[1]罗宁,孙金姗,孙新娟,等.足部矫形系统在糖尿病足溃疡防治中的作用[J].国际内分泌代谢杂志,2014,(01):57-59.[doi:10.3760/cma.j.issn.1673-4157.2014.01.016]
　Luo Ning,Sun Jinshan,Sun Xinjuan,et al.Role of prescribed foot orthosis system in the prevention and treatment of diabetic foot ulcers[J].International Journal of Endocrinology and Metabolism,2014,(01):57-59.[doi:10.3760/cma.j.issn.1673-4157.2014.01.016]
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足部矫形系统在糖尿病足溃疡防治中的作用()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
期数:
2014年01期
页码:
57-59
栏目:
综述
出版日期:
2014-02-28

文章信息/Info

Title:
Role of prescribed foot orthosis system in the prevention and treatment of diabetic foot ulcers
作者:
罗宁; 孙金姗; 孙新娟; 王伟; 蒋克春; 柳岚; 陈寅晨; 王爱萍
210002　南京,解放军第454医院内分泌科 　　
Author(s):
Luo Ning; Sun Jinshan; Sun Xinjuan; Wang Wei; Jiang Kechun; Liu Lan; Chen Yinchen; Wang Aiping．
Department of Endocrinology,The 454th Hospital of PLA,Nanjing 210002,China Corresponding author：Wang Aiping,Email：wap454hospital@163.com
关键词:
足部矫形系统; 糖尿病; 足溃疡
Keywords:
Prescribed foot orthosis system; Diabetes mellitus; Foot ulcer
DOI:
10.3760/cma.j.issn.1673-4157.2014.01.016
摘要:
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。
Abstract:
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.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：南京军区重大科技基金资助项目(10Z14) 通信作者：王爱萍,Email:wap454hospital@163.com
更新日期/Last Update: 2014-01-20