疑难病杂志2025，Vol.24Issue(9)：1069-1072,1077,5.DOI:10.3969/j.issn.1671-6450.2025.09.009
糖尿病足患者足底压力变化与神经传导的关系
Relationship between changes in plantar pressure and nerve conduction in patients with diabetic feet
摘要
Abstract
Objective To analyze the relationship between the changes in plantar pressure and nerve conduction ve-locity in patients with diabetic foot.Methods A total of 90 patients with diabetic foot admitted to our hospital from May 2021 to October 2023 were retrospectively selected as the research subjects.According to whether nerve conduction abnormal-ities occurred,the patients were divided into the non-occurrence group(n=48)and the occurrence group(n=42).The plantar pressure parameters of the two groups were compared.The Pearson correlation coefficient was used to analyze the correlation between plantar pressure and nerve conduction velocity abnormalities.Multivariate Logistic regression analysis was performed to identify the influencing factors of nerve conduction abnormalities in patients with diabetic foot.Results The plantar contact area,maximum pressure value(PP),and pressure-time integral(PTI)in the occurrence group were all higher than those in the non-occurrence group(t/P=27.046/＜0.001,32.842/＜0.001,27.560/＜0.001).The conduction velocities of the medi-an nerve,ulnar nerve,peroneal nerve,radial nerve,and tibial nerve,as well as the F-wave conduction velocities in the occur-rence group were all lower than those in the non-occurrence group(t/P=9.872/＜0.001,8.921/＜0.001,8.563/＜0.001,9.125/＜0.001,10.214/＜0.001,8.347/＜0.001,7.986/＜0.001,8.023/＜0.001,9.012/＜0.001,8.765/＜0.001).Pearson's test showed that the plantar contact area,PP,and PTI were all positively correlated with nerve conduction velocity abnormalities(r/P=0.789/＜0.001,0.715/0.002,0.802/＜0.001).The results of multivariate Logistic regression analysis showed that the increases in plantar contact area,PP,and PTI were all independent risk factors for nerve conduction abnormalities in patients with diabetic foot[OR(95％CI)=2.690(1.864-2.967),2.401(1.933-3.013),2.474(1.847-2.842)].Conclusion The plantar contact area,PP,and PTI are the main factors contributing to nerve conduction abnormalities in patients with diabetic foot.Clinicians should pay attention to patients with diabetic foot whose above indicators are elevated.关键词
糖尿病足/糖尿病周围神经病变/足底压力/神经传导/相关性Key words
Diabetes foot/Diabetes peripheral neuropathy/Plantar pressure/Nerve conduction/Correlation分类
医药卫生引用本文复制引用
裴赵伟,玛依拉·艾则孜,秦国鼎,李米娜,马晨璐..糖尿病足患者足底压力变化与神经传导的关系[J].疑难病杂志,2025,24(9):1069-1072,1077,5.基金项目
新疆维吾尔自治区自然科学基金资助项目(2024D01C413) Natural Science Foundation of Xinjiang Uygur Autonomous Region(2024D01C413) （2024D01C413）
