Steffen Peter
Sektion Schmerztherapie der Universitätsklinik für Anästhesiologie Ulm tätig.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2006 Jun;41(6):378-86; quiz 387-8. doi: 10.1055/s-2006-947304.
Almost everyone who has amputated a limb will experience a phantom limb. They have the vivid impression, that the limb is still present. 60 to 70% of these amputees will suffer from phantom limb pain. The present paper gives an overview of the incidence and the characteristics of the so called "post amputation syndrome". Possible mechanism of this phenomena are presented, including peripheral, spinal, and central theories. Treatment of phantom limb pain is sometimes very difficult. It includes drug therapy, psychological therapy, physiotherapy as well as the prevention of phantom limb pain with regional analgesia techniques.
几乎每个截肢者都会经历幻肢现象。他们会有肢体仍然存在的生动感觉。这些截肢者中有60%至70%会遭受幻肢痛。本文概述了所谓“截肢后综合征”的发病率和特征。文中介绍了这种现象可能的机制,包括外周、脊髓和中枢理论。幻肢痛的治疗有时非常困难。治疗方法包括药物治疗、心理治疗、物理治疗以及采用区域镇痛技术预防幻肢痛。