在西班牙人口中,下肢截肢患者的幻肢疼痛的临床特征
M Rubiera Valdés1, O Gutiérrez Remis1, A González Jáimez1
1Servicio de Neurología, Hospital Universitario Central de Asturias, Oviedo, Spain; Departamento de Medicina, Universidad de Oviedo, Oviedo, Spain.
Neurologia
|March 21, 2025
概括
幻肢疼痛 (PLP) 影响60%的下肢截肢者,通常在截肢后一个月内开始. 剩余四肢疼痛与PLP发展有显著的关联,突出了针对性治疗的必要性.
科学领域:
- 临床医学 临床医学
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 幻肢疼痛 (PLP) 是截肢后常见的,经常使人衰弱的疾病.
- 了解PLP的临床特征对于制定有效的管理策略至关重要.
研究的目的:
- 为了研究下肢截肢患者的幻肢疼痛 (PLP) 的临床特征.
- 确定与PLP的发展和流行相关的因素.
主要方法:
- 在2015-2019年期间,对53名下肢截肢者 (18-80岁) 进行了回顾性横截面观察性研究.
- 收集的数据包括人口统计,病史,截肢细节和异常感觉.
- 疼痛强度使用视觉模拟量表 (VAS) 进行评估.
主要成果:
- 60%的患者 (23/53) 经历了PLP,平均发病时间为截肢后1个月,平均VAS强度为3.9.
- 截肢最常见的原因是缺血性 (70%).
- 在PLP和残余四肢疼痛之间发现了显著的关联;91%的人报告了非疼痛的幻觉感觉.
结论:
- 幻肢疼痛是截肢人口中非常普遍的疾病.
- 包括神经学专业知识在内的多学科护理对于管理PLP至关重要.
- 需要进一步的研究来确定促进PLP早期干预和预防的因素.
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