纤维肌痛的合理治疗方法（针对个体从业者）。

Rational treatment of fibromyalgia for a solo practitioner.

机构信息

Universidade Federal do Parana, Hospital de Clinicas -Rua General Carneiro, 181 Curitiba, PR 80060-900, Brazil.

出版信息

Best Pract Res Clin Rheumatol. 2010 Jun;24(3):341-52. doi: 10.1016/j.berh.2009.12.010.

DOI:10.1016/j.berh.2009.12.010

PMID:20534368

Abstract

Fibromyalgia (FM) is a challenging condition, but the management of patients with FM is becoming facilitated by new medications that act in what are thought to be some of most important pathophysiological features in this syndrome. However, it is of pivotal importance that an interdisciplinary approach is used to improve pain, fatigue, sleep and other domains to improve quality of life. Here, we present elements of management that the solo practitioner can tackle, focussing in the formally approved drugs for FM and other drugs commonly used in this condition. Further, the elements of an ideal multidisciplinary team are presented, and on how to incorporate their recommendations for the treatment of FM.

摘要

纤维肌痛（FM）是一种具有挑战性的疾病，但随着新药物的出现，这种疾病的管理变得更加容易，这些新药物针对的是这种综合征中一些最重要的病理生理特征。然而，采用多学科方法来改善疼痛、疲劳、睡眠和其他方面以提高生活质量是至关重要的。在这里，我们介绍了一些个体从业者可以处理的管理要素，重点介绍了 FM 的正式批准药物和该病症中常用的其他药物。此外，还介绍了理想的多学科团队的要素，以及如何将他们对 FM 治疗的建议纳入其中。