National Data Bank for Rheumatic Diseases, Wichita, Kansas, USA.
Ann Med. 2011 Nov;43(7):495-502. doi: 10.3109/07853890.2011.595734. Epub 2011 Jul 19.
Abstract Criteria for fibromyalgia developed from the conceptualization and hypotheses of Smythe and Moldofsky in 1977 and gradually evolved to a set of classification criteria endorsed by the American College of Rheumatology that emphasized tender points and widespread pain, measures of decreased pain threshold. In 2010, American College of Rheumatology fibromyalgia diagnostic criteria were published that abandoned the tender point count and placed increased emphasis of patient symptoms. The 2010 criteria also contained severity scales and offered physicians the opportunity to assess polysymptomatic distress on a continuous scale. This enabled physicians who were opposed to the idea of fibromyalgia to also assess and diagnose patients using an alternative nomenclature.
摘要 纤维肌痛的诊断标准源自 Smythe 和 Moldofsky 于 1977 年的概念和假说，逐渐演变为美国风湿病学会认可的一套分类标准，强调压痛点和广泛疼痛，以及疼痛阈值降低的测量。2010 年，美国风湿病学会发布了纤维肌痛诊断标准，放弃了压痛点计数，更加重视患者的症状。2010 年的标准还包含严重程度量表，为医生提供了在连续量表上评估多症状困扰的机会。这使得反对纤维肌痛概念的医生也能够使用替代命名法来评估和诊断患者。
