计算机辅助糖尿病足个性化鞋具设计的初步研究
계산궤보조당뇨병족개성화혜구설계적초보연구
Computer-assisted design of therapeutic personalized footwear for diabetic foot:a preliminary study
  • 万方数据
    中华骨科杂志 중화골과잡지
    CHINESE JOURNAL OF ORTHOPAEDICS
    2011年 5期 514-519 ,共6页

    王旭%马昕%马利杰%陈立%张超%黄加张%顾湘杰%姜建元%王冬梅%王成焘%陶凯%Christopher James%Anita Williams%Anmin Liu

    왕욱%마흔%마리걸%진립%장초%황가장%고상걸%강건원%왕동매%왕성도%도개%Christopher James%Anita Williams%Anmin Liu

    鞋%糖尿病足%有限元分析%计算机辅助设计 鞋%糖尿病足%有限元分析%計算機輔助設計
    혜%당뇨병족%유한원분석%계산궤보조설계
    Shoes%Diabetic foot%Finite element analysis%Computer-aided design
    目的 探讨应用计算机进行糖尿病足病患者个性化鞋具设计的步骤与初步结果,并进行修正以适应参与研究患者的情况.方法 筛选糖尿病足病患者58例,依据英国Safford大学的方法,测定足部10组相关数据.将此数据进行计算机分析,依据英方已有的公式与计算方法,获得患者各自鞋具不同部位的尺寸,进而整合成个性化鞋具.患者试穿鞋具13个月,以特定足部健康评分表随访患者对于个性化鞋具的评价.结果 共58例糖尿病足病受试者,试穿1个月后共随访到有效样本32例,试穿2个月后为25例,试穿3个月后为25例,试穿13个月后为42例.使用糖尿病鞋具前足部健康评分为(67.94±15.14)分,1个月后为(76.55±12.46)分,2个月后为(77.66±13.45)分,3个月后为(77.14±12.56)分,13个月后为(78.13±1.44)分.受试者在使用鞋具后足部健康评分改善,且差异有统计学意义.结论 作为预防糖尿病足病溃疡发生、改善患者生活状态的一种方式,个体化鞋具有一定的价值.英方的计算方式与模型数据转化公式在应用于受试的中国患者时须进行一定的修正.
    목적 탐토응용계산궤진행당뇨병족병환자개성화혜구설계적보취여초보결과,병진행수정이괄응삼여연구환자적정황.방법 사선당뇨병족병환자58례,의거영국Safford대학적방법,측정족부10조상관수거.장차수거진행계산궤분석,의거영방이유적공식여계산방법,획득환자각자혜구불동부위적척촌,진이정합성개성화혜구.환자시천혜구13개월,이특정족부건강평분표수방환자대우개성화혜구적평개.결과 공58례당뇨병족병수시자,시천1개월후공수방도유효양본32례,시천2개월후위25례,시천3개월후위25례,시천13개월후위42례.사용당뇨병혜구전족부건강평분위(67.94±15.14)분,1개월후위(76.55±12.46)분,2개월후위(77.66±13.45)분,3개월후위(77.14±12.56)분,13개월후위(78.13±1.44)분.수시자재사용혜구후족부건강평분개선,차차이유통계학의의.결론 작위예방당뇨병족병궤양발생、개선환자생활상태적일충방식,개체화혜구유일정적개치.영방적계산방식여모형수거전화공식재응용우수시적중국환자시수진행일정적수정.
    Objective To explore the outcomes of computer-assisted design of therapeutic personalized footwear for diabetic foot.Methods Fifty-eight cases of diabetic foot were included in the study.Ten items of data from theses patients were measured with methods provided by Salford University.All characteristics of the footwear were calculated with computer.Shoes were specially designed with the formula and computational method provided by Safford university.All patients had worn the shoes for 13 months.Special questionnaires were used to measure the outcomes.Results Thirty-two cases had been followed up for one month,25 cases for 2 months,25 cases for 3 months and 42 cases for 13 months.The score had improved from 67.94±15.14 before wearing the shoes to 78.13±1.44 thirteen months after wearing.The health score of the foot had improved.There was significant difference between before and after wearing the footwears.Conclusion Special-designed diabetic shoes play an important role in the prevention of ulcer for diabetic foot patients.Computational method and data model obtained from Salford university needs to be modified when applying it for Chinese.
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