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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Phantom Pain, Phantom Sensation, and Spine Pain in Bilateral Lower Limb Amputees: Results of a National Survey of Iraq-Iran War Victims' Health Status
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Phantom Pain, Phantom Sensation, and Spine Pain in Bilateral Lower Limb Amputees: Results of a National Survey of Iraq-Iran War Victims' Health Status

机译：双侧下肢截肢者的幻痛，幻觉和脊柱疼痛：伊拉克-伊朗战争受难者健康状况的全国调查结果

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摘要

To determine the prevalence and characteristics of phantom limb pain, phantom limb sensation, and spine pain and to evaluate their relevance to the various levels of amputation. This is a retrospective, cross-sectional survey. All bilateral lower limb amputees with war-related amputations sustained from 1980 to 2006 were invited by Janbazan Medical and Engineering Research Center to participate in a retrospective, cross-sectional study. Most of them participated (n = 335) and, after giving consent, underwent thorough assessment and examination by three physiatrists, including completion of a detailed questionnaire. Information was analyzed and compared with other literature. Prevalence, intensity, patient's perception of the impact on their quality of life, phantom sensation, prevalence of various levels of spine pain (neck, back, and low back), characteristics of amputation, and prosthetic use are the main outcome measures. The majority of participants were men (97.6%), who aged from 18 to 70 years (mean = 42); 97.6% were married, and 73.1% had a job. The most common cause of injury leading to amputation was trauma, suffered from artillery and mortar shells. The most common level of amputation was transtibial (53%), with 94% being prosthesis users. Low back pain was the most common complaint (53%) relative to spine involvement. The overall prevalence of phantom limb pain and phantom sensation was 64% and 83%, respectively. Phantom limb pain or sensation is highly prevalent in war-related amputees; however, only a minor proportion experience severe pain or sensation. There was not any relevance of phantom limb pain or sensation to the level of limb amputation.
机译：确定幻肢痛，幻肢感觉和脊柱痛的患病率和特征，并评估它们与截肢各种水平的相关性。这是一项回顾性横断面调查。 Janbazan医学与工程研究中心邀请1980年至2006年间所有与战争有关的截肢的双侧下肢截肢者参加回顾性横断面研究。他们中的大多数人参加了会议（n = 335），并在获得同意后，由三位生理学家进行了全面的评估和检查，包括完成详细的问卷调查。信息进行了分析，并与其他文献进行了比较。主要的结果指标包括患病率，强度，患者对其生活质量的影响的感知，幻像感，各种程度的脊柱疼痛（颈部，背部和下背部）的患病率，截肢的特点以及使用假肢的情况。参加者大多数是男性（97.6％），年龄在18至70岁之间（平均= 42）;结婚的率为97.6％，有工作的为73.1％。导致截肢的最常见伤害原因是遭受大炮和迫击炮弹袭击的创伤。最常见的截肢水平是胫骨（53％），其中94％是假肢使用者。相对于脊柱受累，腰痛是最常见的主诉（53％）。幻肢痛和幻觉的总体患病率分别为64％和83％。幻肢疼痛或感觉在与战争有关的截肢者中非常普遍。但是，只有一小部分人会感到剧烈的疼痛或感觉。幻肢疼痛或感觉与肢体截肢水平没有任何关系。

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