Chantelau E, Haage P
Medical Department of Nutrition and Metabolic Diseases, Heinrich-Heine-University of Düsseldorf, Germany.
Diabet Med. 1994 Jan-Feb;11(1):114-6. doi: 10.1111/j.1464-5491.1994.tb00240.x.
The recurrence rate of neuropathic foot ulcers is reported in 51 diabetic patients regularly attending a diabetic foot clinic. All of the patients were provided with protective footwear reducing peak plantar pressure at the forefoot area by 50% (versus normal shoes), and were followed up for up to 4 years. Compliance with this footwear was recorded by assessing the daily time of wearing protective or normal shoes, and compliance with foot care was recorded from the entries in the patients charts. The results of this observational study demonstrate that wearing protective shoes for > 60% of the daytime significantly (p = 0.0002) reduced the ulcer relapse rate by > 50% in comparison with shorter wearing times for these shoes. In addition, patients without ulcer relapses had foot care significantly more frequently than patients with relapse (p < 0.05). It is concluded that cushioned protective footwear in association with frequent foot care is essential in the prevention of neuropathic diabetic foot ulcer recurrence.
在一家糖尿病足诊所定期就诊的51例糖尿病患者中报告了神经性足溃疡的复发率。所有患者均配备了保护性鞋具，可使前足区域的足底峰值压力降低50%（与普通鞋相比），并随访长达4年。通过评估每天穿着保护性鞋具或普通鞋具的时间来记录对这种鞋具的依从性，通过患者病历中的记录来记录足部护理的依从性。这项观察性研究的结果表明，与穿着这些鞋具的时间较短相比，白天穿着保护性鞋具超过60%可显著（p = 0.0002）降低溃疡复发率超过50%。此外，没有溃疡复发的患者比有复发的患者更频繁地进行足部护理（p < 0.05）。得出的结论是，有缓冲的保护性鞋具与频繁的足部护理相结合对于预防神经性糖尿病足溃疡复发至关重要。
