Phantom pain and risk factors: A multivariate analysis
Phantom pain and risk factors: A multivariate analysis
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DOI：
10.1016/s0885-3924(02)00538-9
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发表时间：
2002-12-01
影响因子：
4.7
通讯作者：
van der Schans, CP
中科院分区：
文献类型：
--
作者：
Dijkstra, PU;Geertzen, JHB;van der Schans, CP
幻痛在文献中已得到相当多的关注。幻痛降低了生活质量，患有幻痛的患者大量使用医疗系统。在单变量分析中，已经确定了幻肢疼痛的许多风险因素，包括幻肢感觉、残肢疼痛、截肢前疼痛、截肢原因、假体使用和截肢后的年数。文献中缺乏多变量分析，因此无法估计幻肢痛的总体风险。本研究的目的是对536例受试者进行多变量分析，（19%上肢截肢者和81%下肢截肢者）。这些受试者填写了一份问卷，其中评估了以下项目：截肢的侧位、日期、水平和原因、截肢前疼痛、是否存在幻痛、幻痛感觉和/或残端疼痛以及假体使用。总组幻痛的患病率为72%（95% CI：68 - 76%），上肢截肢者为41%（95 CI：31 - 51%），下肢截肢者为80%（93% CI：0：76 - 83%）。幻肢痛最重要的危险因素是“双侧截肢”和“下肢截肢”。幻痛的风险范围为0.33（1例10岁远端上肢截肢患者）至0.09（1例80岁双侧下肢截肢（其中一侧为膝上截肢）受试者）。(C)美国癌症疼痛缓解委员会，2002年。
Phantom pain has been given considerable attention in literature. Phantom Pain reduces quality of life, and patients suffering from phantom pain make heavy use of the medical system. Many risk factors have been identified for phantom Pain in univariate analyses, including phantom sensations, stump Pain, pain prior to the amputation, cause of amputation, prosthesis use, and years elapsed since amputation. Multivariate analyses are lacking in the literature and, therefore, no estimation of an overall risk for phantom pain can be made The aim of this study was to analyze risk factors in a multivariate analysis in 536 Subjects (19% upper limb amputees and 81% lower limb amputees), These subjects filled out a questionnaire in which the following items were assessed; side, date, Level, and reason Of amputation, pre-amputation pain, presence or absence of phantom pain, phantom sensations and or stump pain, and prosthesis use. The prevalence of phantom pain was 72% (95% Cl: 68 to 76%) for the total group, 41% (95 CI: 31 to 51 %) in upper limb amputees and 80 % (93 % 0: 76 to 83 %) in lower limb amputees. The most important risk factors for phantom pain were "bilateral amputation" and "lower limb amputation". The risk for phantom pain ranged from 0.33 for a 10-year old patient with a distal upper limb amputation to 0.09 for a subject of 80 years with a bilateral lower limb amputation of which one side is an above knee amputation. (C) U.S. Cancer Pain Relief Committee, 2002.