Lindell L, Bergman S, Petersson I F, Jacobsson L T, Herrström P
Primary Care Centre Hertig Knut, Halmstad, Sweden.
Scand J Prim Health Care. 2000 Sep;18(3):149-53. doi: 10.1080/028134300453340.
To explore the prevalence of fibromyalgia and chronic widespread musculoskeletal pain in a general population using the criteria of the American College of Rheumatology from 1990.
Structured interview and clinical examination, including tender-point count and pain threshold measured with a dolorimeter, of subjects with suspected chronic widespread musculoskeletal pain.
The general population in south-west Sweden 1995-1996.
303 individuals with suspected chronic widespread pain were identified in a previously defined cohort containing 2425 men and women aged 20-74 years. 202 individuals were invited and 147 agreed to participate.
Tenderpoint count, pain threshold and prevalence of chronic widespread pain and fibromyalgia.
The prevalence of fibromyalgia was estimated to 1.3% (95% CI 0.8-1.7; n = 2425) and that of all chronic widespread pain to 4.2% (95% CI 3.4-5.0; n = 2425). The mean pain threshold measured with a dolorimeter was lower in subjects with chronic widespread pain (p < 0.01) and correlated with the number of tender points (r = -0.59, p < 0.01) but could not be used to distinguish the subjects with fibromyalgia.
Compared to other studies, fibromyalgia and chronic widespread musculoskeletal pain seemed to be relatively rare conditions in the south-west of Sweden.
采用美国风湿病学会1990年的标准，探讨普通人群中纤维肌痛和慢性广泛性肌肉骨骼疼痛的患病率。
对疑似慢性广泛性肌肉骨骼疼痛的受试者进行结构化访谈和临床检查，包括压痛点计数和用疼痛计测量疼痛阈值。
1995 - 1996年瑞典西南部的普通人群。
在一个先前定义的队列中，识别出303名疑似慢性广泛性疼痛的个体，该队列包含2425名年龄在20 - 74岁的男性和女性。邀请了202人，147人同意参与。
压痛点计数、疼痛阈值以及慢性广泛性疼痛和纤维肌痛的患病率。
纤维肌痛的患病率估计为1.3%（95%可信区间0.8 - 1.7；n = 2425），所有慢性广泛性疼痛的患病率为4.2%（95%可信区间3.4 - 5.0；n = 2425）。用疼痛计测量的平均疼痛阈值在慢性广泛性疼痛的受试者中较低（p < 0.01），且与压痛点数量相关（r = -0.59，p < 0.01），但不能用于区分纤维肌痛患者。
与其他研究相比，纤维肌痛和慢性广泛性肌肉骨骼疼痛在瑞典西南部似乎是相对罕见的病症。
