胰岛素依赖型糖尿病的足部病理
Foot pathology in insulin dependent diabetes.
作者信息
Barnett S J, Shield J P, Potter M J, Baum J D
机构信息
Institute of Child Health, Bristol Royal Hospital for Sick Children.
出版信息
Arch Dis Child. 1995 Aug;73(2):151-3. doi: 10.1136/adc.73.2.151.
OBJECTIVES
Foot pathology is a major source of morbidity in adults with diabetes. The aim of this study was to determine if children with insulin dependent diabetes have an increased incidence of foot pathology compared with non-diabetic children.
DESIGN
Questionnaire, clinical examination, and biomechanical assessment.
SUBJECTS
67 diabetic children and a comparison group matched for age, sex, and social class.
RESULTS
We found significantly more foot pathology in the children with diabetes (52 children) than the comparison group (28 children); with more biomechanical anomalies (58 children with diabetes, 34 comparison group); and a higher incidence of abnormal skin conditions (53 children with diabetes, 27 comparison group). Forty two children with diabetes had received foot health education compared with 27 in the comparison group, but the study revealed ignorance and misconceptions among the diabetic group, and previous contact with a podiatrist was minimal.
CONCLUSIONS
The survey suggests that children with diabetes have an increased incidence of foot pathology justifying greater input of podiatric care in the hope of preventing later problems.
目的
足部病变是成年糖尿病患者发病的主要原因。本研究的目的是确定胰岛素依赖型糖尿病儿童与非糖尿病儿童相比，足部病变的发生率是否更高。
设计
问卷调查、临床检查和生物力学评估。
研究对象
67名糖尿病儿童以及一个在年龄、性别和社会阶层方面与之匹配的对照组。
结果
我们发现糖尿病儿童（52名）足部病变明显多于对照组（28名儿童）；生物力学异常更多（58名糖尿病儿童，34名对照组儿童）；皮肤异常情况的发生率更高（53名糖尿病儿童，27名对照组儿童）。42名糖尿病儿童接受过足部健康教育，而对照组为27名，但研究发现糖尿病组存在无知和误解，且之前与足病医生的接触极少。
结论
该调查表明糖尿病儿童足部病变的发生率更高，因此有必要加大足病护理的投入，以期预防后续问题。
Zotero 插件