幻肢疼痛管理 幻肢疼痛管理
Marie C Spezia1, Christopher J Dy2, David M Brogan2
1University of Missouri-Columbia School of Medicine, Columbia, MO; Division of Hand and Microsurgery, Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.
The Journal of hand surgery
|October 22, 2024
概括
幻肢疼痛 (PLP) 影响了许多截肢者,原因复杂,治疗具有挑战性. 需要进行研究来比较各种疗法,并为这种常见的疾病找到以患者为中心的选择.
科学领域:
- 医学研究 医学研究
- 神经外科 神经外科
- 疼痛管理 疼痛管理
背景情况:
- 肢体损失正在增加,影响数以百万计的人患有诸如幻肢疼痛 (PLP) 等并发症.
- PLP影响40-80%的截肢者,并具有复杂的,多因素的原因 (皮质,脊柱,外周).
- 目前的治疗方法包括药物,非侵入性疗法 (例如,镜子疗法) 和手术,但有效的管理仍然是一个挑战.
研究的目的:
- 审查当前关于幻肢疼痛 (PLP) 治疗的证据.
- 突出需要进一步研究PLP的多种治疗方式.
- 强调以患者为中心的护理,解决PLP的各种病因.
主要方法:
- 对PLP治疗方法现有研究的文献综述.
- 对药理学,非侵入性和手术干预证据的分析.
- 确定研究缺口和未来的研究需求.
主要成果:
- 目前的证据表明PLP的新手术管理方法.
- 很大一部分文献主张探索PLP的额外改善方法.
- 需要对不同患者群体的不同治疗方法的疗效进行比较.
结论:
- 更多的研究,特别是随机对照试验,对于PLP至关重要.
- 确定长期疗效和比较治疗影响是关键的研究目标.
- 确定最佳的,以患者为中心的PLP干预措施需要进一步调查.
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