McBeth John, Wilkie Ross, Bedson John, Chew-Graham Carolyn, Lacey Rosie J
Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire, ST5 5BG, UK,
Curr Rheumatol Rep. 2015 Jan;17(1):469. doi: 10.1007/s11926-014-0469-9.
Musculoskeletal pain is common and often occurs at multiple sites. Persons with chronic widespread pain (CWP) often report disturbed sleep. Until recently, the relationship between sleep disturbance and CWP has been unclear: does poor sleep increase the risk of developing CWP, do people with CWP develop poor sleep as a consequence of their pain, or is the relationship bi-directional? In this article, we have focused on the relationship between insomnia and CWP. We briefly present descriptive epidemiological data for insomnia and CWP. We then summarise the available evidence which supports the hypothesis that the relationship is bi-directional. Finally, we discuss the clinical management of CWP and insomnia in primary care, where the vast majority of cases of CWP are managed.
肌肉骨骼疼痛很常见，且常发生于多个部位。患有慢性广泛性疼痛（CWP）的人常报告睡眠受到干扰。直到最近，睡眠障碍与CWP之间的关系仍不明确：是睡眠不佳增加了患CWP的风险，还是CWP患者因疼痛而出现睡眠不佳，亦或是这种关系是双向的？在本文中，我们重点关注了失眠与CWP之间的关系。我们简要介绍了失眠和CWP的描述性流行病学数据。然后，我们总结了现有证据，这些证据支持了这种关系是双向的这一假设。最后，我们讨论了初级保健中CWP和失眠的临床管理，绝大多数CWP病例都是在初级保健中进行管理的。
