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[功能性疾病的新统一诊断]

[New unifying diagnosis of functional diseases].

作者信息

Fink Per, Rosendal Marianne, Dam Marie Lyngsaae, Schröder Andreas

机构信息

Forskningsklinikken for Funktionelle Lidelser og Psykosomatik, Arhus Universitetshospital, Arhus Sygehus, 8000 Arhus C, Denmark.

出版信息

Ugeskr Laeger. 2010 Jun 14;172(24):1835-8.

Abstract

Functional somatic symptoms are prevalent in all medical settings, but their management is hampered by an obsolete theoretical framework and inadequate classification systems. Epidemiological and neurobiological studies suggest that the functional somatic syndromes, e.g. fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome and somatoform disorders belong to the same family of disorders. An empirically based diagnosis including different subtypes and severities is proposed as a unifying diagnostic construct: bodily distress syndrome. This construct provides a common language for functional disorders across medical specialties.

摘要

功能性躯体症状在所有医疗环境中都很普遍,但由于理论框架过时和分类系统不完善,其管理受到阻碍。流行病学和神经生物学研究表明,功能性躯体综合征,如纤维肌痛、慢性疲劳综合征、肠易激综合征和躯体形式障碍,属于同一类疾病。一种基于实证的诊断方法,包括不同的亚型和严重程度,被提议作为一个统一的诊断结构:身体不适综合征。这一结构为跨医学专业的功能性疾病提供了一种通用语言。

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