文章摘要
王云.监测足部皮肤温度预测糖尿病足溃疡的价值分析[J].安徽医药,2018,22(11):2202-2204.
监测足部皮肤温度预测糖尿病足溃疡的价值分析
Value analysis of monitoring skin temperaturein predicting diabetic foot ulcer
投稿时间:2017-01-12  
DOI:
中文关键词: 糖尿病足溃疡  皮肤温度差  预测
英文关键词: Diabetic foot ulcer  Skin temperature difference  Predict
基金项目:
作者单位
王云 华中科技大学同济医学院附属武汉中心医院急诊科换药室,湖北 武汉 430014 
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中文摘要:
      目的探讨监测糖尿病足患者足部皮肤温度在预测糖尿病足溃疡中的意义。方法 选取2012年1月至2014年6月在华中科技大学同济医学院附属武汉中心医院门诊部行糖尿病足溃疡治疗及护理的86例患者,采用红外皮肤测温仪对所有参与者足部皮肤温度进行测试,然后比较足部皮肤温度差。所有参与者随访2年,依据Wagner分级标准判断糖尿病足溃疡病例。结果 足部皮肤温度差≥2 ℃的患者发生糖尿病足溃疡发生率为77.6%,明显高于足部皮肤温度差<2 ℃患者的51.4%,差异有统计学意义(χ2=6.475,P=0.011)。足部皮肤温度差与糖尿病足溃疡的严重程度呈正相关。结论 糖尿病足患者足部皮肤温度差异越大,则发生糖尿病足溃疡的可能性越大,溃疡严重程度也越大,这为预测糖尿病足溃疡的发生提供理论依据。
英文摘要:
      Objective To investigate the significance of foot skin temperature in the prediction of diabetic foot ulcer in diabetic foot patients.Methods A total of 86 diabetic foot patients treated in Outpatient Department,Wuhan Central Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from January 2012 to June 2014 were enrolled.Infrared skin thermometer was used to measure the temperature of the skin of the foot for all participants,and the difference of foot skin temperature was tested and compared.All participants were followed up for 2 years,and patients with diabetic foot ulcer were identified according to the Wagner grading standard.Results The incidence of diabetic foot ulcer was 77.6% in patients with foot skin temperature difference no less than 2 ℃,which was significantly higher than diabetic foot ulcer incidence (51.4%) in patients with foot skin temperature difference less than 2 ℃,and the difference was statistically significant (χ2=6.475,P=0.011).Foot skin temperature difference was positively correlated with severity of diabetic foot ulcer.Conclusion The greater the difference in the skin temperature between the feet of diabetic foot patients,the greater the possibility of diabetic foot ulcers and the greater the severity of diabetic foot ulcers.This study provides a theoretical basis for predicting the occurrence of diabetic foot ulcer.
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