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幻肢痛:难以捉摸,却又真实存在。

Phantom limb pain: elusive, yet real.

作者信息

Williams A M, Deaton S B

机构信息

University of Alabama, School of Nursing, University of Alabama at Birmingham 35294-1210, USA.

出版信息

Rehabil Nurs. 1997 Mar-Apr;22(2):73-7. doi: 10.1002/j.2048-7940.1997.tb01737.x.

DOI:10.1002/j.2048-7940.1997.tb01737.x
PMID:9110847
Abstract

Phantom limb pain is reported by almost all people who have had an amputation and by others who have dysfunction of their afferent nervous system pathways. Those who experience it indicate that the pain is real and that it is the body part that is "phantom." Although this phenomenon is widely recognized, it is not well understood. The seeming incongruence of pain in a missing body part, combined with the difficulty of successfully treating this pain, result in severe chronic pain in a majority of people who have had an amputation. Treatment with drugs that reduce the number of functional sodium channels has been tried with success, as have various neurophysiological manipulations. This article addresses issues related to sensory experiences associated with phantom body parts and the treatment of pain associated with those experiences.

摘要

几乎所有接受过截肢手术的人以及其他传入神经系统通路功能失调的人都会出现幻肢痛。经历过幻肢痛的人表示,这种疼痛是真实的,而疼痛的部位是“虚幻的”身体部位。尽管这一现象已被广泛认知,但人们对其了解并不深入。缺失身体部位出现疼痛这一看似矛盾的情况,再加上成功治疗这种疼痛存在困难,导致大多数截肢者遭受严重的慢性疼痛。使用减少功能性钠通道数量的药物进行治疗已取得成功,各种神经生理学操作也有成效。本文探讨了与幻肢相关的感觉体验以及与这些体验相关的疼痛治疗问题。

相似文献

1
Phantom limb pain: elusive, yet real.幻肢痛:难以捉摸,却又真实存在。
Rehabil Nurs. 1997 Mar-Apr;22(2):73-7. doi: 10.1002/j.2048-7940.1997.tb01737.x.
2
Nursing aspects of phantom limb pain following amputation.截肢后幻肢痛的护理要点
Br J Nurs. 2008;17(7):422-6. doi: 10.12968/bjon.2008.17.7.29060.
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The causes and treatments of phantom limb pain.幻肢痛的病因及治疗方法。
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A review of amputation, phantom pain and nursing responsibilities.
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Does preamputation pain influence phantom limb pain in cancer patients?截肢前疼痛会影响癌症患者的幻肢痛吗?
South Med J. 1985 Jan;78(1):34-6. doi: 10.1097/00007611-198501000-00009.
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Phantom-limb pain: characteristics, causes, and treatment.幻肢痛:特征、病因及治疗
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Phantom limbs in people with congenital limb deficiency or amputation in early childhood.先天性肢体缺失或幼儿期截肢患者的幻肢现象。
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Amputation and phantom limb pain: a pain-prevention model.截肢与幻肢痛:一种疼痛预防模型。
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[Phantom limb pain originates from dysfunction of the primary motor cortex].幻肢痛源于初级运动皮层功能障碍。
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引用本文的文献

1
Development of a Phantom Limb Pain Model in Rats: Behavioral and Histochemical Evaluation.大鼠幻肢痛模型的建立:行为学和组织化学评估
Front Pain Res (Lausanne). 2021 Jun 21;2:675232. doi: 10.3389/fpain.2021.675232. eCollection 2021.
2
A review of the management of phantom limb pain: challenges and solutions.幻肢痛的管理综述:挑战与解决方案
J Pain Res. 2017 Aug 7;10:1861-1870. doi: 10.2147/JPR.S124664. eCollection 2017.
3
The phantom and the supernumerary phantom limb: historical review and new case.幻肢和额外幻肢:历史回顾与新病例。
Neurosci Bull. 2011 Dec;27(6):359-65. doi: 10.1007/s12264-011-1737-6.
4
Bilateral transtibial amputation with concomitant thoracolumbar vertebral collapse in a Sichuan earthquake survivor.一名四川地震幸存者双侧经胫骨截肢并伴有胸腰椎椎体塌陷。
J Orthop Surg Res. 2010 Jul 14;5:43. doi: 10.1186/1749-799X-5-43.