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RESUMEN Introducción: el envejecimiento poblacional ocasiona en la actualidad un aumento de las afecciones vinculadas al deterioro de la integridad de la piel, siendo las dermatosis enfermedades frecuentes en el gerente. Objetivo: describir el comportamiento de las dermatosis en los adultos mayores. Métodos: estudio observacional, descriptivo de corte transversal, efectuado en el municipio de Pinar del Río durante 2018. Fue seleccionada de forma probabilística, aleatoria simple, una muestra 1164 pacientes geriátricos portadores de afecciones dermatológicas, empleándose las historias clínicas y el examen dermatológico para la obtención de información que dio salida a las variables estudiadas. Se respetó la ética médica. Resultados: predominaron las féminas (51,98 %) y el grupo etáreo 60-64 años (34,19 %), siendo el fototipo cutáneo III (23,11 %) el más frecuente mostrado por las afecciones dermatológicas. Dentro de ellas, las ectoparasitosis (16,15 %) y las virosis cutáneas (14,95 %) fueron las más representativas, mostrándose mayor representación en individuos de color de piel blanca, a excepción de la ectoparasitosis. Dentro de las patologías asociadas, la diabetes mellitus fuela más frecuente. Conclusiones: la oportuna identificación de la presencia de dermatosis en AM, y en especial en aquellos que reúnen factores de riesgo vinculados a su aparición, permitirá actuar tempranamente en el manejo de dichas afecciones, logrando reducir la aparición de complicaciones y secuelas asociadas a las mismas; a la vez que se logrará mejorar la calidad de vida de dicho paciente.
ABSTRACT Introduction: population aging currently causes an increase in conditions related to skin integrity disorder, with dermatoses being frequent diseases in the manager. Objective: to describe the behavior of dermatoses in older adults. Methods: an observational, descriptive cross-sectional study, carried out in the municipality of Pinar del Río during 2018. A sample of 1164 geriatric patients with dermatological conditions was selected in a probabilistic way, using random medical records and dermatological examination for the Obtaining information that output the variables studied. Medical ethics was respected. Results: predominantly females (51,98 %) and age group 60-64 years (34,19 %), skin phototype III (23,11 %) being the most frequent demonstrated by dermatological conditions. Among them, ectoparasitosis (16,15 %) and cutaneous virosis (14,95 %) were the most representative, showing greater representation in individuals with white skin color, an exception to ectoparasitosis. Within the associated pathologies, diabetes mellitus was the most frequent. Conclusions: the timely identification of the presence of dermatosis in AM, and especially in those that meet risk factors linked to its appearance, acting early in the management of various conditions, reducing the occurrence of complications and sequelae affected by themselves; while improving the quality of life of said patient.
RESUMO
Objective@#To observe the curative effect of minimally invasive cosmetic technique in emergency patients with facial soft tissue trauma.@*Methods@#From January 2015 to October 2017, 92 patients with emergency facial soft tissue trauma in Rongjun Hospital of Zhejiang Province were selected and randomly divided into two groups according to the digital table, with 46 cases in each group.The observation group was treated with minimally invasive cosmetic technique.The control group was treated with conventional technique.The patients were followed up for one year, the facial scar color score, facial skin flatness score, facial skin elasticity score, wound healing rate, quality of life score and satisfaction were compared between the two groups.@*Results@#The facial scar color score, facial skin smoothness score and facial skin elasticity score in the observation group were (0.36±0.12)points, (0.52±0.23)points and (0.49±0.23)points, respectively, which were lower than those in the control group [(0.89±0.17)points, (1.12±0.31)points, (0.95±0.12)points] (t=17.725, 10.542, 12.026, all P<0.05). The wound healing rate of the observation group was 91.30%(42/46) and the satisfaction rate was 95.65%(44/46), which were higher than 81.74%(33/46) and 73.91%(34/46) of the control group(χ2=5.845, 8.425, all P<0.05). The quality of life score of the observation group[(102.65±2.78)points] was higher than that of the control group[(89.24±2.36)points](t=24.941, P<0.05).@*Conclusion@#Minimally invasive cosmetic technique has better curative effect on patients with emergency facial skin and soft tissue trauma.The rate of grade A wound healing is high, which is helpful to repair the facial skin of patients, improve the satisfaction of patients and improve the quality of their daily life.