From the Department of Anesthesia (AlMehman, Aldahlawi), King Fahd Armed Forces Hospital, from the Department of Anesthesia (Faden), from the Department of Surgery (Alkhatieb), King Abdulaziz University Hospital, from the Department of Anesthesia (Bafail), King Abdulaziz Medical City; and from the Department of Anesthesia and Critical Care (Kaki), Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Saudi Med J. 2022 Feb;43(2):187-196. doi: 10.15537/smj.2022.43.2.20210609.
To estimate the prevalence of post- amputation pain among lower-limb amputees and its burden on their lives.
A retrospective patients record review of lower limb amputation surgeries was carried out at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, between 2008-2019. e collected data included: patients demographics, surgical operations, chronic pain characteristics, functional impairment, and treatment.
A total of 645 lower-limb amputations carried out on 509 patients, 104 (20.4%) patients had more than one amputation surgery carried out, and 40 (7.9%) patients having bilateral amputations. The estimated prevalence of chronic post-amputation pain among the lower-limb amputees was approximately 61.5%. Persistent postoperative neuropathic pain was the most common type of pain following amputation, followed by residual limb pain, then phantom limb pain. The most common cause of amputation was diabetes and its related complications (76%). The mean age at surgery was 57.46±12.02 years. Although diabetes was a common comorbid illness (95.6%), it had no correlation with the development of chronic post-amputation pain. However, peripheral vascular disease had a strong association (=0.009), especially with the development of phantom limb pain (54.5%; =0.016). The most common reason for functional impairment among the amputees was disability (52.7%), while only 6.6% said it was secondary to pain.
Post-amputation pain is one of the major consequences of amputation. Pain was poorly managed among these patients. Special considerations should be obtained to manage these patients' pain and reduce their suffering.
评估下肢截肢患者截肢后疼痛的患病率及其对生活的影响。
在沙特阿拉伯吉达的阿卜杜勒阿齐兹国王大学医院对 2008 年至 2019 年间进行的下肢截肢手术的患者病历进行回顾性分析。收集的数据包括：患者人口统计学、手术操作、慢性疼痛特征、功能障碍和治疗情况。
共进行了 645 例下肢截肢手术，涉及 509 名患者，其中 104 名（20.4%）患者接受了不止一次截肢手术，40 名（7.9%）患者接受了双侧截肢。下肢截肢患者慢性截肢后疼痛的估计患病率约为 61.5%。截肢后最常见的疼痛类型是持续性术后神经病理性疼痛，其次是残肢痛，然后是幻肢痛。截肢的最常见原因是糖尿病及其相关并发症（76%）。手术时的平均年龄为 57.46±12.02 岁。尽管糖尿病是一种常见的合并症（95.6%），但它与慢性截肢后疼痛的发展无关。然而，外周血管疾病与慢性截肢后疼痛的发展有很强的相关性（=0.009），尤其是与幻肢痛的发展有关（54.5%；=0.016）。截肢患者功能障碍的最常见原因是残疾（52.7%），而只有 6.6%的患者表示是由于疼痛导致的。
截肢后疼痛是截肢的主要后果之一。这些患者的疼痛管理较差。应该特别注意管理这些患者的疼痛，减轻他们的痛苦。
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