红外皮肤温度测量在活跃的子中 脚部神经骨关节病变
Jayaditya Ghosh1, Raveena Singh1, Ashu Rastogi1
1Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of endocrinology and metabolism
|July 21, 2025
概括
在查科特神经骨关节病 (CNO) 中,确定足部温度测量最佳适应时间至关重要. 脱鞋后30至45分钟的时间为CNO诊断和监测提供了临床上有意义的脚间温度差异.
科学领域:
- 足部医学是一门专业.
- 糖尿病学 糖尿病学
- 整形外科 整形外科 整形外科
背景情况:
- 查科特神经骨关节病 (CNO) 是糖尿病的一种严重并发症,其特征是脚部的炎症和骨破坏.
- 准确的温度评估对于诊断和监测活跃的CNO至关重要,但在测量之前的最佳适应时间是未知的.
- 建立适当的适应期对于可靠的脚间温度差读数至关重要.
研究的目的:
- 确定适当的适应时间,以评估患有活性单边Charcot神经骨关节病的患者的脚温度.
- 评估不同时间点对CNO诊断和监测中脚间温度差异的意义.
主要方法:
- 参与了30名糖尿病患者和足部活跃的单边CNO.
- 在脱鞋后10,30分钟和45分钟,使用手持式红外皮肤温度计测量了脚间的温度差异.
- 统计分析评估了单个和配对时间点对温度差异的意义.
主要成果:
- 在10,30和45分钟 (P = 0.623) 的中位数脚间温度差异中没有发现显著差异.
- 在30分钟和45分钟的配对温度读数 (r = 0.914; P < 0.001) 之间观察到强烈的相关性,超过了10分钟和30分钟的相关性 (r = 0.724; P < 0.001).
结论:
- 在脱鞋30分钟和45分钟后测量的脚间温度差异对于诊断和监测脚的活跃单侧CNO具有临床意义.
- 这些时间点为有效的CNO管理提供可靠和可重复的温度评估.
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