麻风麻木足残疾者使用防护鞋并行足自我护理3年效果观察

Effects of protective shoes and self-care on people affected by leprosy with insensitive feet

目的探讨麻风麻木足残疾者足保护的方法。方法 2 95例足底麻木麻风残疾者使用市场购买的符合垫软、底硬、帮高等要求的防护鞋 ,同时进行足自我护理。随访 3年。结果患者均能坚持使用防护鞋 ,仅 1例发生新溃疡 ,无溃疡复发 ;足皲裂、溃疡人数分别下降了 96 15 %和 3 2 81% ,骨缺失未增加。结论防护鞋能有效预防麻风麻木足溃疡的发生和复发 ;教给患者购买防护鞋和自我护理相关知识 ,是控制足溃疡发生的关键。

ObjectiveTo explore the protective methods to the patients with insensitive feet caused by leprosy.Methods295 patients affected by leprosy (PAL) with insensitive feet did self-care and wore protective shoes which were bought in general market and met the requireing of with soft and elastic insole,hard sole higher instep, et al.All the patients had been followed up for 3 years.ResultsAll cases persisted on wearing those shoes, only 1 case occured fresh ulcer and no ulcers relapsed.Cracks and ulcers on foot declined by 96.15% and 32.81% respectively, and bone loss had no change.ConclusionsThe protective foot-wears can prevent the fresh ulcers happening and the healed ulcers reappearing for PALs with numb feet. It is important to educate the PALs how to choose the kind of foot-wears and how to do self-care.