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纤维肌痛的生物学与治疗。纤维肌痛综合征的循证生物标志物。

Biology and therapy of fibromyalgia. Evidence-based biomarkers for fibromyalgia syndrome.

作者信息

Dadabhoy Dina, Crofford Leslie J, Spaeth Michael, Russell I Jon, Clauw Daniel J

机构信息

Northwest Rheumatology Specialists, Elk Grove Village, IL 60007, USA.

出版信息

Arthritis Res Ther. 2008;10(4):211. doi: 10.1186/ar2443. Epub 2008 Aug 8.

DOI:10.1186/ar2443
PMID:18768089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2575617/
Abstract

Researchers studying fibromyalgia strive to identify objective, measurable biomarkers that may identify susceptible individuals, may facilitate diagnosis, or that parallel activity of the disease. Candidate objective measures range from sophisticated functional neuroimaging to office-ready measures of the pressure pain threshold. A systematic literature review was completed to assess highly investigated, objective measures used in fibromyalgia studies. To date, only experimental pain testing has been shown to coincide with improvements in clinical status in a longitudinal study. Concerted efforts to systematically evaluate additional objective measures in research trials will be vital for ongoing progress in outcome research and translation into clinical practice.

摘要

研究纤维肌痛的人员致力于识别客观、可测量的生物标志物,这些标志物可识别易感个体、有助于诊断或与疾病活动情况平行。候选客观测量方法范围从复杂的功能性神经成像到便于门诊使用的压力疼痛阈值测量方法。我们完成了一项系统的文献综述,以评估在纤维肌痛研究中得到大量研究的客观测量方法。迄今为止,在一项纵向研究中,只有实验性疼痛测试被证明与临床状况的改善相符。在研究试验中协同努力系统评估其他客观测量方法,对于成果研究的持续进展以及转化为临床实践至关重要。

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Arthritis Res Ther. 2008;10(4):211. doi: 10.1186/ar2443. Epub 2008 Aug 8.
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本文引用的文献

1
Brief report: using actigraphy to compare physical activity levels in adolescents with chronic pain and healthy adolescents.简短报告:使用活动记录仪比较慢性疼痛青少年与健康青少年的身体活动水平。
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Fibromyalgia patients show an abnormal dopamine response to pain.纤维肌痛患者对疼痛表现出异常的多巴胺反应。
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The genetics of fibromyalgia syndrome.纤维肌痛综合征的遗传学
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Sex hormones and pain in regularly menstruating women with fibromyalgia syndrome.性激素与患有纤维肌痛综合征的规律行经女性的疼痛
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Comparison of clinical and evoked pain measures in fibromyalgia.纤维肌痛中临床疼痛与诱发性疼痛测量的比较。
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The association between experimental and clinical pain measures among persons with fibromyalgia and chronic fatigue syndrome.纤维肌痛和慢性疲劳综合征患者实验性疼痛测量与临床疼痛测量之间的关联。
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Retrospenial cortical deactivation during painful stimulation of fibromyalgic patients.
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Behavioral insomnia therapy for fibromyalgia patients: a randomized clinical trial.纤维肌痛患者的行为性失眠治疗:一项随机临床试验。
Arch Intern Med. 2005 Nov 28;165(21):2527-35. doi: 10.1001/archinte.165.21.2527.
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Childhood trauma and diurnal cortisol disruption in fibromyalgia syndrome.纤维肌痛综合征中的童年创伤与昼夜皮质醇紊乱
Psychoneuroendocrinology. 2006 Apr;31(3):312-24. doi: 10.1016/j.psyneuen.2005.08.009. Epub 2005 Nov 7.
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Momentary relationship between cortisol secretion and symptoms in patients with fibromyalgia.纤维肌痛患者皮质醇分泌与症状之间的瞬间关系。
Arthritis Rheum. 2005 Nov;52(11):3660-9. doi: 10.1002/art.21372.