幻肢痛诊断与治疗中国疼痛科专家共识(2024版)  

Consensus of Chinese painology experts on diagnosis and treatment of phantom limb pain(2024 edition)

作　　者：幻肢痛诊断与治疗中国疼痛科专家共识编写组 蒋宗滨[2] 岳侃 何睿林[2] 许圣荣[2] 周增华[2] 冯艺[3] 肖红[4] 马柯[5] 李水清[6] 杨立强[7] 王永[8] 孙涛 樊肖冲[10] 薛朝霞[11] 冯鹏玖 张达颖[13] 樊碧发[14] Expert Consensus Group for Diagnosis and Treatment of Phantom Limb Pain;Jiang Zongbin;Yue Kan;He Ruilin;Xu Shengrong;Zhou Zenghua;Feng Yi;Xiao Hong;Ma Ke;Li Shuiqing;Yang Liqiang;Wang Yong;Sun Tao;Fan Xiaochong;Xue Zhaoxia;Feng Pengjiu;Zhang Daying;Fan Bifa(不详;Department of Painology,The Second Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region 530007,China;Department of Pain Medicine,Peking University People's Hospital,Beijing City 100044,China;Department of Pain Management,West China Hospital of Sichuan University,Chengdu City,Sichuan Province 610041,China;Department of Painology,Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai City 200092,China;Department of Pain Medicine,Peking University Third Hospital,Beijing City 100191,China;Department of Pain Medicine,Xuanwu Hospital Capital Medical University,Beijing City 100053,China;Department of Pain Management,Aviation General Hospital of Chinese Medical University,Beijing City 100012,China;Department of Painology,Shandong Provincical Hospital affiliated to Shandong First Medical University,Jinan City,Shandong Province 250021,China;Department of Painology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou City,Henan Province 450000,China;Department of Painology,The First Hospital of Shanxi Medical University,Taiyuan City,Shanxi Province 030001,China;Department of Painology,Liuzhou Traditional Chinese Medical Hospital,Liuzhou City,Guangxi Zhuang Autonomous Region 545001,China;Department of Painology,The First Affiliated Hospital of Nanchang University,Nanchang City,Jiangxi Province 330006,China;Department of Painology,China-Japan Friendship Hospital,Beijing City 100029,China)

机构地区：[1]不详 [2]广西医科大学第二附属医院疼痛科,南宁市530007 [3]北京大学人民医院疼痛科,北京市100044 [4]四川大学华西医院疼痛科,成都市610041 [5]上海交通大学医学院附属新华医院疼痛科,上海市200092 [6]北京大学第三医院疼痛科,北京市100191 [7]首都医科大学宣武医院疼痛科,北京市100053 [8]中国医科大学航空总医院疼痛科,北京市100012 [9]山东第一医科大学附属省立医院疼痛科,济南市250021 [10]郑州大学第一附属医院疼痛科,郑州市450000 [11]山西医科大学第一医院疼痛科,太原市030001 [12]柳州市中医医院疼痛科,柳州市545001 [13]南昌大学第一附属医院疼痛科,南昌市330006 [14]中日友好医院疼痛科,北京市100029

出　　处：《中华疼痛学杂志》2024年第2期164-178,共15页Chinese Journal Of Painology

摘　　要：幻肢痛是指截肢后缺失肢体的局部区域或者整个缺失肢体部位的疼痛,是截肢术后常见的难治性疼痛。幻肢痛确切机制尚不清楚,涉及外周、中枢以及心理等多方面因素。幻肢痛常与截肢后残肢残端痛并存,患者难以描述疼痛性质。目前临床上有多种幻肢痛治疗方法,治疗效果各异,对治疗方案的选择缺乏统一的专家意见。本共识为国内相关领域疼痛学专家共同编写,以期为幻肢痛规范诊断和治疗提供一定的参考意见。Phantom limb pain is pain in a local area or entire missing limb after amputation,and is a common refractory pain in amputee patients.The mechanism of phantom limb pain is still unclear and involves peripheral,central and psychological factors.Patients are difficult to describe the nature of phantom limb pain,which often coexists with post-amputation stump pain.There are a variety of treatment methods with different effects for the phantom limb pain,and lack of unified expert opinions on the choice of treatment regimen.This consensus is compiled by domestic painology experts in related fields,to provide reference opinions for the standardized diagnosis and treatment of phantom limb pain.

关 键 词：幻肢痛 诊断 治疗 专家共识 

分 类 号：R614[医药卫生—麻醉学]