糖尿病溃疡足压力测量软件平台设计与介绍.doc

糖尿病溃疡足压力测量软件平台设计与分析 摘 要 由于生活水平的提高，越来越多的人患有糖尿病。随着病情的发展，在这些患者当中，有的会并发足部溃疡，严重的情况下会发展到需要截肢手术治疗[1]。糖尿病足会破坏人的循环系统和神经系统，造成人痛觉的丧失，从而导致足部压力分布的改变[2, 3]。足部压力异常与足底溃疡的发生率具有显著的相关性，适合于高压力、足畸形的鞋袜可以显著降低溃疡发生发展和溃疡的复发[1, 3-5]。因此，开发出一套可以反应足部压力分布的系统，用于检测患者压力的改变，能为足部产品的设计提供重要依据。 本文参考国外足底压力分布测量产品RSscan的软件平台footscan[6]，自主开发了一套软件系统，包含数据显示、病人信息的存储、图像信息的存储等功能，还创造性地将语音识别的经典算法Danymic Time Warping(DTW)应用到系统中，用于自动分辨出由于测量方式不当产生的异常测量图片，替代传统人工剔除的烦琐操作，也为筛选图片提供了更加科学的依据。最后还将上海六医院提供的一批800多例的病人数据，从性别、年龄、体重等方面进行了统计分析。 本文开发的系统针对溃疡足足底压力的测量设计，具有操作简单，实用性强的特点，为足底压力分布课题的继续研究打下了基础。 关键字：糖尿病溃疡足，足底压力分布，压力显示，DTWABSTRACT With the improvement of living standards, especially with today’s insulin and inappropriate diet, many people has diabetes, which affected people’s normal life. The diabetic foot will occur results in infection,amputation or even death by damaging peoples’s blood flow and nerves[1].The loss of feeling will results in a loss of feedback to control the foot perssure distribution[1-2] It is proposed that high foot pressure concentration can be avoided by using some foot product[3].So it is practical to develop a system to show the distribution of foot pressure, providing the basis for designing the foot product preventing high pressure. Reference to the software platform FOOTSCAN of foreign product RSscan[4], this system includs pressure display, patients’ basic and pressure information storing. Especially, We uesd the DTW algorithm widely used in speech recogniztion to classfiy some adnormal measurements.This method shows great conviences to replace the tedious manul operation and also provides a more specific standard to exclude some inappropriate measurements. This system for foot ulcers plantar pressure measurements has friendly user interface and important practical value. It lays a foundation for the future work of the research in this field. Keywords: diabetic foot, ulcers, plantar pressure distribution, pressure shows, DTW目 录 第一章 前言 1 1.1 研究背景 1 1.1.1. 糖尿病溃疡足形成原因 1 1.1.2. 糖尿病溃疡与足底压力 2 1.1.3. 足