CAJ | 학술논문

病程10～ 15年的糖尿病患者50％以上伴有中等程度的糖尿病周围神经病变.糖尿病周围神经病变,包括运动神经病变、自主神经病变和感觉神经病变,是糖尿病足形成的主因.肌肉萎缩、皮肤干裂、感觉缺失和足畸形等,导致足底压力改变、软组织易受损、溃疡形成.足部矫形系统(Prescribed foot orthosis system)可降低糖尿病患者足部压力性溃疡的发病率及复发率;对溃疡部位有效的减压处理,可避免创面慢性迁延、甚至截肢.足部矫形系统种类多,适用于不同足创面.足部矫形系统用于糖尿病患者时,需要定期观察步态速度、足底峰压、前足压力时间积分和应变率等指标.
병정10～ 15년적당뇨병환자50％이상반유중등정도적당뇨병주위신경병변.당뇨병주위신경병변,포괄운동신경병변、자주신경병변화감각신경병변,시당뇨병족형성적주인.기육위축、피부간렬、감각결실화족기형등,도치족저압력개변、연조직역수손、궤양형성.족부교형계통(Prescribed foot orthosis system)가강저당뇨병환자족부압력성궤양적발병솔급복발솔;대궤양부위유효적감압처리,가피면창면만성천연、심지절지.족부교형계통충류다,괄용우불동족창면.족부교형계통용우당뇨병환자시,수요정기관찰보태속도、족저봉압、전족압력시간적분화응변솔등지표.
More than 50％ of diabetics with diabetic history of 10-15 years combine with diabetic peripheral neuropathy.Diabetic peripheral neuropathy,which includes motor neuropathy,autonomic neuropathy,sentory neuropathy,is one of the most important etiology of diabetic foot.With the amyotrophy,the loss of sweat and sensation and the pedal deformity,the plantar pressure will change,the soft tissue of the plantar surface will injure easily and diabetic foot ulcers will take place.Prescribed foot orthosis system could decrease the prevalence and recurrence rate of plantar ulceration in diabetics.In addition,it could reduce plantar pressure,avoid chronic wounds delaying and reduce the risk of amputations.There are many kinds of prescribed foot orthosis system that are applied to different wounds.When prescribed foot orthosis system is used in patients with diabetes,gait velocity,planter peak pressure,time integration and strain rate of forefoot pressure should be observed regularly.