CAJ | 학술논문

目的探讨2型糖尿病患者足底压力分布特点.方法使用比利时RS-SCAN公司生产的Footscan1m压力平板,检测357例2型糖尿病患者自然行走过程的赤足压力,多次测量后取3次数据计算各区域压强的平均值录入 SPSS 16.0统计软件.结合足底压力测量软件将足底分为第1趾,第2—第5趾、第1、第2、第3、第4、第5跖骨底、足弓、足跟内侧、足跟外侧共10个解剖区域.检查足外观有无胼胝及拇趾外翻,根据软件计算足弓指数将患者足型分为正常足、扁平足及高弓足,分析指标为患者足底各分区压强、全足压强和双足平均总压强(N/cm2),比较左右足全足压强及不同性别患者左右足全足压强,不同足外观、足型患者双足平均总压强.结果足底各分区前3位排序,左足:第3跖骨底>第4跖骨底>第2跖骨底,右足第3跖骨底>第2跖骨底>足跟内侧.左、右足全足压强比较差异有统计学意义,左足>右足(P<0.01),男性患者左右足全足压强均大于女性患者(P<0.05).357例患者中胼胝者66例,拇趾外翻45例.比较不同足外观患者双足平均总压强,胼胝组最高(P<0.05).不同足型患者比较,3组间足底压强差异无统计意义(P>0.05).结论2型糖尿病患者足底各分区压强最高值双足均为第3跖骨底,全足总压强比较左足>右足,男性>女性.糖尿病合并胼胝者足底压强最高,不同足型患者间足底压强差别无统计学意义.
목적탐토2형당뇨병환자족저압력분포특점.방법사용비리시RS-SCAN공사생산적Footscan1m압력평판,검측357례2형당뇨병환자자연행주과정적적족압력,다차측량후취3차수거계산각구역압강적평균치록입 SPSS 16.0통계연건.결합족저압력측량연건장족저분위제1지,제2—제5지、제1、제2、제3、제4、제5척골저、족궁、족근내측、족근외측공10개해부구역.검사족외관유무변지급무지외번,근거연건계산족궁지수장환자족형분위정상족、편평족급고궁족,분석지표위환자족저각분구압강、전족압강화쌍족평균총압강(N/cm2),비교좌우족전족압강급불동성별환자좌우족전족압강,불동족외관、족형환자쌍족평균총압강.결과족저각분구전3위배서,좌족:제3척골저>제4척골저>제2척골저,우족제3척골저>제2척골저>족근내측.좌、우족전족압강비교차이유통계학의의,좌족>우족(P<0.01),남성환자좌우족전족압강균대우녀성환자(P<0.05).357례환자중변지자66례,무지외번45례.비교불동족외관환자쌍족평균총압강,변지조최고(P<0.05).불동족형환자비교,3조간족저압강차이무통계의의(P>0.05).결론2형당뇨병환자족저각분구압강최고치쌍족균위제3척골저,전족총압강비교좌족>우족,남성>녀성.당뇨병합병변지자족저압강최고,불동족형환자간족저압강차별무통계학의의.
Objective To explore the characteristics of foot plantar pressure (FPP) in patients with type 2 diabetes mellitus (T2DM). Methods With a RS-SCAN Footscan 1 m plate pressure measurement system, FPP without shoes of 357 patients were measured for three times and the average FPP were calculated according to multi-measurements. The foot was divided into ten areas, that is, toe 1 (T1), toe 2-5 (T2-5), metatarsal 1 to metatarsal 5(M1, M2, M3, M4, M5), middle foot (MF), heel medial (HM) and heel lateral (HL), respectively. Meanwhile, the appearance of the foot was checked to conform if there were calluses or hallux valgus. Patients were divided into flat foot group, talipes cavus group and normal group according to arch index. FPP of ten areas, whole FPP and average FPP (N/cm2) were analyzed and whole FPP between left and right foot, between male and female patients were also compared. Average FPP among patients with different foot appearance and those with different foot types were compared as well. Results The highest area of FPP was M3, followed by M4, M2 on left foot and M3, M2, HM in turn on right foot. Whole FPP of left foot was significantly higher than that of right foot among all patients (P<0.01), and FPP of male patients was higher than that of female patients (P<0.05). Of 357 patients, 66 had callus on left or right foot, 45 hallux valgus and the average FPP was highest in patients with callus compared with other two groups (P<0.05). The average FPP did not differ significantly among flat foot group, talipes cavus group and normal group (P>0.05). Conclusion The highest FPP is located in metatarsal 3 and whole FFP of left foot is higher than that of right foot. FPP of male patients is higher than that of female and average FFP patients with callus reaches the highest.