2235例麻风垂足的分析

目的：了解麻风垂足的患病情况，为制定预防措施提供科学依据。方法：选择江苏11个县市存活的麻风治愈者及现症患者为调查对象，资料输入计算机统计分析。结果：麻风垂足的患病率为15．7％，单足（13．62％）高于双足（2．07％），男性（16．36％）高于女性（13．84％）,现症及复发病人（31．28％）高于治愈者（15．07％），BT、BB型麻风占23．56％及20．96％。麻风病期在5年以内发生垂足的少菌型麻风（72．41％）高于多菌型（50．47％）；发生过麻风反应的患者垂足占33．75％。垂足有足底溃疡（21．21％）、足骨破坏（19．17％）及足畸形（27．43％）多于无垂足的溃疡（15％）、骨破坏（15．09％）及足畸形（20．19％）。989只垂足可通过手术矫治，要求治疗者只占30％。结论：麻风垂足以男性、现症及复发病人多见且以单足为主，垂足发生的足底溃疡及足畸形明显增多，三分之二的垂足失去了手术矫治的机会，70％的患者对垂足的治疗没有信心。麻风垂足的发生与麻风诊断和治疗的延迟、麻风反应及麻风型别的不同有明显的关系。

Analysis of foot - drop in 2235 cases of leprosy

Objective:To determine the prevalence of foot-drop in the leprosy patients in order to provide scientific evidence for a prevention program. Method:All the leprosy patients, both cured and active, in 11 counties of Jiangsu Province were investigated. Results: Among the cases investigated, the prevalence of foot-drop was 15.7%. The prevalence of foot-drop in one leg (13.62%) was higher than bilateral feet (2.07%). There were more males ( 16.39% ) with foot-drop than females (13.84%). The prevalence of foot-drop in active or relapsed cases ( 31.28% ) was higher than the cured (15.07%). And the prevalence of foot-drop in BT and BB leprosy cases was 23.56% and 20.96% respectively. In the group of patients with the disease less than 5 years, the prevalence of foot-drop was higher in PB (72.41%) than in MB (50.47%). In the patients who had lepra reaction the prevalence of foot-drop was 33.75%. The prevalence of plantar ulcers (21.21%), bone damage (19.17%) and foot deformity ( 27.43% ) was higher in the patients with foot-drop than those without foot-drop,whose plantar ulcers, bone damage and foot disability being 15%, 15.09% and 20.19%, respectively. Among 989 cases of foot-drop, only 30% demanded to be reconstructed with operations. Conclusion : Foot-drop is more common among active and relapsed cases and more prevalent in one leg. The plantar ulcers and foot disabilities more frequently occur in patients with foot-drop. Two thirds of foot-drop are not suitable for reconstructive surgeries and 70% of the patients with foot-drop haven't much faith in the treatment. Occurrence of foot-drop is associated with delay of diagnosis and treatment, lepra reaction and the type of leprosy.