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截肢者的疼痛问题与治疗

Pain issues and treatment of the person with an amputation.

作者信息

Uustal Heikki, Meier Robert H

机构信息

JFK-Johnson Rehab Institute, 65 James Street, Edison, NJ 08820, USA; Physical Medicine and Rehabilitation, Rutgers-Robert Wood Johnson Medical School, 675 Hoes Lane, Piscataway, NJ 08854, USA.

出版信息

Phys Med Rehabil Clin N Am. 2014 Feb;25(1):45-52. doi: 10.1016/j.pmr.2013.09.008.

Abstract

Most people with amputations should not experience pain that interferes with their quality of life or requires regular medication more than 6 months following the amputation surgery. In fact, most people with amputations do not experience significant pain more than 3 months following the amputation. However, the clinician must specifically define what these patients mean when they relate that they have pain. The pain must be carefully differentiated to treat it properly. Most problematic pain that is present more than 6 months after amputation is related to a poorly fitting prosthesis and should be labeled as residual limb pain.

摘要

大多数截肢患者在截肢手术后6个月以上不应经历干扰其生活质量或需要定期服药的疼痛。事实上,大多数截肢患者在截肢后3个月以上不会经历严重疼痛。然而,临床医生必须明确这些患者所说的疼痛是什么意思。必须仔细区分疼痛以便进行恰当治疗。截肢后6个月以上出现的最成问题的疼痛与假肢佩戴不合适有关,应被归类为残肢痛。

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