Boomershine Chad S, Crofford Leslie J
Vanderbilt University, Nashville, TN, USA.
Nat Rev Rheumatol. 2009 Apr;5(4):191-9. doi: 10.1038/nrrheum.2009.25.
Fibromyalgia is a prevalent disorder that is characterized by widespread pain along with numerous other symptoms, including fatigue, poor sleep, mood disorders, and stiffness. Previous guidelines for the management of fibromyalgia recommended an approach that integrates pharmacologic and nonpharmacologic therapies selected according to the symptoms experienced by individual patients. However, they offered no recommendations for a system of patient assessment that would provide a basis for individualized treatment selection. We present a simple, rapid and easily remembered system for symptom quantitation and pharmacologic management of fibromyalgia that combines visual analogue scale symptom scores from a modified form of the disease-neutral Fibromyalgia Impact Questionnaire, with a review of medications that can be used to treat the individual symptoms. This symptom-based approach is amenable to caring for patients with fibromyalgia in a busy clinical practice.
纤维肌痛是一种常见疾病，其特征是全身广泛疼痛以及诸多其他症状，包括疲劳、睡眠不佳、情绪障碍和僵硬。先前关于纤维肌痛管理的指南推荐了一种综合药物治疗和非药物治疗的方法，这些治疗方法是根据个体患者所经历的症状来选择的。然而，它们没有针对患者评估系统提出建议，而该系统将为个体化治疗选择提供依据。我们提出了一种简单、快速且易于记忆的系统，用于纤维肌痛的症状量化和药物管理，该系统将改良版的通用纤维肌痛影响问卷中的视觉模拟量表症状评分与可用于治疗个体症状的药物审查相结合。这种基于症状的方法适合在繁忙的临床实践中照顾纤维肌痛患者。
