The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common di...The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common disabling sequelae after amputation surgery. Assistive devices/technologies can be used to relieve pain in people with amputation. The existing assistive devices/technologies for pain management in people with amputation include electrical nerve block devices/technologies, TENS units, elastomeric pumps and catheters, residual limb covers, laser systems, myoelectric prostheses and virtual reality systems, etc. There is a great potential to design, fabricate, and manufacture some portable, wireless, smart, and thin devices/technologies to stimulate the spinal cord or peripheral nerves by electrical, thermal, mechanical, and pharmaceutical stimulus. Although some preliminary efforts have been done, more attention must be paid by researchers, clinicians, designers, engineers, and manufacturers to the post amputation pain and its treatment methods.展开更多
When working at K(?)tzting Hospital of Traditional Chinese Medicine near Munich, Germany from March 1991 to May 1993, the author had treated 9 cases of phantom limb pain by means of acupuncture with satisfactory thera...When working at K(?)tzting Hospital of Traditional Chinese Medicine near Munich, Germany from March 1991 to May 1993, the author had treated 9 cases of phantom limb pain by means of acupuncture with satisfactory therapeutic effect as reported in the following. Clinical Data In this series, all the 9 cases were male, aged 60-79 years, with the course of disease ranging from 3-49 years. Five cases were amputated because of wound in war, 1 case embolism of femoral artery, 1 case tumor in the knee joint, 1 case comminuted展开更多
目的探讨临床药师在截肢术后残端痛合并幻肢痛患者治疗过程中发挥的作用。方法针对1例因“左下肢残端痛6年”入院的64岁女性患者,临床药师详细询问用药史及用药细节,结合微创介入治疗过程疼痛变化情况,制订用药方案,并进行全程药物治疗...目的探讨临床药师在截肢术后残端痛合并幻肢痛患者治疗过程中发挥的作用。方法针对1例因“左下肢残端痛6年”入院的64岁女性患者,临床药师详细询问用药史及用药细节,结合微创介入治疗过程疼痛变化情况,制订用药方案,并进行全程药物治疗监护及用药教育。结果患者发生药品不良反应后,临床药师结合其病史、用药史及视觉模拟评分法(VAS)评分,及时调整镇痛治疗方案为普瑞巴林(75 mg,口服,每天2次)+曲马多(50 mg,口服,每12 h 1次),医师采纳,患者残端痛及幻肢痛均明显缓解。结论临床药师利用药学专业知识可协助医师制订截肢术后残端痛并幻肢痛的个体化治疗方案,并及时进行药学监护及跟踪随访,有助于提高患者的用药依从性和疗效。展开更多
目的探讨两种疝囊残端处理方法在经腹腹膜前腹股沟疝修补术(TAPP)中的应用效果。方法选取2020年4月至2022年7月宿州市第一人民医院收治的112例原发性腹股沟疝患者为研究对象,采用随机数表法分为A组和B组,各56例。2组患者均行TAPP治疗,...目的探讨两种疝囊残端处理方法在经腹腹膜前腹股沟疝修补术(TAPP)中的应用效果。方法选取2020年4月至2022年7月宿州市第一人民医院收治的112例原发性腹股沟疝患者为研究对象,采用随机数表法分为A组和B组,各56例。2组患者均行TAPP治疗,疝囊残端远端处理方式不同,A组缝合固定于腹直肌下缘,B组旷置不予固定。比较2组患者的围手术期指标(手术时间、术中出血量、住院时间)、手术前后炎症反应水平(淀粉样蛋白A、降钙素原和C反应蛋白)、术后视觉模拟评分(VAS),以及随访期间的并发症(尿潴留、血清肿、术区麻木、睾丸萎缩)发生情况和血清肿抽液量。结果2组围手术期指标比较,差异均无统计学意义(P>0.05);2组炎症反应水平均高于术前,但A组炎症反应水平低于B组(P<0.05);2组第1、2、3 d VAS评分的组间、时间点、交互比较,差异均有统计学意义(P<0.05),且A组第1、2、3 d VAS评分均低于B组(P<0.05);随访期间,2组并发症总发生率比较,差异无统计学意义(P>0.05)。A组血清肿抽液量(21.38±5.42)ml低于B组(41.76±7.15)ml,差异有统计学意义(P<0.05)。结论对于原发性腹股沟疝患者,TAPP术中疝囊残端缝合固定于腹直肌下缘,在减轻炎症反应、缓解术后疼痛、降低血清肿风险和血清肿抽液量方面,优于残端旷置。展开更多
基金supported by the Janbazan Medical and Engineering Research Center(JMERC).
文摘The prevalence of limb amputation is increasing globally as a devastating experience that can physically and psychologically affect the lifestyle of a person. The residual limb pain and phantom limb pain are common disabling sequelae after amputation surgery. Assistive devices/technologies can be used to relieve pain in people with amputation. The existing assistive devices/technologies for pain management in people with amputation include electrical nerve block devices/technologies, TENS units, elastomeric pumps and catheters, residual limb covers, laser systems, myoelectric prostheses and virtual reality systems, etc. There is a great potential to design, fabricate, and manufacture some portable, wireless, smart, and thin devices/technologies to stimulate the spinal cord or peripheral nerves by electrical, thermal, mechanical, and pharmaceutical stimulus. Although some preliminary efforts have been done, more attention must be paid by researchers, clinicians, designers, engineers, and manufacturers to the post amputation pain and its treatment methods.
文摘When working at K(?)tzting Hospital of Traditional Chinese Medicine near Munich, Germany from March 1991 to May 1993, the author had treated 9 cases of phantom limb pain by means of acupuncture with satisfactory therapeutic effect as reported in the following. Clinical Data In this series, all the 9 cases were male, aged 60-79 years, with the course of disease ranging from 3-49 years. Five cases were amputated because of wound in war, 1 case embolism of femoral artery, 1 case tumor in the knee joint, 1 case comminuted
文摘目的探讨临床药师在截肢术后残端痛合并幻肢痛患者治疗过程中发挥的作用。方法针对1例因“左下肢残端痛6年”入院的64岁女性患者,临床药师详细询问用药史及用药细节,结合微创介入治疗过程疼痛变化情况,制订用药方案,并进行全程药物治疗监护及用药教育。结果患者发生药品不良反应后,临床药师结合其病史、用药史及视觉模拟评分法(VAS)评分,及时调整镇痛治疗方案为普瑞巴林(75 mg,口服,每天2次)+曲马多(50 mg,口服,每12 h 1次),医师采纳,患者残端痛及幻肢痛均明显缓解。结论临床药师利用药学专业知识可协助医师制订截肢术后残端痛并幻肢痛的个体化治疗方案,并及时进行药学监护及跟踪随访,有助于提高患者的用药依从性和疗效。
文摘目的探讨两种疝囊残端处理方法在经腹腹膜前腹股沟疝修补术(TAPP)中的应用效果。方法选取2020年4月至2022年7月宿州市第一人民医院收治的112例原发性腹股沟疝患者为研究对象,采用随机数表法分为A组和B组,各56例。2组患者均行TAPP治疗,疝囊残端远端处理方式不同,A组缝合固定于腹直肌下缘,B组旷置不予固定。比较2组患者的围手术期指标(手术时间、术中出血量、住院时间)、手术前后炎症反应水平(淀粉样蛋白A、降钙素原和C反应蛋白)、术后视觉模拟评分(VAS),以及随访期间的并发症(尿潴留、血清肿、术区麻木、睾丸萎缩)发生情况和血清肿抽液量。结果2组围手术期指标比较,差异均无统计学意义(P>0.05);2组炎症反应水平均高于术前,但A组炎症反应水平低于B组(P<0.05);2组第1、2、3 d VAS评分的组间、时间点、交互比较,差异均有统计学意义(P<0.05),且A组第1、2、3 d VAS评分均低于B组(P<0.05);随访期间,2组并发症总发生率比较,差异无统计学意义(P>0.05)。A组血清肿抽液量(21.38±5.42)ml低于B组(41.76±7.15)ml,差异有统计学意义(P<0.05)。结论对于原发性腹股沟疝患者,TAPP术中疝囊残端缝合固定于腹直肌下缘,在减轻炎症反应、缓解术后疼痛、降低血清肿风险和血清肿抽液量方面,优于残端旷置。
