社区糖尿病患者足底压力的调查  

Study on plantar pressure in community diabetic patients

作　　者：孙皎[1] 白姣姣[1] 曹文群 郑文韬 沈宇峰 王峥[1] 王素美[1] 

机构地区：[1]复旦大学附属华东医院内分泌科,上海200040 [2]上海市曹家渡社区卫生服务中心 [3]上海市石门二路社区卫生服务中心

出　　处：《上海医学》2010年第9期857-859,共3页Shanghai Medical Journal

基　　金：上海申康医院发展中心资助项目(SHDC12007206)

摘　　要：目的了解社区糖尿病患者足底压力的情况,探讨影响足底压力的各种因素。方法收集2008年10月-2009年4月对Wagner分级法处于0级糖尿病足的335例患者,应用Footscan平板式足底压力测量仪进行足底压力异常的筛查,同时测量糖化血红蛋白、踝肱指数、10g纤维丝及胼胝分布情况。结果左足底冲量为(594.89±260.32)N·S,右足底冲量为(570.77±222.02)N·S。足底压力与周围神经病变(β=1.866)、血管病变(β=2.319)、胼胝体(β=2.185)呈正相关(P值均<0.01),与年龄(β=-0.065)呈负相关(P值<0.05)。有周围神经病变的患者的左、右足的足底压力冲量值均显著高于无周围神经病变患者(P值均<0.01)。结论糖尿病患者足部神经病变、足底胼胝体、下肢血管病变及年龄增大可导致足底压力的异常。重视糖尿病患者的足底压力,定期检测足底压力,可以及时筛查出高危糖尿病足。Objective To know about the plantar pressure in community diabetic patients, and to discuss the influencing factors of plantar pressure. Methods A total of 335 patients with 0 Class diabetic foot according to Wagner classification scheme from Oct. 2008 to Apr. 2009 were enrolled in the present study. The patients received the plantar pressure test using footscan pressure measurement; meanwhile, the glycosylated hemoglobin, ankle-brachial index, 10 g fibers and callus distribution were also examined. Results The values of impulse force measurement were （594.89±260.32） N·S in the left plantar and （570.77±222.02） N·S in the right plantar. The plantar pressure was positively associated with peripheral neuropathy （β=1.866）, angiopathy （β=2.319）, and callus （β=2.185）, and was negatively associated with age （β=-0.065, P0.01）. The values of impulse force measurements of the plantar pressure of both feet were significantly higher in patients with peripheral neuropathy than those without peripheral neuropathy （all P0.01）. Conclusion Peripheral neuropathy, foot callus, lower extremity angiophthy and aging can cause abnormal plantar pressure in diabetic patients. Regular examination of plantar pressure can help to screen high risk patients of diabetic foot in time.

关 键 词：糖尿病 糖尿病足 足底压力 冲量 

分 类 号：R587.2[医药卫生—内分泌]