CAJ | 학술논문

目的：探讨我国糖尿病(DM)患者足底压力参数与分布情况及其与糖尿病周围神经病变(DPN)的关系。方法使用Footscan SCSI 0.5米平板系统对68名糖尿病无周围神经病变患者（A组）和70名糖尿病合并周围神经病变患者（B组）进行静态和动态足底压力检测。结果1.前足及后足接触面积，B组>A组（P<0.05）；中足接触面积，B组<A组（P<0.01）。2.B组左足M5及左足HM的峰值压强(PP)高于A组，P＜0.01；B组左足MF的PP低于A组，P＜0.01。3.DM患者双足足底各区域的PP分布无明显差异，大致为：M3＞M4＞HM＞M2,HL＞M5＞M1＞T1＞MF＞T2-5。结论 DPN患者与DM无合并周围神经病变患者的足底压力存在差异。足底压力检测是早期发现DM人群足部物理变化的有效手段。
목적：탐토아국당뇨병(DM)환자족저압력삼수여분포정황급기여당뇨병주위신경병변(DPN)적관계。방법사용Footscan SCSI 0.5미평판계통대68명당뇨병무주위신경병변환자（A조）화70명당뇨병합병주위신경병변환자（B조）진행정태화동태족저압력검측。결과1.전족급후족접촉면적，B조>A조（P<0.05）；중족접촉면적，B조<A조（P<0.01）。2.B조좌족M5급좌족HM적봉치압강(PP)고우A조，P＜0.01；B조좌족MF적PP저우A조，P＜0.01。3.DM환자쌍족족저각구역적PP분포무명현차이，대치위：M3＞M4＞HM＞M2,HL＞M5＞M1＞T1＞MF＞T2-5。결론 DPN환자여DM무합병주위신경병변환자적족저압력존재차이。족저압력검측시조기발현DM인군족부물리변화적유효수단。
Objective To study the plantar pressure and its distribution,and the relationship between these parameters and diabetic peripheral neurophathy. Methods We obtained plantar pressure data using a Footscan? gait system in 68 diabetic patients and 70 patients suffered from diabeic peripheral neurophathy. Results 1.The contact area percentage(%) in forefoot and rearfoot of Group B were higher than Group A with P<0.05, while The midfoot contact area percentage(%) in Group B was lower than Group A with P<0.01. 2.The peak pressure (PP) of M5 and HM in left foot ,Group B was significantly higher than Group A with P<0.01, PP of MF in left foot: Group B was significantly lower than Group A with P<0.01.3.The distribution of PP in diabetes mellitus showed the sort of M3>M4>HM>M2, HL>M5>M1>T1>MF>T2-5. Conclusion There is difference between diabetic patients with peripheral neuropathy and diabetic patients without peripheral neuropathy in plantar pressure. Plantar pressure detection is an effective means to detect foot physical changes of diabetic patients with peripheral neuropathy early.