Phantom pain and sensation among British veteran amputees

被引:134
作者
Wartan, SW
Hamann, W
Wedley, JR
McColl, I
机构
[1] GUYS HOSP,DEPT ANAESTHET,LONDON SE1 9RT,ENGLAND
[2] GUYS HOSP,DEPT SURG,LONDON SE1 9RT,ENGLAND
[3] GUYS & LEWISHAM HOSP,LONDON SE1 9RT,ENGLAND
关键词
Pain; phantom limb; Analgesia; audit;
D O I
10.1093/bja/78.6.652
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Using a mail-delivered questionnaire, we surveyed 590 veteran amputees concerning phantom pain, phantom sensation and stump pain. They were selected randomly from a population of 2974 veterans with long-standing limb amputation(s) using a computer random number generator. Eighty-nine percent responded and of these, 55% reported phantom limb pain and 56% stump pain. There was a strong correlation between phantom pain and phantom sensation. The intensity of phantom sensation was a significant predictor for the rime course of phantom pain. In only 3% of phantom limb pain sufferers did the condition become worse, One hundred and forty-nine amputees reporting phantom pain discussed their pain with their family doctors; 49 were told that there was no treatment available. Transcutaneous electric nerve stimulation, analgesics and nonsteroidal anti-inflammatory drugs were satisfactory methods for controlling phantom limb pain.
引用
收藏
页码:652 / 659
页数:8
相关论文
共 21 条
[1]   PHANTOM LOWER-LIMB AS A PERCEPTUAL MARKER OF NEURAL PLASTICITY IN THE MATURE HUMAN BRAIN [J].
AGLIOTI, S ;
BONAZZI, A ;
CORTESE, F .
PROCEEDINGS OF THE ROYAL SOCIETY B-BIOLOGICAL SCIENCES, 1994, 255 (1344) :273-278
[2]  
DAVIES HTO, 1994, J ROY SOC MED, V87, P382
[3]  
DAVIS RW, 1993, ARCH PHYS MED REHAB, V74, P79
[4]   THE PHANTOM LIMB [J].
EWALT, JR ;
RANDALL, GC ;
MORRIS, H .
PSYCHOSOMATIC MEDICINE, 1947, 9 (02) :118-123
[5]   LIMITS ON PLASTICITY IN SOMATOSENSORY CORTEX OF ADULT-RATS - HINDLIMB CORTEX IS NOT REACTIVATED AFTER DORSAL COLUMN SECTION [J].
JAIN, N ;
FLORENCE, SL ;
KAAS, JH .
JOURNAL OF NEUROPHYSIOLOGY, 1995, 73 (04) :1537-1546
[6]  
JOHNSON MI, 1992, J ROY SOC MED, V85, P267
[7]   AN IN-DEPTH STUDY OF LONG-TERM USERS OF TRANSCUTANEOUS ELECTRICAL NERVE-STIMULATION (TENS) - IMPLICATIONS FOR CLINICAL USE OF TENS [J].
JOHNSON, MI ;
ASHTON, CH ;
THOMPSON, JW .
PAIN, 1991, 44 (03) :221-229
[8]  
KREBS B, 1987, PAIN S, V2, pS85
[9]   HYPERALGESIA MEDIATED BY SPINAL GLUTAMATE OR SUBSTANCE-P RECEPTOR BLOCKED BY SPINAL CYCLOOXYGENASE INHIBITION [J].
MALMBERG, AB ;
YAKSH, TL .
SCIENCE, 1992, 257 (5074) :1276-1279
[10]  
McCormack K, 1994, Drugs, V47 Suppl 5, P28, DOI 10.2165/00003495-199400475-00006