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基层医疗中的纤维肌痛管理。

Management of fibromyalgia in primary care.

机构信息

Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, USA.

出版信息

J Clin Psychiatry. 2012 Mar;73(3):e10. doi: 10.4088/JCP.10118tx2cc.

Abstract

Most treatments for patients with fibromyalgia can be provided in primary care practices. When clinicians, therapists, and community resources work together, a range of pharmacologic and nonpharmacologic treatments can be tailored to provide effective long-term care. Treatments found to be effective for various fibromyalgia symptoms, such as pain and problems with sleep or mood, include antidepressants and anticonvulsants. Additionally, other effective strategies include patient education, light exercise, and cognitive-behavioral therapy.

摘要

大多数纤维肌痛患者的治疗都可以在初级保健机构中进行。当临床医生、治疗师和社区资源共同合作时,可以针对各种纤维肌痛症状(如疼痛以及睡眠或情绪问题)提供一系列药物和非药物治疗方法,从而提供有效的长期护理。经证实,对于各种纤维肌痛症状(如疼痛以及睡眠或情绪问题)有效的治疗方法包括抗抑郁药和抗惊厥药。此外,其他有效的策略还包括患者教育、轻度运动和认知行为疗法。

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