부산대학교 도서관

Objective The aim of this study was evaluate of Diabetic Peripheral Neuropathy (DPN) among diabetic patients (DM) with foot pain. Methods This study included 28~77 years old, 50 (22 male, 28 female) diabetic patients visited diabetes clinic last one year. The DPN was diagnosed by questionnaire and by foot examination using “Milgamma PNPDiagnose- Set” (monofilament, tip-therm, tuning fork, neurotips and cotton wool). Results By questionnaire 29 (58%) of DM patients was with foot pain, 5 (10%) was with past history of foot ulcer and 7 (14%) with intermitted claudication. By foot examination changes of skin color, dry skin, nail disease, callus, leathery skin, fissure, foot infection, foot ulceration and amputation were 4 (8%), 41 (82%), 16 (32%), 32(64%), 29 (58%), 9 (18%), 4 (8%), 7 (14%), and 1 (2%). DM patients with abnormal vibration sensation was 17 (34%), tactile sensation was 29 (58%), thermal sensation was 30 (60%), pain sensation was 32 (64%) (painless 24 /48% and painful 8/16%), abnormal monofilament test was 16 (32%) and absent achilles reflex was 40 (80%). DM patients with no DPN was 3 (6%), with mild DPN was 24 (48%), with moderate DPN was 18(36%) and with severe DPN was 5 (10%). Conclusion Among diabetic patients with foot pain DPN was 47 (94%) or high.