Department of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts, USA.
J Clin Psychiatry. 2010 Nov;71(11):e30. doi: 10.4088/JCP.8139tx1cc.
Fibromyalgia affects an estimated 2% of the American population. Current understanding explains it as a neurologic disorder of central pain processing that causes the perception of pain in response to stimuli that in healthy individuals would not be painful. The recognition of fibromyalgia can lead to effective treatment with significant improvement in functioning. Unfortunately, because of the chronic nature of the pain condition and associated counterproductive behaviors and disability, patients and physicians may rapidly become frustrated with each other and abandon the pursuit of adequate diagnosis and treatment. If the physician instead recognizes the diagnostic pattern of pain and appreciates the real nature of the underlying pathology, then he or she can be of great benefit to patients and their families in managing this chronic disease.
纤维肌痛症影响了美国大约 2%的人口。目前的认识将其解释为中枢疼痛处理的神经系统障碍，导致患者对正常情况下不会引起疼痛的刺激产生疼痛感知。纤维肌痛症的识别可以通过有效的治疗显著改善功能。不幸的是，由于疼痛状况的慢性性质以及相关的适得其反的行为和残疾，患者和医生可能会迅速对彼此感到沮丧，并放弃对充分诊断和治疗的追求。如果医生能够识别疼痛的诊断模式，并理解潜在病理的真正性质，那么他或她就可以在管理这种慢性疾病方面为患者及其家属提供巨大帮助。
