Rehabilitation after landmine injury.
Rehabilitation after landmine injury.
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地雷损伤后的康复。
DOI：
10.1111/j.1526-4637.2006.00234_8.x
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Pitkin,Mark
中科院分区：
文献类型：
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作者：
Smith,WilliamK;Wu,Yeongchi;Pitkin,Mark
1.每一次地雷伤害都需要一系列服务，包括手术和术后护理、提供助行器、物理治疗、职业培训、生理咨询和疼痛管理。绝大多数地雷伤害发生在低收入国家，那里没有这种服务。世界卫生组织估计，世界上大约80%的残疾人生活在低收入国家，只有不到2%的人得到过康复服务。地雷造成的伤亡人数持续不断，每年约26 000人，这在往往没有能力提供康复服务的社会造成了对康复服务的巨大需求。向地雷伤害幸存者提供康复服务的挑战在于制定战略，在幸存者的一生中，在他们居住的社区内提供可持续的服务，大多数非致命性地雷伤害造成经胫骨（膝盖以下）截肢，但经股骨（膝盖以上）截肢也很常见。地雷幸存者的上肢、视力和听力也可能受到损害。地雷事故幸存者在康复期间的急性和慢性疼痛发病率尚未量化。在本章中，疼痛管理问题进行了讨论，因为它们出现在爆炸伤后的治疗和恢复过程中。
Introduction very landmine injury creates a demand for a host of services, including operative and postoperative care, the provision of mobility aids, physical therapy, vocational training, physiological counseling, and pain management. The vast majority of landmine injuries occur in low-income countries, where such services are not available. The World Health Organization estimates that approximately 80% of the world’s disabled population lives in low-income countries and that less than 2% ever receive rehabilitation services. The continuing number of landmine casualties, about 26,000 per year, creates an enormous demand for rehabilitation services in societies that are often ill-equipped to provide them. The challenge of providing rehabilitation to survivors of landmine injuries lies in developing strategies for service delivery that can be sustained, over the lifetime of the survivors, within the community in which they reside.The majority of nonfatal, landmine injuries result in transtibial (below-knee) amputations, but transfemoral (above-knee) amputations are also common. Landmine survivors may also suffer damage to the upper extremities, vision, and hearing. The incidence of acute and chronic pain among landmine survivors during recovery has not been quantified. In this chapter, pain management issues are discussed as they arise during the course of treatment and recovery after blast injury.