基于温度监测的糖尿病足预防性智能鞋袜研究进展  

Research progress on smart footwear for monitoringtemperature in diabetic foot

作　　者：施楚 李俊[1,2] 王云仪[1,2] SHI Chu;LI Jun;WANG Yunyi(College of Fashion and Design,Donghua University,Shanghai 200051,China;Key Laboratory of Clothing Design and Technology,Ministry of Education,Donghua University,Shanghai 200051,China)

机构地区：[1]东华大学服装与艺术设计学院,上海200051 [2]东华大学现代服装设计与技术教育部重点实验室,上海200051

出　　处：《纺织学报》2024年第7期240-247,共8页Journal of Textile Research

基　　金：中央高校基本科研业务费专项基金项目(2232023G-08);上海市科学技术委员会“科技创新行动计划”“一带一路”国际合作项目(21130750100)。

摘　　要：为尽早发现、及时干预糖尿病患者足部疾病的发展,提高糖尿病足预防性智能产品预测能力的敏感度和特异度,基于文献回顾,对比了不同类型糖尿病患者与健康人群的足底温度特征差异,分析了糖尿病足的温度预测指标的提取和阈值设置,发现单、双侧足部温度及足部应变温度均能用于预防糖尿病足疾病的发生,但以双足对称点的温差2.2℃作为糖尿病足疾病预测阈值应用最广。讨论了基于糖尿病足温度监测需求的智能测温鞋袜产品的设计开发,发现智能袜的研发程度比智能鞋更为成熟,不同产品间温度传感器的数量和放置区域存在差异,其中大拇趾底、第1跖骨头、第5跖骨头和足跟这4个区域具有高度一致性。未来研究可针对不同风险程度的糖尿病足进行温度分级,结合压力、湿度等其他指标建立多指标风险预测模型,并综合鞋和袜进行系统性多功能研发。Significance The diabetic foot is a serious chronic complications in diabetic patients and is characterized by high rates of disability,death,and recurrence.50%of diabetic foot ulcers and amputations can be avoided through early screening,but only 15.7%of diabetic patients are screened regularly.Studies have shown that monitoring the skin temperature of diabetic patients′feet helps to detect foot abnormalities,and reduce the risk of primary and secondary diabetic foot.Currently,smart footwear for monitoring foot temperature in the diabetic foot has developed,such as Siren Diabetic Socks and SmartSox Socks.However,the willingness of patients for wearing diabetic footwear is low,and medical professionals suggest that there is still a lack of strong evidence for the diagnostic value of such products.Therefore,a comprehensive and scientific analysis of smart footwear for monitoring temperature in the diabetic foot can help improve the systematic understanding of these products among diabetic patients and related researchers,increase the popularity and usage rate,and provide theoretical references for future research.Progress In order to systematically and objectively understand the mechanism and product efficacy of smart footwear for monitoring foot temperature,the differences in plantar temperature characteristics between different types of diabetic patients and healthy people were compared.Thermograms from the healthy people showed a symmetrical butterfly pattern with the medial arches showing the highest temperatures,while in diabetics,due to inflammation caused by neuropathy,abnormal thermoregulation,and local ischemia caused by peripheral arterial disease,the foot temperature is often higher than that of healthy feet,and the distribution is irregular,with higher temperatures in areas at high risk of ulceration.In order to fully extract the predictive value of temperature,there mainly exist three types of index extraction methods,i.e.,thermal symmetry of foot,in dependent limb regional temperature difference,an

关 键 词：糖尿病足 皮肤温度 温度传感器 智能可穿戴 鞋袜 风险预测 

分 类 号：TS943.77[轻工技术与工程—服装设计与工程] TS186.3[医药卫生—护理学] R473.5[医药卫生—临床医学]