Goldenberg Don L
Department of Medicine, Newton-Wellesley Hospital, Newton, Mass., USA.
J Clin Psychiatry. 2008;69 Suppl 2:30-4.
Fibromyalgia is a common musculoskeletal pain condition associated with chronic widespread pain, tenderness at various points on the body, fatigue, and sleep abnormalities. Individuals with fibromyalgia often have comorbid anxiety, depression, and/or other pain syndromes. Research into pharmacologic remedies for fibromyalgia has demonstrated efficacy for a variety of agents, but pharmacology is only one piece of the puzzle when it comes to successful management of fibromyalgia. Sensitive and appropriate methods of diagnosis and an integrated treatment plan including proper patient education, aerobic exercise, and cognitive-behavioral therapy have been shown to be effective in alleviating fibromyalgic symptoms.
纤维肌痛是一种常见的肌肉骨骼疼痛病症,与慢性广泛性疼痛、身体各部位压痛、疲劳及睡眠异常相关。纤维肌痛患者常伴有焦虑、抑郁和/或其他疼痛综合征。对纤维肌痛药物治疗的研究已证明多种药物有效,但在成功管理纤维肌痛方面,药理学只是其中一部分。已表明敏感且恰当的诊断方法以及包括适当患者教育、有氧运动和认知行为疗法的综合治疗方案对减轻纤维肌痛症状有效。