中国全科医学Issue(22)：2607-2611,5.DOI:10.3969/j.issn.1007-9572.2014.22.015
糖尿病不同程度周围神经病变患者足底压力变化分析
plantar pressure Distribution Changes in T2DM patients With Different Degree of Diabetic peripheral Neuropathy
王坤 1吕肖锋 2焦秀敏 1武晋晓 1宫倩倩 1刘超 1洛佩1
作者信息
- 1. 100700 北京市，北京军区总医院内分泌科
- 2. 山西医科大学
- 折叠
摘要
Abstract
Objective To investigate the plantar pressure distribution changes in type 2 diabetic patients and the rela-tionship with the degree of diabetic peripheral neuropathy. Methods A total of 114 patients with T2DM(who visited our endocri-nology department between October,2012 and May,2013) and 75 healthy people( DC group)were recruited. According to TCSS,T2DM were divided into diabetic control group(DM group),mild diabetic peripheral neuropathy group(DN1 group), moderate diabetic peripheral neuropathy group(DN2 group),severe diabetic peripheral neuropathy group( DN3 group),the last three groups together being called DN group. Plantar pressure of all groups was recorded by RSsan systerm produced by Bel-gium. Results The plantar pressure time curve of healthy people was obvious double - peak type(M),there was no statistical significant difference between DM group and DC group in the plantar peak pressure(P > 0. 05),and when the valley value in-creased,the difference was statistically significant(P é 0. 05). The plantar pressure time curve of DM group、DN1 group and DN3 group rose successively,and the difference between peak and valley decreased successively. The plantar pressure time curve of DN2 group was lower than the DM group,and the difference between peak and valley was the smallest in all. Compared with the DC group,s plantar peak pressure,the region of the forefoot(M2、M3、M4、M5)had a significant change,especially the M2、M3 region. The plantar peak pressure in M2〔Left foot respectively were(21. 1 ± 3. 1)、(17. 1 ± 4. 1)、(19. 9 ± 4. 3)、(18. 9 ± 6. 4)and(22. 1 ± 5. 7)N/ cm2;right foot respectively were(20. 9 ± 2. 3)、(16. 7 ± 2. 9)、(19. 8 ± 4. 8)、(18. 9 ± 5. 1)and(22. 4 ± 3. 6)N/ cm2〕region was decreased(P é 0. 05),and the plantar peak pressure in M3〔Left foot respec-tively were(18. 3 ± 6. 2)、(20. 4 ± 3. 8)、(22. 3 ± 4. 6)、(20. 5 ± 8. 4)and(23. 2 ± 5. 2)N/ cm2;right foot respectively were(18. 9 ± 7. 5)、(20. 9 ± 3. 2)、(22. 2 ± 3. 7)、(21. 6 ± 7. 6)and(23. 5 ± 8. 3)N/ cm2 〕region was increased(P é 0. 05). The plantar peak pressure in M2、M3 region of DN2 group was between DM group and DN1 group. Conclusion Abnor-mal changes of dynamic plantar pressure is found in patients with type 2 diabetes. When merging different degree of peripheral neuropathy,plantar pressure changes at different levels. Effective delay of the peripheral neuropathy development can prevent the occurrence of diabetic foot.关键词
糖尿病,2 型/周围神经病变/足底压力Key words
Diabetes mellitus,type 2/Peripheral neuropathy/Plantar pressure分类
医药卫生引用本文复制引用
王坤,吕肖锋,焦秀敏,武晋晓,宫倩倩,刘超,洛佩..糖尿病不同程度周围神经病变患者足底压力变化分析[J].中国全科医学,2014,(22):2607-2611,5.
