西班牙人口中下肢截肢患者幻肢疼痛的临床特征

IF 3.1 4区医学 Q2 CLINICAL NEUROLOGY

Neurologia Pub Date : 2025-02-19 DOI:10.1016/j.nrl.2023.06.013

M. Rubiera Valdés , O. Gutiérrez Remis , A. González Jáimez , C. Manzaneque Rodríguez , V. Chiminazzo , G. Morís

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引用次数: 0

摘要

本研究的目的是介绍截肢患者幻肢痛（PLP）的临床特征。资料：对下肢截肢患者进行回顾性横断面观察研究。纳入了2015年至2019年期间18至80岁的单侧或双侧截肢患者。收集患者的人口学资料、病史、截肢相关资料及相关异常感觉。结果43例患者（男34例），53例截肢者，平均年龄62岁，截肢时间28个月。最常见的截肢原因是缺血（70%）。23例（60%）患者在截肢后1个月开始出现PLP， VAS评分平均强度为3.9,15例患者PLP为每日，3例患者PLP消失。91%的患者表现出与幻肢有关的无痛感觉。在第一次和第二次截肢之间，PLP的发展没有差异。PLP的发生与残肢疼痛之间存在显著关联。结论splp在截肢患者中是一种常见的病理，因此多学科治疗和神经系统的积极参与是必要的。需要进行研究以加深对有利于PLP发展的因素的了解，以便专注于早期和靶向治疗以防止PLP的出现。

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Características clínicas del dolor de miembro fantasma en pacientes con amputación de miembro inferior en una población española

Introduction

The aim of this research is to present the clinical characteristics of Phantom Limb Pain (PLP) in patients with amputation.

Material

A retrospective cross-sectional observational study of patients with lower limb amputation is presented. Patients between 18 and 80 years of age with unilateral or bilateral amputation between the years 2015 and 2019 were included. Demographic data, medical history, data related to the amputation, and related abnormal sensations were collected.

Results

43 patients (34 men) and 53 amputees were studied, with a mean age of 62 years, with a time elapsed since amputation of 28 months. The most frequent cause of amputation was ischemic (70%). Twenty-three (60%) patients had PLP that began 1 month after amputation with a mean intensity of 3.9 on the VAS scale, in 15 patients the PLP was daily, three patients recognized the disappearance of PLP. 91% of the patients presented non-painful sensations in relation to the phantom limb. No differences were found in the development of the PLP between the 1st and 2nd amputation. A significant association was found between the development of PLP and residual limb pain.

Conclusions

PLP is a prevalent pathology among amputee patients, therefore multidisciplinary care with an active neurologic participation is essential. Studies are needed to deepen the knowledge of the factors that favour the development of PLP in order to focus early and targeted therapies to prevent the appearance of PLP.

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来源期刊

Neurologia 医学-临床神经学

CiteScore

5.90

自引率

2.60%

发文量

135

审稿时长

48 days

期刊介绍： Neurología es la revista oficial de la Sociedad Española de Neurología y publica, desde 1986 contribuciones científicas en el campo de la neurología clínica y experimental. Los contenidos de Neurología abarcan desde la neuroepidemiología, la clínica neurológica, la gestión y asistencia neurológica y la terapéutica, a la investigación básica en neurociencias aplicada a la neurología. Las áreas temáticas de la revistas incluyen la neurologia infantil, la neuropsicología, la neurorehabilitación y la neurogeriatría. Los artículos publicados en Neurología siguen un proceso de revisión por doble ciego a fin de que los trabajos sean seleccionados atendiendo a su calidad, originalidad e interés y así estén sometidos a un proceso de mejora. El formato de artículos incluye Editoriales, Originales, Revisiones y Cartas al Editor, Neurología es el vehículo de información científica de reconocida calidad en profesionales interesados en la neurología que utilizan el español, como demuestra su inclusión en los más prestigiosos y selectivos índices bibliográficos del mundo.