糖尿病合并周围神经病变患者足底压力的研究

摘要

目的:了解糖尿病合并周围神经病变患者动态足底压力的分布特点.方法:使用比利时RS-SCAN 2米压力平板,检测63例正常人(NC组)、61例无明显周围神经病变的糖尿病患者(DM组)及62例糖尿病合并周围神经病变患者(DN组)的足底各部位动态压力.结果:三组体重指数无明显差异.DN组的年龄长于DM组(P<0.05).本研究发现DM组与正常组相比,M,峰值压力升高(P<0.05),其余差异无统计学意义.DN组以下各部位动态压力与正常组及DM组相比有显著性差异,左足M3、M5压力增高,MF压力降低,右足M3、M5压力增高,MF压力降低.结论:糖尿病合并周围神经病变患者动态足底压力与无明显周围神经病变的糖尿病患者及正常人差异有统计学意义.糖尿病周围神经病变患者的病程中,部分区域足底压力逐渐发生变化,使整个足底受力失衡,最终导致某区域压力异常增高或降低,异常增高的区域可能使足底溃疡发生的危险性增加.%Objective: To investigate the plantar pressure distribution of peripheral neuropathy in Chinese diabetics.Methods: Plantar foot pressure in walking was measured in 63 normal individuals (group NC), 61 diabetic patients without distinct peripheral neuropathy (group DM) and 62 cases in group DN.Results: There was no significant difference in BMI any three groups.The age of diabetes in group DN was longer than other two groups.The peak plantar foot pressure of M3 in group DM was significant higher than that in group NC but other region no difference between group DM and group NC.Many group DNs reigen was significant difference than both group NC and group DM, in the right foot, M3, M5 was higher, MF was lower in the left foot.Conclusion: The plantar pressure distribution of DN was different to both group DM and group NC, in all the duration of DM, the plantar pressure of some region changed gradually.All the foot pressure lose its balance so that the pressure of some region is even higher.