对伊普斯威奇触觉试验用于筛查糖尿病患者保护性感觉丧失的敏感性和特异性的现有证据的综述。
A review of the current evidence on the sensitivity and specificity of the Ipswich touch test for the screening of loss of protective sensation in patients with diabetes mellitus.
作者信息
Hu Arnold, Koh Beatrice, Teo Melissa-Raye
机构信息
Podiatry Department, Ng Teng Fong General Hospital, National University Health System, 1 Jurong East Street 21, Singapore, 609606 Singapore.
出版信息
Diabetol Int. 2020 Jun 29;12(2):145-150. doi: 10.1007/s13340-020-00451-9. eCollection 2021 Apr.
AIMS
To evaluate the sensitivity and specificity of the Ipswich touch test for the screening of loss of protective sensation in patients with diabetes mellitus based on the current literature.
METHODS
Three electronic databases were searched for eligible studies that investigated the sensitivity and specificity of the Ipswich touch test. Methodological quality was assessed using the QUADAS-2 tool.
RESULTS
Five studies that reported the sensitivity and specificity of the Ipswich touch test were included. When compared to the 10 g monofilament, the sensitivity ranges from 51 to 83.3% and the specificity ranges from 96.4 to 98%. When compared to the vibration perception test ≥25 V, Ipswich touch test sensitivity ranges from 76 to 100% and specificity ranges from 90 to 96.6%.
CONCLUSIONS
The Ipswich touch test has a high specificity in screening for loss of protective sensation in the feet of patients with diabetes mellitus. It is a useful test to be included in diabetic foot screenings, especially when other sensory tools are not available. However, more rigorous studies need to be conducted as there is currently only a limited pool of research evidence to substantiate it as a screening tool for loss of protective sensation in the diabetic foot.
目的
基于现有文献，评估伊普斯威奇触觉试验在筛查糖尿病患者保护性感觉丧失方面的敏感性和特异性。
方法
检索三个电子数据库，查找调查伊普斯威奇触觉试验敏感性和特异性的合格研究。使用QUADAS - 2工具评估方法学质量。
结果
纳入了五项报告伊普斯威奇触觉试验敏感性和特异性的研究。与10克单丝相比，敏感性范围为51%至83.3%，特异性范围为96.4%至98%。与振动觉测试≥25伏相比，伊普斯威奇触觉试验敏感性范围为76%至100%，特异性范围为90%至96.6%。
结论
伊普斯威奇触觉试验在筛查糖尿病患者足部保护性感觉丧失方面具有较高的特异性。它是糖尿病足筛查中一项有用的测试，尤其是在没有其他感觉工具的情况下。然而，由于目前仅有有限的研究证据支持其作为糖尿病足保护性感觉丧失的筛查工具，因此需要进行更严格的研究。
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