Infrared dermal thermometry for the high-risk diabetic foot
Infrared dermal thermometry for the high-risk diabetic foot
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DOI：
10.1093/ptj/77.2.169
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发表时间：
1997-02-01
期刊：
影响因子：
3.2
通讯作者：
Tredwell, JA
中科院分区：
文献类型：
--
作者：
Armstrong, DG;Lavery, LA;Tredwell, JA
背景和目的。本研究的目的是使用对侧肢体作为对照，比较无症状周围感觉神经病患者、神经性溃疡患者和夏科氏关节病患者的皮肤温度。科目。回顾性地，糖尿病患者（N = 143）被分为三组：无症状感觉神经病变患者（n = 78）、神经性足溃疡患者（n = 44）和神经性骨折（夏科氏关节病）患者（n = 21）。方法。我们在最初确定病理时以及随后平均 22.1 个月的临床就诊时使用便携式手持式红外皮肤温度探头评估了受试者的皮肤温度 (SD=6.4)。测量对侧足部的皮肤温度作为对照。结果。夏科氏关节病患者（8.3 华氏度）和神经性溃疡患者（5.6 华氏度）之间，受影响足部和对侧系带（未受影响）足部的皮肤温度存在差异，而无症状感觉神经病患者之间没有差异。 5 名神经性溃疡患者在初次愈合后平均 12.2 个月 (SD=6.4) 出现复发，再次受伤前就诊时皮肤温度相应升高（89.6 度+/-1.2 华氏度与 82.5 度+/-2.9 华氏度）。结论与讨论。数据表明，在识别其他临床损伤症状之前，监测相应的对侧足部部位可以提供临床信息。
Background and Purpose. The purpose of this study was to compare skin temperatures in patients with asymptomatic peripheral sensory neuropathy, patients with neuropathic ulcers, and patients with Charcot's arthropathy using the contralateral limb as a control. Subjects. On a retrospective basis, patients with diabetes (N=143) were divided into three groups: patients with asymptomatic sensory neuropathy (n=78), patients with neuropathic foot ulcers (n=44), and patients with neuropathic fractures (Charcot's arthropathy) (n=21). Methods. We evaluated the subjects' skin temperatures with a portable handheld infrared skin temperature probe at the time pathology was initially identified and at subsequent clinical visits for an average of 22.1 months (SD=6.4). Skin temperatures of the contralateral foot were measured as a control. Results. There were differences in skin temperature between the affected foot and the contralateral tie, nonaffected) foot among the patients with Charcot's arthropathy (8.3 degrees F) and the patients with neuropathic ulcers (5.6 degrees F), with no difference identified among the patients with asymptomatic sensory neuropathy. Five patients with neuropathic ulcers experienced reulceration a mean of 12.2 months (SD=6.4) after initial healing, with a corresponding increase in skin temperature (89.6 degrees+/-1.2 degrees F versus 82.5 degrees+/-2.9 degrees F) at the clinic visit immediately preceding reinjury. Conclusion and Discussion. The data suggest that monitoring of the corresponding contralateral foot site may provide clinical information before other clinical signs of injury can be identified.