Segatore M
School of Nursing, Memorial University of Newfoundland, St. John's, Canada.
J Neurosci Nurs. 1994 Aug;26(4):230-6. doi: 10.1097/01376517-199408000-00007.
Survivors of spinal cord injury (SCI) have a range of sensory experiences following the trauma. Acute pain commonly accompanies the injury and recedes as healing occurs. Following the initial event, most spinal cord-injured individuals experience phantom sensations and many suffer chronic pain. In extreme cases, chronic pain can become the most disabling sequela, leading to chemical dependency, severe depression and even suicide. Pain arising from injury to peripheral and central neural structures possesses unique characteristics that distinguish it from persisting acute pain and phantom sensations. Ironically, it is experienced in regions of the body that are anesthetic or possess diminished or altered sensation as a consequence of the injury. The qualitative features of the pain have been linked to structural and functional alterations that have been documented in peripheral and central neural structures following SCI. An understanding of these unique relationships provides direction for future research.
脊髓损伤（SCI）幸存者在创伤后会有一系列的感觉体验。急性疼痛通常伴随损伤出现，并随着愈合而消退。在初始事件之后，大多数脊髓损伤患者会经历幻肢感觉，许多人还遭受慢性疼痛。在极端情况下，慢性疼痛可能成为最致残的后遗症，导致药物依赖、严重抑郁甚至自杀。由外周和中枢神经结构损伤引起的疼痛具有独特的特征，使其有别于持续的急性疼痛和幻肢感觉。具有讽刺意味的是，这种疼痛出现在身体因损伤而麻醉或感觉减退或改变的区域。疼痛的定性特征与脊髓损伤后外周和中枢神经结构中记录的结构和功能改变有关。对这些独特关系的理解为未来的研究提供了方向。
