CAJ | 학술논문

目的：探讨非负重运动处方对糖尿病足溃疡（DFU）患者的有效性及安全性。方法：将糖尿病足溃疡患者随机分为对照组、运动组，观察治疗前后局部皮肤温度、踝肱指数（ABI）、经皮氧分压（TcPO2）等变化，同时进行糖尿病足溃疡疗效评价及运动处方的安全性评价。结果：治疗1个月后，运动组总有效率（87.1%）显著优于常规组（62.1%）（P<0.05），两组患者治疗后ABI、TcPO2升高，与治疗前比较差异有统计学意义（P<0.05）。而运动组除上述2个指标的改变外，还有皮温升高，BMI降低，治疗前后比较差异有统计学意义（P<0.05）。运动组治疗前后的差异较对照组治疗前后的差异更明显，差异有统计学意义（P<0.05或P<O.01）。安全性方面，两组患者不良事件发生率比较差异无统计学意义（P>0.05）。结论：非负重运动处方可以改善DFU患者足部血流灌注、促进溃疡愈合，且具有较高的安全性。
목적：탐토비부중운동처방대당뇨병족궤양（DFU）환자적유효성급안전성。방법：장당뇨병족궤양환자수궤분위대조조、운동조，관찰치료전후국부피부온도、과굉지수（ABI）、경피양분압（TcPO2）등변화，동시진행당뇨병족궤양료효평개급운동처방적안전성평개。결과：치료1개월후，운동조총유효솔（87.1%）현저우우상규조（62.1%）（P<0.05），량조환자치료후ABI、TcPO2승고，여치료전비교차이유통계학의의（P<0.05）。이운동조제상술2개지표적개변외，환유피온승고，BMI강저，치료전후비교차이유통계학의의（P<0.05）。운동조치료전후적차이교대조조치료전후적차이경명현，차이유통계학의의（P<0.05혹P<O.01）。안전성방면，량조환자불량사건발생솔비교차이무통계학의의（P>0.05）。결론：비부중운동처방가이개선DFU환자족부혈류관주、촉진궤양유합，차구유교고적안전성。
Objective:To observe the effect and safety of non-weight exercise prescription for patients with diabetic foot ulcer(DFU).Method:Sixty-two patients with DFU were divided into exercise group and control group at random,We observed the changes of local skin temperature,ankle brachial index(ABI),transcutaneous oxygen pressure(TcPO2)and the effect evaluation of DFU before and after treatment;the ulcer healing rate in the two groups were compared,and the adverse events of the treatment were recorded.Result:The total efficacy rate in the exercise group was significant better than that in the control group after treatment(P<0.05).The ABI,TcPO2 in the two groups increased.Besides,there is aincrease of local skin temperature and a decrease of BMI in exercise groups(P<0.05). The differences of above index before and after treatment in exercise groups are more significant than that in control group (P<0.05 or P<0.01).Conclusion:The non-weight exercise prescription in the study can improve the foot perfusion and promote ulcer healing.It has the advantage of high safety.