摘要
目的探讨糖尿病足治疗鞋的预防作用.方法85例2型糖尿病病人分别穿着布鞋、日常皮鞋和糖尿病足治疗鞋,完成足底压力测定.结果穿着糖尿病足治疗鞋时足跟内侧和外侧、第1～5跖骨头、第1～5足趾、足弓、足跟中部、足跟侧部的压力显著低于穿布鞋和皮鞋时.穿布鞋时,第3、4、5跖骨头,足弓、足跟中部和后部压力大于穿皮鞋;第3、4、5跖骨头的压力大于穿治疗鞋.穿皮鞋时,第3、4、5跖骨头、足跟侧部的压力大于穿治疗鞋.布鞋内的足跟中部、后部压力大于穿皮鞋.结论糖尿病足治疗鞋和鞋垫减低了足部的压强,增加了足弓的支持能力,减轻了足前部和足跟的压力,具有预防足病的作用.布鞋不利于减轻足跟的压力.
Objective To study the effectiveness of the diabetic foot therapeutic footwear in preventing the foot ulcer. Methods A total of 85 type 2 diabetic patients were investigated： 74 men and 11women with age of 54±11 years and diabetes duration of 8±12 months. The foot sole pressure was measured with RS Footscan-lnsole 2.33 when they wore cotton-made and leather- made shoes and diabetic foot therapeutic shoes. The diabetic foot therapeutic shoes were made with LYCRA materials, and the space in the shoes is big enough for claw toes and other deformity of the patients. The foot sole pressure and peak pressure were measured on the heel, metatarsal heads and midfoot. Results Com- pared with cotton- made and leather-made shoes, diabetic foot therapeutic shoes showed lower peak pressure in total foot sole （P〈0. 01）. The total pressure in leather-made shoe was highest, but no statistical significance was found among the three types of shoes. Diabetic foot therapeutic shoes reduced plantar pressure （M3-M5）. The foot pressure on heel was increased in cotton-made shoe. Conclusions Diabetic foot therapeutic shoes and insoles might be useful for preventing the diabetic foot, because they could reduce the peak pressure, and make the distribution of the pressure on the foot sole more reasonably. The cotton-made shoe may increase the heel pressure.
基金
首都医学发展科研基金资助项目(2002-1013)
关键词
糖尿病足
鞋
压力
足底
Diabetic foot
Shoe
Plantar pressure
