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纤维肌痛。诊断与管理。

Fibromyalgia. Diagnosis and management.

作者信息

Guymer Emma K, Littlejohn Geoffrey O

出版信息

Australas Chiropr Osteopathy. 2002 Nov;10(2):81-4.

PMID:17987178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2051079/
Abstract

BACKGROUND

Fibromyalgia is a common chronic musculoskeletal pain syndrome, however its characteristics, diagnosis and management have not always been well understood. There is now increasing understanding of the pathophysiological mechanisms of fibromyalgia and development of more effective management strategies.

OBJECTIVE

To explain the characteristics and diagnostic features of fibromyalgia. A discussion of current management strategies is included.

DISCUSSION

Fibromyalgia patients have a central pain system problem that results in widespread musculoskeletal pain, and many other disabling features in the absence of tissue damage. The ability to exclude other pathology and recognize the disorder is important, as there are very real management options available. Management is most effective as a multidisciplinary, layered approach. It is important to involve the patient in their own treatment program, to enhance its success.

摘要

背景

纤维肌痛是一种常见的慢性肌肉骨骼疼痛综合征,但其特征、诊断和管理并不总是被充分理解。现在人们对纤维肌痛的病理生理机制有了越来越多的认识,并且开发出了更有效的管理策略。

目的

解释纤维肌痛的特征和诊断特点。还包括对当前管理策略的讨论。

讨论

纤维肌痛患者存在中枢性疼痛系统问题,这会导致广泛的肌肉骨骼疼痛以及许多其他在无组织损伤情况下的致残特征。排除其他病理情况并识别该疾病的能力很重要,因为有切实可行的管理选择。管理采用多学科、分层方法最为有效。让患者参与自身的治疗方案很重要,以提高治疗的成功率。