Wilkins Krista L, McGrath Patrick J, Finley Allen G, Katz Joel
Pain Research Laboratory, Department of Psychology, Dalhousie University, Halifax, Nova Scotia B3H 4J1, Canada Department of Psychology, Psychiatry, Pediatrics and Occupational Therapy, Dalhousie University, Halifax, Nova Scotia B3H 4J1, Canada Department of Anaesthesia, IWK Grace Health Centre and Dalhousie University, Halifax, Nova Scotia B3J 3G9, Canada Department of Psychology, Toronto Hospital, Acute Pain Research Unit and Department of Anaesthesia, The Toronto Hospital and Mount Sinai Hospital, Departments of Public Health Sciences and Anaesthesia, University of Toronto, Toronto, Ontario, Canada.
Pain. 1998 Oct;78(1):7-12. doi: 10.1016/S0304-3959(98)00109-2.
To provide a better understanding of the prevalence, correlates and quality of phantom sensations and phantom pain in child and adolescent amputees.
Retrospective survey study.
Recruitment through the War Amputations of Canada.
Sixty child and adolescent amputees aged 8-18 years who were missing a limb due to a congenital limb deficiency (n = 27) or surgery/trauma (n = 33).
MAIN OUTCOME MEASURE(S): Questionnaire to assess the occurrence and correlates of phantom sensations and phantom pain.
Forty-two percent of the total sample reported phantom sensations; 7.4% of the congenital group and 69.7% of the surgical group (chi2 = 23.70 with 1 df, P < 0.01.) Twenty-nine percent of the total sample reported phantom pain; 3.7% of the congenital group and 48.5% of the surgical group (chi2 = 14.67, with 1 df, P < 0.01). Eighty-eight percent of the amputees with phantom pain had stump pain, while 35.3% had phantom pain that was similar to pre-operative pain and 76.5% experienced pains other than phantom pain (e.g. headaches). Amputees identified exercise, objects approaching the stump, cold weather and 'feeling nervous' as the primary triggers of phantom sensations and/or phantom pain.
CONCLUSION(S): Less than half of the sample experienced phantom sensations and phantom pain; however, the loss of a limb due to surgery is associated with an increase in the likelihood of experiencing these phenomena.
更深入了解儿童和青少年截肢者幻肢感觉和幻肢痛的患病率、相关因素及质量。
回顾性调查研究。
通过加拿大战争截肢者协会招募。
60名8至18岁的儿童和青少年截肢者，他们因先天性肢体缺陷（n = 27）或手术/创伤（n = 33）而缺失肢体。
评估幻肢感觉和幻肢痛发生情况及相关因素的问卷。
总样本中有42%报告有幻肢感觉；先天性组为7.4%，手术组为69.7%（卡方检验，自由度为1，卡方值 = 23.70，P < 0.01）。总样本中有29%报告有幻肢痛；先天性组为3.7%，手术组为48.5%（卡方检验，自由度为1，卡方值 = 14.67，P < 0.01）。有幻肢痛的截肢者中，88%有残肢痛，35.3%的幻肢痛与术前疼痛相似，76.5%经历过幻肢痛以外的疼痛（如头痛）。截肢者认为运动、物体靠近残肢、寒冷天气和“感到紧张”是幻肢感觉和/或幻肢痛的主要触发因素。
样本中不到一半的人经历过幻肢感觉和幻肢痛；然而，因手术导致的肢体缺失与出现这些现象的可能性增加有关。
