广西幻肢痛流行病学的调查.pdf

亡酉堑照塑煎堑痘堂调查 至QQ2缓亟±班究生监塞 的保护因素；而年龄、性别，职业，文化程度、婚姻状态、截肢原因、截 肢部位、并发症、假肢的安装不是相关因素。因此，临床医生应该加强对 幻肢痛的认识，针对这些因素在围术期采取干预措施，降低幻肢痛的发生 率，进一步规范治疗和预防幻肢痛。 关键词幻肢，疼痛，流行病学，问卷调查 EPIDEMIOLOGICAL n呵VESTIGATION OF PHANTOM LIMB PAIN IN GUANGXI ABSTRACT objective To investigate epidemiological characteristics and relevant risk factors of Phantom limb pain(PLP)in amputee populmion of GuangXi and provide the epidemiological evidence for standardizing the treatment and prevention of PLP． Methods The questionnaire was designed basing on the etiology，risk factors，clinical features，treatment methods and therapeutic efficacy of phantom limb pain by ourselves．This study collected 960 patients who got amputated in 1氏氏氏hospitals in GuangXi from January 2005 to December 2009。With the one-person form of questionnaires，trained investigators from the Public Health College of OuangXi Medical University conducted a telephone follow-up survey by one to one．According to the survey results and medical records information，we record and analyze the patient’S basic information，operative site， anesthesia method，the clinical manifestation and treatment of PLP，then multivariate logistic regression analysis was performed by all factors th．at may affect PLP． Results This study investigated 960 cases of amputation patients，226 cases were followed up successfully，the rate of Success is 23．54％．The incidence of PLP is 43．3 6％．The most pain score of PLP is 6．65+2．54，the 4 [耍塑照猛远征瘟堂调查 2QQ2缍亟±亚塞垒i金塞 lightest pain score is 2．24+2．5 1．Trauma is the largest proportion(57．9％)in all causes of amputation；the time of onset is mostly more than one week after amputation(43．59％)；the feeling that pain with numbness is the largest proportion(43．59％)in all characters of pain；the regularity of pain is mostly intermittent(3 5．90％)；the course of pain is mostly about 1～3 months(28．2 1％) and 1～2 years(28．2 1％)；the duration of pain is mostly about 1～30 minutes (46．1 5％)．There are only 1 0(1 0．20％)of patients with PLP received treatment， and