震动感觉阈值检测对糖尿病足溃疡风险的评估价值

doi:10.3969/j.issn.1671-7171.2017.05.020

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Abstract Objective To study the risk of diabetic foot ulcers (DFU) in diabetes using vibration perception threshold (VPT). Methods Sixty cases of diabetic patients without diabetic foot ulcers in our hospital from April 2014 to March 2015 were collected. All patients were given vibration sense threshold detection. According to the value of vibration perception thresholds that patients felt, patients were divided into the normal group (VPT≤10) and the higher vibration perception thresholds group (VPT>10). Patients' age, course of disease, triglyceride (TG), total cholesterol (TC), glycosylated hemoglobin(HbA1c), fasting blood glucose (FBG), and body mass index (MBI) were measured and compared between the two groups. Results In those 60 cases of diabetic patients, 30 patients had VPT≤10 (the control group) and 30 patients had higher vibration sense (the observation group). Out of 30 cases with VPT>10, 6 cases were low risk (VPT 11~15 V), 16 cases were moderate risk (VPT 16~25 V), and 8 cases were high risk (VPT ≥26 V).Patients'age(64.87±3.29 year), course of disease (7.84±1.21year), and fasting blood glucose(9.61±0.71mmol/L) of the observation group were significantly higher than those of the control group(60.43±3.21)year,(4.22±0.76)year, and (8.52±0.62)mmol/L, respectively (P<0.05). There were no significant difference in triglyceride, total cholesterol, glycosylated hemoglobin, and body mass index in the two groups (P>0.05). The risk of diabetic foot ulcers was greater in patients with age≥62 year and course ≥5year. Conclusion Based on the vibration perception thresholds detection, diabetic peripheral neuropathy can be found earlier, the risk of diabetic foot ulcers in patients with diabetes should be objective evaluation as soon as possible.

Key words： Diabetic Foot Diabetic Neuropathies Hemoglobin A, Glycosylated Body Mass Index

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R587.29

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	LIN Zhan

Cite this article:

LIN Zhan. Evaluation of the Risk of Foot Ulcers in Diabetic Patients by Vibration Perception Threshold[J]. JOURNAL OF CLINICAL RESEARCH, 2017, 34(5): 895-898.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2017.05.020 OR http://www.jcr.net.cn/EN/Y2017/V34/I5/895

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