Sochocki Michael P, Verity Shawn, Atherton Pamela J, Huntington Jefrey L, Sloan Jeff A, Embil John M, Trepman Elly
Faculty of Medicine, University of Manitoba, Canada.
Foot Ankle Surg. 2008;14(1):11-5. doi: 10.1016/j.fas.2007.07.003. Epub 2007 Oct 22.
Clinical observation suggests that Charcot arthropathy of the foot and ankle has major negative consequences on the quality of life of neuropathic patients, particularly those with diabetes. We hypothesized that the quality of life in patients with Charcot arthropathy may be aggravated by Aboriginal ethnicity and rural residence because of limited access to timely specialty healthcare.
Sixty patients with Charcot arthropathy were interviewed with the Short Form 36 (SF-36) Health Survey.
Mean Physical Component Summary (PCS) score was 31+/-8 points and mean Mental Component Summary (MCS) score was 45+/-10 points. Mean PCS and MCS scores were not affected by gender, ethnicity, residence, or Charcot stage. Mean PCS score was significantly lower in non-employed (unemployed or retired) than employed patients and in patients who did not use alcohol than those who used alcohol; MCS score was not affected by employment status or alcohol use.
Charcot arthropathy has a major negative effect on quality of life. The SF-36 survey was sensitive to the physical effects, but not to mental effects, of Charcot arthropathy.
临床观察表明，足踝部夏科氏关节病对神经病变患者的生活质量有重大负面影响，尤其是糖尿病患者。我们推测，由于获得及时专科医疗服务的机会有限，原住民和农村居民中的夏科氏关节病患者的生活质量可能会更差。
采用简明健康调查问卷36项版本（SF - 36）对60例夏科氏关节病患者进行访谈。
平均生理健康评分（PCS）为31±8分，平均心理健康评分（MCS）为45±10分。平均PCS和MCS评分不受性别、种族、居住地或夏科氏病分期的影响。未就业（失业或退休）患者的平均PCS评分显著低于就业患者，不饮酒患者的平均PCS评分显著低于饮酒患者；MCS评分不受就业状况或饮酒情况的影响。
夏科氏关节病对生活质量有重大负面影响。SF - 36调查对夏科氏关节病的生理影响敏感，但对心理影响不敏感。
