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英国退伍军人截肢者的幻肢痛与幻肢感觉

Phantom pain and sensation among British veteran amputees.

作者信息

Wartan S W, Hamann W, Wedley J R, McColl I

机构信息

(UMDS-Anaesthetics), Guy's Hospital, London.

出版信息

Br J Anaesth. 1997 Jun;78(6):652-9. doi: 10.1093/bja/78.6.652.

Abstract

Using a mail-delivered questionnaire, we surveyed 590 veteran amputees concerning phantom pain, phantom sensation and stump pain. They were selected randomly from a population of 2974 veterans with long-standing limb amputation(s) using a computer random number generator. Eighty-nine percent responded and of these, 55% reported phantom limb pain and 56% stump pain. There was a strong correlation between phantom pain and phantom sensation. The intensity of phantom sensation was a significant predictor for the time course of phantom pain. In only 3% of phantom limb pain sufferers did the condition become worse. One hundred and forty-nine amputees reporting phantom pain discussed their pain with their family doctors; 49 were told that there was no treatment available. Transcutaneous electric nerve stimulation, analgesics and non-steroidal anti-inflammatory drugs were satisfactory methods for controlling phantom limb pain.

摘要

我们通过邮寄问卷的方式,对590名退伍军人截肢者进行了有关幻肢痛、幻肢感觉和残端痛的调查。他们是使用计算机随机数生成器从2974名长期肢体截肢的退伍军人中随机挑选出来的。89%的人做出了回应,其中55%报告有幻肢痛,56%报告有残端痛。幻肢痛与幻肢感觉之间存在很强的相关性。幻肢感觉的强度是幻肢痛病程的一个重要预测指标。只有3%的幻肢痛患者病情恶化。149名报告有幻肢痛的截肢者与他们的家庭医生讨论了他们的疼痛;49人被告知没有可用的治疗方法。经皮电刺激神经疗法、镇痛药和非甾体抗炎药是控制幻肢痛的满意方法。

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