Sukenik S, Baradin R, Codish S, Neumann L, Flusser D, Abu-Shakra M, Buskila D
Department of Medicine D, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Isr Med Assoc J. 2001 Feb;3(2):147-50.
Balneotherapy has been successfully used to treat various rheumatic diseases, but has only recently been evaluated for the treatment of fibromyalgia. Since no effective treatment exists for this common rheumatic disease, complementary methods of treatment have been attempted.
To assess the effectiveness of balneotherapy at the Dead Sea area in the treatment of patients suffering from both fibromyalgia and psoriatic arthritis.
Twenty-eight patients with psoriatic arthritis and fibromyalgia were treated with various modalities of balneotherapy at the Dead Sea area. Clinical indices assessed were duration of morning stiffness, number of active joints, a point count of 18 fibrositic tender points, and determination of the threshold of tenderness in nine fibrositic and in four control points using a dolorimeter.
The number of active joints was reduced from 18.4 +/- 10.9 to 9 +/- 8.2 (P < 0.001). The number of tender points was reduced from 12.6 +/- 2 to 7.1 +/- 5 in men (P < 0.003) and from 13.1 +/- 2 to 7.5 +/- 3.7 in women (P < 0.001). A significant improvement was found in dolorimetric threshold readings after the treatment period in women (P < 0.001). No correlation was observed between the reduction in the number of active joints and the reduction in the number of tender points in the same patients (r = 0.2).
Balneotherapy at the Dead Sea area appears to produce a statistically significant substantial improvement in the number of active joints and tender points in both male and female patients with fibromyalgia and psoriatic arthritis. Further research is needed to elucidate the distinction between the benefits of staying at the Dead Sea area without balneotherapy and the effects of balneotherapy in the study population.
温泉疗法已成功用于治疗多种风湿性疾病，但直到最近才对其治疗纤维肌痛的效果进行评估。由于这种常见的风湿性疾病尚无有效治疗方法，人们尝试了多种辅助治疗方法。
评估死海地区温泉疗法对同时患有纤维肌痛和银屑病关节炎患者的治疗效果。
28例患有银屑病关节炎和纤维肌痛的患者在死海地区接受了多种形式的温泉疗法。评估的临床指标包括晨僵持续时间、活动关节数量、18个纤维肌痛压痛点计数，以及使用痛觉计测定9个纤维肌痛点和4个对照点的压痛阈值。
活动关节数量从18.4±10.9减少至9±8.2（P<0.001）。男性患者的压痛点数量从12.6±2减少至7.1±5（P<0.003），女性患者从13.1±2减少至7.5±3.7（P<0.001）。治疗期后女性患者的痛觉阈值读数有显著改善（P<0.001）。同一患者中活动关节数量的减少与压痛点数量的减少之间未观察到相关性（r=0.2）。
死海地区的温泉疗法似乎能使患有纤维肌痛和银屑病关节炎的男性和女性患者的活动关节数量和压痛点数量在统计学上有显著的实质性改善。需要进一步研究以阐明在死海地区不进行温泉疗法的益处与本研究人群中温泉疗法效果之间的差异。
