癌症截肢患者的幻肢现象。

Phantom limb phenomena in cancer amputees.

机构信息

Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Pain Pract. 2010 May-Jun;10(3):249-56. doi: 10.1111/j.1533-2500.2009.00340.x. Epub 2010 Jan 8.

DOI:10.1111/j.1533-2500.2009.00340.x

PMID:20070548

Abstract

PURPOSE

The objective of this study was to determine the prevalence of phantom pain and correlated conditions such as phantom sensations and stump pain in a population of cancer patients who had undergone limb amputation.

METHOD

A cross-sectional study was carried out in adult patients submitted to limb amputation, who were being followed up at the Physiotherapy Department between April 3 and November 30, 2006. The presence of phantom pain and associated conditions was quantified using a verbal numerical scale. The data obtained were analyzed for means, medians, and proportions with their respective confidence intervals, as appropriate.

RESULTS

Seventy-five patients participated in this study, 50 men (66.7%) and 25 women (33.3%). Mean age was 54.4 years (SD +/- 18.5); range 19 to 88 years. The prevalence of phantom pain was 46.7% (95%CI: 35.1 to 58.6), phantom sensation 90.7% (95%CI: 81.7 to 96.2), and surgical stump pain 32.0% (95%CI: 21.7 to 43.8).

CONCLUSION

Phantom pain and phantom sensations are highly prevalent among cancer patients. Further studies should be carried out to determine the main factors associated with their onset.

摘要

目的

本研究旨在确定接受肢体截肢的癌症患者人群中幻肢痛及相关情况（如幻肢感觉和残肢痛）的发生率。

方法

对 2006 年 4 月 3 日至 11 月 30 日在理疗科接受肢体截肢并接受随访的成年患者进行横断面研究。使用言语数字量表量化幻肢痛和相关情况的存在。根据需要对获得的数据进行均值、中位数和比例分析，并给出相应的置信区间。

结果

共有 75 名患者参与了本研究，其中 50 名男性（66.7%）和 25 名女性（33.3%）。平均年龄为 54.4 岁（标准差 +/- 18.5）；范围 19 至 88 岁。幻肢痛的发生率为 46.7%（95%CI：35.1 至 58.6），幻肢感觉为 90.7%（95%CI：81.7 至 96.2），手术残肢痛为 32.0%（95%CI：21.7 至 43.8）。