脚部压力值作为预防糖尿病足的策略:系统性审查
Pedro Castro-Martins1,2, Arcelina Marques1,3, Luís Coelho1,4
1CIETI, ISEP, Polytechnic of Porto, Portugal.
Heliyon
|February 23, 2024
概括
高足底压力可能导致糖尿病足. 本综述确定了临床实践中用于预防的常见压力值,鞋子内部的200kPa是最常见的. 需要进一步的研究来评估值疗效.
科学领域:
- 足部医学是一门专业.
- 生物医学工程 生物医学工程
- 糖尿病学 糖尿病学
背景情况:
- 糖尿病足部往往是由于脚部区域的高压造成的.
- 监测压力对于预防和复发至关重要.
研究的目的:
- 确定与糖尿病患者脚风险相关的客观脚部压力值.
- 澄清临床实践和研究中常用的值.
- 考虑用于脚部压力管理的装置和卸载策略.
主要方法:
- 根据PRISMA方法进行了系统审查.
- 在适用资格标准后,包括了26项研究.
- 数据从三个电子数据库中提取.
主要成果:
- 确定了七个不同的压力值.
- 鞋类有五个值:200 kPa (平均峰值压力),25%和40-80%的基线降低,32-35 mm Hg (毛细管 perfusion 压力) 和基于风险的矩阵.
- 裸脚的两个门是:450kPa和750kPa. 最常被引用的是200 kPa的门值.
结论:
- 在测量系统和研究参数中存在异质性.
- 这一审查为建立有效的糖尿病足预防门提供了基础.
- 需要进一步的研究来验证确定的值的有效性,特别是基于风险的矩阵和基线压力降低.
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