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上肢截肢术后长期幻肢痛和残肢痛的患病率及特征

Prevalence and characteristics of phantom limb pain and residual limb pain in the long term after upper limb amputation.

作者信息

Desmond Deirdre M, Maclachlan Malcolm

机构信息

Department of Psychology, National University of Ireland Maynooth, Maynooth, Co. Kildare, Ireland.

出版信息

Int J Rehabil Res. 2010 Sep;33(3):279-82. doi: 10.1097/MRR.0b013e328336388d.

Abstract

This study aims to describe the prevalence and characteristics of phantom limb pain and residual limb pain after upper limb amputation. One-hundred and forty-one participants (139 males; mean age 74.8 years; mean time since amputation 50.1 years) completed a self-report questionnaire assessing residual and phantom limb pain experience. Prevalence of phantom limb pain during the week preceding assessment was 42.6% (60 of 141). Prevalence of residual limb pain was 43.3% (61 of 141). More than one third of these had some pain constantly or most days. Phantom limb pain was commonly described as 'discomforting' (31 of 60) and associated with 'a little bit' of lifestyle interference (23 of 60). Residual limb pain was most often described as 'discomforting' (27 of 61) or 'distressing' (19 of 61) and was typically associated with low to moderate levels of lifestyle interference. Assessment of multiple dimensions of postamputation pain in the long term after upper limb amputation is warranted.

摘要

本研究旨在描述上肢截肢后幻肢痛和残肢痛的患病率及特征。141名参与者(139名男性;平均年龄74.8岁;截肢后平均时间50.1年)完成了一份自我报告问卷,评估残肢痛和幻肢痛经历。评估前一周幻肢痛的患病率为42.6%(141人中60人)。残肢痛的患病率为43.3%(141人中61人)。其中超过三分之一的人持续或大部分时间都有某种疼痛。幻肢痛通常被描述为“令人不适”(60人中31人),并伴有“轻微”的生活方式干扰(60人中23人)。残肢痛最常被描述为“令人不适”(61人中27人)或“痛苦”(61人中19人),通常与低至中度的生活方式干扰相关。有必要对上肢截肢后长期的截肢后疼痛的多个维度进行评估。

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