Zhigalkin V N, Zenovko G I
Probl Endokrinol (Mosk). 1981;27(6):9-12.
Microcirculation was examined in 182 patients with diabetes mellitus and 20 healthy subjects. According to the disease severity all the patients were divided, as follows: 23 patients with mild diabetes, 99 with moderate form of the disease and 60 subjects with severe diabetes. Thermoassaymmetry of the lower limbs of the patients under examination and proximal distal gradient of the temperature drop were determined to reveal circulation disturbance. The "cold test" promoted discovering vascular insufficiency, whereas local dosed ether anesthesia of the limbs favoured to reveal microcirculation disorder and to determine the time of temperature normalization in the anesthetized regions of patients with diabetes mellitus, comparatively to those of normal subjects. The "hot foot" symptom is pathognomonic for osteoarthropathy.
对182例糖尿病患者和20名健康受试者进行了微循环检查。根据疾病严重程度,将所有患者分为以下几组:23例轻度糖尿病患者、99例中度糖尿病患者和60例重度糖尿病患者。测定受检患者下肢的热测定法以及温度下降的近端-远端梯度,以揭示循环障碍。“冷试验”有助于发现血管功能不全,而肢体局部定量乙醚麻醉则有助于揭示微循环障碍,并确定糖尿病患者麻醉区域与正常受试者相比温度恢复正常的时间。“热足”症状是骨关节炎的特征性表现。