镜像治疗截肢后幻肢痛的随机对照试验

Randomized Controlled Trial of Mirror Therapy Treat to Phantom Limb Pain After Amputation

目的:探讨镜像治疗截肢后幻肢痛的效果。方法:选取2015年1月-2017年1月本院收治截肢后幻肢痛患者60例,以随机数字表法分为观察组与对照组,每组各30例。观察组给予镜像治疗,对照组未给予任何截肢后幻肢痛的治疗。采用作为Mc Gill疼痛问卷(SF-MPQ)、匹茨堡睡眠质量指数量表(PSQI)、汉密尔顿焦虑量表(HAMA)评价两组治疗情况,观察两组基线期、治疗后的幻肢痛发生频率,并统计分析。结果:基线期,两组PRI、VAS、PPI、PSQI、HAMA得分及幻肢痛发生频率基本相同,差异均无统计学意义(P>0.05);治疗后,观察组PRI、VAS、PPI、PSQI、HAMA得分及幻肢痛发生频率均显著低于对照组,差异均有统计学意义(P<0.05)。结论:镜像疗法治疗截肢后幻肢痛,可改善疼痛状况、焦虑情绪,提高睡眠质量。

Objective： To discuss the curative effect of mirror therapy treat to phantom limb pain after amputation.Method： A total of 60 patients with phantom limb pain after amputation were selected from January 2015 to January 2017 in our hospital, according to random number table method they were divided into the observation group and the control group, 30 cases in each group.The observation group received mirror therapy, the control group did not received any treatment of phantom limb pain after amputation.McGill pain questionnaire （ SF-MPQ ）, pittsburg sleep quality index scale （ PSQI ） and Hamilton anxiety scale （ HAMA ） were used to evaluate curative effect of two groups, changes in frequency of phantom limb pain of two groups were statistically analysed at baseline phase and after treatment.Result： There were no statistical significance in scores of PRI, VAS, PPI, PSQI, HAMA and frequency of phantom limb pain of two groups at baseline phase （P〉0.05 ） .After treatment, scores of PRI, VAS, PPI, PSQI, HAMA and frequency of phantom limb pain of the observation group were lower than those of the control group, the differences were statistically significant （ P〈0.05 ） . Conclusion： Mirror therapy treats of phantom limb pain after amputation can improve pain condition, anxiety and sleep quality.