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- 저자 : 전윤창(Yun Chan Jun) (검색결과 1 건)
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신경합병증을 의심하는 당뇨병 환자에 대한 콤퓨터 적외선 체열촬영의 의의 ( The Study with D . I . T . I .
박성민(Sung Min Park),권중혁(Joong Hyuck Kwon),전윤창(Yun Chan Jun),임병훈(Byung Hoon Lim),강진호(Jin Ho Kang),김병익(Byung Ik Kim),이만호(Man Ho Lee),이상종(Sang Jong Lee) 대한내과학회 1995 대한내과학회지 Vol.49 No.5
N/A Objectives: Thermography have been used to demonstrate the regional skin temperature. Computerized thermography is capable of measuring a infrared emission from the skin with a degree of spatial resolution and quantitative precision that should allow smaller temperature differences. Infrared thermography have been used to investigate the neuropathy of diabetic patient. In diabetic patient neuropathic extremity or ulceration was frequently associated with increased skin temperature but in extremity with an atherosclerotic component, it was generally hypothermic. For the evaluation of diabetic neuropathy, D.I.T.I.(digital infrared thermographic imaging) was performed in diabetic and control group. Methods: Eighty patients who suspected diabetic neuropathy and 50healthy control subjects were investigated. The subjects were free of vascular and neuromuscular diseases. In the diabetic group, Doppler ultrasound measurements of femoral popliteal artery were made to exclude diabetic patients associated with atherosclerotic change of these vessels. The thermographic examinations were performed on lower extremities by the computer aided thermography equipment in the standerized environmental condition(room temperature: 19-21℃) Results: 1) The mean temperaure of lower extremities showed significant differences between diabetic patients and control group. In diabetic group, it was significantly hotter than that of control group. On the mean temperature of diabetics, the anterior site was 29,7℃, the posterior site was 30.1℃. On the normal controls, the anterior site was 28.1℃, the posterior site was 28.2℃. (p<0.05) 2) In the anterior and posterior view, mean values of temperature differences of both leg (left-right) were statistically insignificant between the control and diabetic group.(p>0.05) 3) There were no significant differences of mean temperature of lower extremities for duration of diabetes. (p>O.D5) Conclusion: On the basis of the mean temperature of lower extremities, patients suspected diabetic neuropathy were significantly hotter than the control. This result indicates that thermographic screening could be a useful technique in identifying diabetic neuropathy.
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