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A Related Research of the Skin Temperature and Dorsal Artery of Foot Stenosis in Diabetes Mellitus Patients

Author: ZhaoJingPeng
Tutor: HaoPing
School: Shanxi Medical
Course: Surgery
Keywords: Foot skin temperature Dorsalis pedis artery stenosis Prediction method
CLC: R587.2
Type: Master's thesis
Year: 2008
Downloads: 82
Quote: 0
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Abstract


Objective: color Doppler ultrasound for the determination of skin temperature of patients with diabetic foot bilateral foot and lower extremity arteries , explore the correlation between the two , to determine the regression equation between the two , and that can come through the skin temperature of the measured preliminary estimates artery stenosis , to prevent the occurrence of diabetic foot new predictor of early clinical work . Methods : The study is observational studies , the proposed direct observation of the way the sample sequential detection met the inclusion criteria , axillary temperature in suitable conditions the same , the mild foot skin check artery ultrasonography of the lower limbs . Correlation and regression analysis will be collected skin temperature values ??and the corresponding formula artery stenosis using statistical software . Results: In this study, diabetic foot 50 patients , which found 28 cases , lower extremity arterial disease detection rate of 56% . 16 males , 12 females , as a 56 the lower extremities sample data , check the high rate of plaque intimal thickening were 35 , 21 , each detected in 62.5 % and 37.5% of those . Table 1-2 and ultrasound results show : Ⅰ grade stenosis of 44 , 11 grade II stenosis grade Ⅲ narrow one . Inspected 28 cases of diabetic foot involvement in patients with lower extremity arterial intimal thickening , the less light the whole or only the whole, the partially visible plaques of varying sizes , protruding into the lumen , causing stenosis of the lumen varying degrees . Dorsalis pedis artery diameter of 2.1 ± 0.3 mm, measured foot skin temperature was 27.5 ± 1.30C ( axillary temperature - foot skin temperature ) 7.1 ± 1.10C stenosis 15.5% ± 10.2%, to get ( axillary temperature - foot skin temperature ) on dorsalis pedis artery stenosis degree of correlation coefficient R is 0.800 , and the regression equation was Y = 0.0928X-0.4837 ( temperature difference as independent variables artery stenosis as the dependent variable ) . Conclusion : can be seen through the experimental study , the temperature difference between the dorsalis pedis artery stenosis was parallel relationship : the temperature difference between the more significant , the greater the degree of its narrow , and vice versa . Skin temperature detected in a certain extent, be able to objectively reflect the dorsalis pedis artery of patients with lower extremity diabetic foot lesions , its degree of stenosis initially speculated new predictor for early prevention and treatment of diabetic patients with lower extremity arterial disease and acral ulcers occur . Skin temperature detection is a preliminary forecast of the degree of stenosis of an economic , simple , non-invasive method .

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CLC: > Medicine, health > Internal Medicine > Endocrine diseases and metabolic diseases > Islet disease > Diabetic coma and other complications
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