Crausaz F M, Clavel S, Liniger C, Albeanu A, Assal J P
Unité de Traitement et d'Enseignement pour Diabétiques, Hôpital Cantonal Universitaire, Geneva, Switzerland.
Diabet Med. 1988 Nov;5(8):771-5. doi: 10.1111/j.1464-5491.1988.tb01106.x.
Patients can only examine and handle their own feet if they have adequate visual acuity and joint mobility. We therefore studied the physical capacity of patients with neuropathy to perform the preventive footcare measures previously taught. The study included three groups of diabetic outpatients, comparable for age and duration of diabetes: (1) 38 patients with neuropathic ulcers; (2) 21 patients with neuropathy, but no ulcers; (3) 30 patients without neuropathy. Visual acuity and joint mobility, expressed as minimum eye-metatarsum and heel-buttock distances, did not differ between uncomplicated neuropathic and non-neuropathic patients: visual acuity was sufficient in 95% of neuropathic patients without ulceration and in 87% of non-neuropathic patients; joint mobility was in the normal range in both groups. However, 71% of complicated neuropathic patients had insufficient visual acuity for correct foot examination, and their joint mobility was reduced compared with uncomplicated neuropathic and non-neuropathic patients.
如果患者有足够的视力和关节活动度，他们才能自行检查和处理自己的足部。因此，我们研究了患有神经病变的患者执行先前教授的预防性足部护理措施的身体能力。该研究包括三组年龄和糖尿病病程相当的糖尿病门诊患者：（1）38例患有神经性溃疡的患者；（2）21例患有神经病变但无溃疡的患者；（3）30例无神经病变的患者。以最小眼-跖骨距离和足跟-臀距离表示的视力和关节活动度，在无并发症的神经病变患者和非神经病变患者之间没有差异：95%无溃疡的神经病变患者和87%的非神经病变患者视力足够；两组的关节活动度均在正常范围内。然而，71%有并发症的神经病变患者视力不足，无法进行正确的足部检查，与无并发症的神经病变患者和非神经病变患者相比，他们的关节活动度降低。
