Hug C, Gerber N J
Rheumatologische Universitätsklinik, Inselspital, Bern.
Schweiz Med Wochenschr. 1990 Mar 24;120(12):395-401.
Fibromyalgia syndrome is a frequent condition. It mainly affects middle-aged women, who complain of diffuse pain in the proximal limb girdles and trunk, morning stiffness, unrefreshing sleep, tiredness, and fear, without abnormal physical findings on examination. This review considers the currently evaluated diagnostic criteria and recent research data, which suggest that fibromyalgia in fact is most probably primarily a brain disturbance involving neurohormonal abnormalities and impaired deep sleep. Effective and ineffective therapies are discussed.
纤维肌痛综合征是一种常见病症。它主要影响中年女性，这些女性主诉近端肢体带和躯干弥漫性疼痛、晨僵、睡眠不佳、疲劳和恐惧，而体格检查无异常发现。本综述考虑了目前评估的诊断标准和近期研究数据，这些数据表明纤维肌痛实际上很可能主要是一种涉及神经激素异常和深度睡眠受损的脑部功能紊乱。文中还讨论了有效和无效的治疗方法。
