura em ratos: terapias associadas ou isoladas?. Fisioterapia e Pesquisa, [S.L.], v. 20, n. 1, p. 24-30, mar. 2013. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/s1809-29502013000100005. Disponível em: https://www.scielo.br/j/fp/a/9s9NT5zsYy4d7WfbWdKxcVD/?format=pdf&lang=pt. Acesso em: 30 mar. 2023.
- FREITAS, R. P. de A. et al. Comparative study of Low-level laser therapy and microcurrent on the healing of skin burns in rats. Acta Scientiarum. Health Science, [S.L.], v. 36, n. 1, p. 5, 6 mar. 2014. Universidade Estadual de Maringa. http://dx.doi.org/10.4025/actascihealthsci.v36i1.14668. Disponível em: https://www.redalyc.org/pdf/3072/307229993002.pdf. Acesso em: 19 maio 2023.
- GOMES, C. F., SCHAPOCHNIK, A. O uso terapêutico do LASER de Baixa Intensidade (LBI) em algumas patologias e sua relação com a atuação na Fonoaudiologia. Distúrbios da Comunicação, [S.L.], v. 29, n. 3, p. 570, 29 set. 2017. Pontifical Catholic University of Sao Paulo (PUC-SP). http://dx.doi.org/10.23925/2176-2724.2017v29i3p570-578. Disponível em: https://revistas.pucsp.br/index.php/dic/article/view/29636/23766. Acesso em: 30 mar. 2023.
- GOMES, M. T. et al. Experimental burns: comparison between silver sulfadiazine and photobiomodulation. Revista da Associação Médica Brasileira, [S.L.], v. 63, n. 1, p. 29-34, jan. 2017. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/1806-9282.63.01.29. Disponível em: https://www.scielo.br/j/ramb/a/C9ZLWYjXxxY8ffZBbpR33Px/abstract/?lang=en. Acesso em: 30 maio 2023.
- KAZEMIKHOO, N. et al. Evaluation of the Effects of Low Level Laser Therapy on the Healing Process After Skin Graft Surgery in Burned Patients (A Randomized Clinical Trial). Journal Of Lasers In Medical Sciences, [S.L.], v. 9, n. 2, p. 139-143, 20 mar. 2018. Maad Rayan Publishing Company. http://dx.doi.org/10.15171/jlms.2018.26. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30026900/. Acesso em: 20 maio 2023.
- KHAN, I. et al. Accelerated burn wound healing with photobiomodulation therapy involves activation of endogenous latent TGF-β1. Scientific Reports, [S.L.], v. 11, n. 1, p. 1-15, 28 jun. 2021. Springer Science and Business Media LLC. http://dx.doi.org/10.1038/s41598-021-92650-w. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8238984/. Acesso em: 20 maio 2023.
- LIBERATI, A. et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. Plos Med ., S.I, v. 7, n. 6, p. 1-28, 2009. Disponível em: <https://pubmed.ncbi.nlm.nih.gov/19621070/>. Acesso em: 23 mar. 2023.
- MENDES, K. dal S., SILVEIRA, R. C. de C. P.; GALVÃO, C. M. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, [S.L.], v. 17, n. 4, p. 758-764, dez. 2008. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/s0104-07072008000400018. Disponível em: <https://www.scielo.br/j/tce/a/XzFkq6tjWs4wHNqNjKJLkXQ/#>. Acesso em: 02 mar. 2023.
- RANJBAR, R.; TAKHTFOOLADI, M. A. The effects of low level laser therapy on Staphylococcus aureus infected third-degree burns in diabetic rats. Acta Cirurgica Brasileira, [S.L.], v. 31, n. 4, p. 250-255, abr. 2016. FapUNIFESP (SciELO). http://dx.doi.org/10.1590/s0102-865020160040000005. Disponível em: https://www.scielo.br/j/acb/a/7FmbXS8yLPXpZQP3C9mPnXG/?lang=en. Acesso em: 19 maio 2023.
- SANTOS, C. M. da C., PIMENTA, C. A. de M., NOBRE, M. R. C. A ESTRATÉGIA PICO PARA A CONSTRUÇÃO DA PERGUNTA DE PESQUISA E BUSCA DE EVIDÊNCIAS. Rev Latino-Am Enfermagem, S.I, v. 15, n. 3, p. 1-4, maio-junho 2007. Disponível em: <https://www.scielo.br/j/rlae/a/CfKNnz8mvSqVjZ37Z77pFsy/?format=pdf&lang=pt>. Acesso em: 02 mar. 2023.
- WHITTEMORE, R., KNAFL, K. The integrative review: updated methodology. Journal Of Advanced Nursing, [S.L.], v. 52, n. 5, p. 546-553, dez. 2005. Wiley. http://dx.doi.org/10.1111/j.1365-2648.2005.03621.x. Disponível em: . Acesso em: 02 mar. 2023.