密歇根神经病变筛查表.docVIP

How to Use the Michigan Neuropathy Screening Instrument 密歇根神经病变筛查表使用指南 History 病史 The history questionnaire is self-administered by the patient. Responses are added to obtain the total score. Responses of “yes” to items 1-3, 5-6, 8-9, 11-12, 14-15 are each counted as one point. A “no” response on items 7 and 13 counts as 1 point. Item #4 is a measure of impaired circulation and item #10 is a measure of general aesthenia and are not included in scoring. To decrease the potential for bias, all scoring information has been eliminated from the patient version. 病史调查表由病人自己填写，回答将计入其筛查总分中，1-3, 5-6, 8-9, 11-12, 14-15题每回答一个“是”将加1分，7和13题每回答一个“否”将加1分，4和10题不计分。为了减少潜在的误差，在病史调查表上将不出现得分信息。 Physical Assessment 体格检查 For all assessments, the foot should be warm (30?C 所有评估必须建立在足部温度30?C的基础上 Foot Inspection: The feet are inspected for evidence of excessively dry skin, callous formation, fissures, frank ulceration or deformities. Deformities include flat feet, hammer toes, overlapping toes, halux valgus, joint subluxation, prominent metatarsal heads, medial convexity (Charcot foot) and amputation. 足部检查：足部检查的项目包括：足部皮肤干燥程度、胼胝体、龟裂、溃疡或畸形。畸形包括：扁平足、锤状趾、重叠趾、足外翻、关节半脱位、拇外翻、夏科特关节和截肢。 Vibration Sensation: Vibration sensation should be performed with the great toe unsupported. Vibration sensation will be tested bilaterally using a 128 Hz tuning fork placed over the dorsum of the great toe on the boney prominence of the DIP joint. Patients, whose eyes are closed, will be asked to indicate when they can no longer sense the vibration from the vibrating tuning fork. In general, the examiner should be able to feel vibration from the hand-held tuning fork for 5 seconds longer on his distal forefinger than a normal subject can at the great toe (e.g. examiner’s DIP joint of the first finger versus patient’s toe). If the examiner feels vibration for 10 or more seconds on his or her finger, then vibration is considered decreased. A trial should be given when the tuning fork is not vibrating to be certain that