Williams A M, Deaton S B
University of Alabama, School of Nursing, University of Alabama at Birmingham 35294-1210, USA.
Rehabil Nurs. 1997 Mar-Apr;22(2):73-7. doi: 10.1002/j.2048-7940.1997.tb01737.x.
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.
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。