Phantom pain and phantom sensations in upper limb amputees: an epidemiological study
Phantom pain and phantom sensations in upper limb amputees: an epidemiological study
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DOI：
10.1016/s0304-3959(00)00264-5
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发表时间：
2000-07-01
期刊：
影响因子：
7.4
通讯作者：
van der Schans, CP
中科院分区：
文献类型：
--
作者：
Kooijman, CM;Dijkstra, PU;van der Schans, CP
截肢受试者的幻痛是一个众所周知的问题。然而，在文献中对幻痛患病率的估计存在很大差异。与幻痛相关的各种因素已经被描述，包括截肢前的疼痛、性别、优势和截肢后的时间。本研究的目的是确定荷兰上肢截肢者幻痛和幻感觉的患病率和相关因素。此外，幻痛，幻感觉和假肢使用上肢截肢者之间的关系进行了调查。124名上肢截肢者参加了这项研究。要求受试者填写自行开发的问卷，对以下项目进行评分：截肢的日期、侧位、水平和原因，截肢前疼痛的持续时间，幻肢感觉、幻肢疼痛和残肢疼痛的频率，分别与这些感觉相关的麻烦和痛苦的数量，幻肢感觉的类型，因幻肢痛和/或残肢痛接受的药物治疗，以及治疗效果、sc：lf药物和假体使用。应答率为80%。幻肢痛的患病率为51%，幻肢感觉的患病率为76%，残端疼痛的患病率为49%; 48%的受试者每天经历几次或更多次幻肢痛; 64%的受试者经历中度至非常严重的幻肢痛。在幻肢痛和幻肢感觉之间（相对危险度11.3）以及幻肢痛和残端痛之间（相对危险度1.9）发现了显著相关性。无法确定与幻肢疼痛或幻肢感觉相关的其他因素。只有4名患者接受了幻痛治疗。幻肢痛是上肢截肢者的常见问题，它会给受试者带来相当大的痛苦。只有少数受试者接受幻痛治疗。需要进一步的研究来确定与幻痛相关的因素。(C)2000年国际疼痛研究协会。出版社：Elsevier Science B. V. ALI版权所有。
Phantom pain in subjects with an amputated limb is a well-known problem. However, estimates of the prevalence of phantom pain differ considerably in the literature. Various factors associated with phantom pain have been described including pain before the amputation, gender, dominance, and time elapsed since the amputation. The purposes of this study were to determine prevalence and factors associated with phantom pain and phantom sensations in upper limb amputees in The Netherlands. Additionally, the relationship between phantom pain, phantom sensations and prosthesis use in upper limb amputees was investigated. One hundred twenty-four upper Limb amputees participated in this study. Subjects were asked to fill out a self-developed questionnaire scoring the following items: date, side, level, and reason of amputation, duration of experienced pain before amputation, frequencies with which phantom sensations, phantom pain, and stump pain are experienced, amount of trouble and suffering experienced, respectively, related to these sensations, type of phantom sensations, medical treatment received for phantom pain and/or stump pain, and the effects of the treatment, sc:lf medication, and prosthesis use. The response rate was 80%. The prevalence of phantom pain was 51%, of phantom sensations 76% and of stump pain 49%; 48% of the subjects experienced phantom pain a few times per day or more; 64% experienced moderate to very much suffering from the phantom pain. A significant association was found between phantom pain and phantom sensations (relative risk 11.3) and between phantom pain and stump pain (relative risk 1.9). No other factors associated with phantom pain or phantom sensations could be determined. Only four patients received medical treatment for their phantom pain. Phantom pain is a common problem in upper limb amputees that causes considerable suffering for the subjects involved. Only a minority of subjects are treated for phantom pain. Further research is needed to determine factors associated with phantom pain. (C) 2000 International Association for the Study of Pain. Published by Elsevier Science B.V. ALI rights reserved.