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首页> 外文期刊>Current therapeutic research, clinical and experimental. >A Retrospective Trial Comparing the Effects of Different Anesthetic Techniques on Phantom Pain After Lower Limb Amputation
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A Retrospective Trial Comparing the Effects of Different Anesthetic Techniques on Phantom Pain After Lower Limb Amputation

机译：下肢截肢后不同麻醉技术对幻痛影响的回顾性研究

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摘要

BACKGROUND: Pain and other sensations from an amputated or absent limb, called phantom pain and phantom sensations, are well-known phenomena.OBJECTIVE: The aim of this retrospective study was to evaluate the effects of anesthetic techniques on phantom pain, phantom sensations, and stump pain after lower limb amputation.METHODS: Ninety-two patients with American Society of Anesthesiologists physical status I to III were analyzed for 1 to 24 months after lower limb amputation in this retrospective study. Patients received general, spinal, or epidural anesthesia or peripheral nerve block for their amputations. Standardized questions were used to assess phantom limb pain, phantom sensation, and stump pain postoperatively. Pain intensity was assessed on a numeric rating scale (NRS) of 0 to 10. Patients' medical histories were determined from hospital records.RESULTS: Patients who received epidural anesthesia and peripheral nerve block perceived significantly less pain in the week after surgery compared with patients who received general anesthesia and spinal anesthesia (NRS [SD} values, 2.68 [1.0] and 2.70 [1.0], respectively). After approximately 14 to 17 months, there was no difference in phantom limb pain, phantom sensation, or stump pain among the anesthetic techniques for amputation.
机译：背景：截肢或无肢的疼痛和其他感觉，称为幻觉疼痛和幻觉，是众所周知的现象。目的：这项回顾性研究的目的是评估麻醉技术对幻觉疼痛，幻觉和方法：在这项回顾性研究中，分析了92名美国麻醉医师学会I至III身体状况患者的下肢截肢后1至24个月。患者因截肢而接受全身，脊髓或硬膜外麻醉或周围神经阻滞。标准化问题用于评估术后幻肢疼痛，幻觉和残肢痛。疼痛强度以数字等级量表（NRS）从0到10进行评估。根据医院记录确定患者的病史。结果：与硬膜外麻醉相比，接受硬膜外麻醉和周围神经阻滞的患者术后一周疼痛明显减轻接受全身麻醉和脊柱麻醉的患者（NRS [SD}值分别为2.68 [1.0]和2.70 [1.0]）。大约14到17个月后，截肢麻醉技术中的幻肢痛，幻觉或残肢痛没有差异。

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