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改善纤维肌痛的识别和诊断。

Improving the recognition and diagnosis of fibromyalgia.

机构信息

Department of Psychiatry and Behavioral Neuroscience and the Women's Health Research Program, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

出版信息

Mayo Clin Proc. 2011 May;86(5):457-64. doi: 10.4065/mcp.2010.0738.

DOI:10.4065/mcp.2010.0738
PMID:21531887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3084648/
Abstract

Fibromyalgia (FM) is a chronic widespread pain disorder often seen in primary care practices. Advances in the understanding of FM pathophysiology and clinical presentation have improved the recognition and diagnosis of FM in clinical practice. Fibromyalgia is a clinical diagnosis based on signs and symptoms and is appropriate for primary care practitioners to make. The hallmark symptoms used to identify FM are chronic widespread pain, fatigue, and sleep disturbances. Awareness of common mimics of FM and comorbid disorders will increase confidence in establishing a diagnosis of FM.

摘要

纤维肌痛(FM)是一种常见于初级保健实践中的慢性广泛性疼痛障碍。对 FM 病理生理学和临床表现的认识的提高,改善了 FM 在临床实践中的识别和诊断。纤维肌痛是一种基于体征和症状的临床诊断,适合初级保健医生做出。用于识别 FM 的标志性症状是慢性广泛性疼痛、疲劳和睡眠障碍。对 FM 的常见类似疾病和合并症的认识,将提高对 FM 诊断的确信度。

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本文引用的文献

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The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity.美国风湿病学会纤维肌痛初步诊断标准及症状严重程度测量。
Arthritis Care Res (Hoboken). 2010 May;62(5):600-10. doi: 10.1002/acr.20140.
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The pathophysiology, diagnosis and treatment of fibromyalgia.纤维肌痛的病理生理学、诊断和治疗。
Psychiatr Clin North Am. 2010 Jun;33(2):375-408. doi: 10.1016/j.psc.2010.01.001.
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Neurophysiopathogenesis of fibromyalgia syndrome: a unified hypothesis.纤维肌痛综合征的神经生理发病机制:一个统一的假说。
Rheum Dis Clin North Am. 2009 May;35(2):421-35. doi: 10.1016/j.rdc.2009.06.005.
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Advances in the assessment of fibromyalgia.纤维肌痛评估的进展
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Key symptom domains to be assessed in fibromyalgia (outcome measures in rheumatoid arthritis clinical trials).纤维肌痛中需评估的关键症状领域(类风湿关节炎临床试验中的结局指标)。
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Neuroimaging of fibromyalgia.纤维肌痛的神经影像学
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