幻肢疼痛改善后右下肢截肢用型假肢和药物治疗的组合:一个案例报告
Takayoshi Tsubaki1, Maiko Kodama1, Yuuhei Taketou2
1Cancer Care Promotion Center, University of Fukui Hospital, Matsuokashimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui, Japan.
Pain medicine case reports
|July 1, 2025
概括
腿部截肢后的幻肢疼痛可以通过药物和内假肢的组合来管理. 这种方法改善了患者的舒适性和功能性,突出了非药物干预的必要性.
科学领域:
- 康复医学 康复医学 康复医学
- 疼痛管理 疼痛管理
- 假肢手术 假肢手术是一门专业.
背景情况:
- 幻肢疼痛是一种常见且具有挑战性的截肢后并发症.
- 目前的药物治疗对许多患者来说提供了不足的缓解.
- 线条假肢通过减少剪切力和改善悬挂来提供潜在的好处.
研究的目的:
- 为了评估一个内假肢在管理幻肢疼痛的有效性.
- 探索药物治疗和非药物干预的综合方法.
主要方法:
- 一个65岁的男性病例报告,右大腿截肢和持续的幻肢疼痛.
- 最初使用普雷加巴林治疗是无效的.
- 在术后第33天引入内假肢.
主要成果:
- 患者经历了逐渐减少幻肢疼痛在使用内假肢后.
- 由于有效的疼痛控制,药物治疗 (普雷加巴林和杜洛西丁) 被减少.
- 患者在良好的疼痛控制和继续门诊治疗后得到了出院.
结论:
- 药物治疗和内假肢的组合可以有效地管理幻肢疼痛.
- 非药物治疗方法,如内假肢,在疼痛管理中至关重要.
- 专业间的合作对于截肢康复中最佳的患者结果至关重要.
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