Le Marshall Kim Francis, Littlejohn Geoffrey Owen
Departments of Rheumatology and Medicine, Monash Medical Centre and Monash University, Victoria, Australia.
Open Access Rheumatol. 2011 Jul 12;3:47-51. doi: 10.2147/OARRR.S10691. eCollection 2011.
What are the effective, evidence-based strategies available for the management of fibromyalgia?
There are a number of management strategies available with robust evidence to support their use in clinical practice.
Fibromyalgia is a complex pain syndrome characterized by widespread, chronic muscular pain and tenderness, disordered sleep, emotional distress, cognitive disturbance, and fatigue. Its prevalence is estimated to be 3%-5% in the population and higher yet in patients with comorbid rheumatic diseases.
Systematic reviews, meta-analyses, randomized controlled trials (RCTs).
PubMed, Cochrane Library, manual search.
Key messages for patients and clinicians are: There are many effective pharmacological management strategies available for fibromyalgia.A nonpharmacological, multicomponent approach utilizing education, aerobic exercise, psychological therapy, and other strategies is also effective for fibromyalgia.Despite the significant and, at times, disabling physical and psychological symptoms, fibromyalgia can be a manageable condition with a potentially good outcome.
治疗纤维肌痛有哪些有效的循证策略?
有许多管理策略有充分证据支持其在临床实践中的应用。
纤维肌痛是一种复杂的疼痛综合征,其特征为广泛的慢性肌肉疼痛和压痛、睡眠紊乱、情绪困扰、认知障碍及疲劳。据估计,其在人群中的患病率为3% - 5%,在合并风湿性疾病的患者中更高。
系统评价、荟萃分析、随机对照试验(RCT)。
PubMed、考克兰图书馆、手工检索。
给患者和临床医生的关键信息是:有许多有效的药物治疗纤维肌痛的策略。采用教育、有氧运动、心理治疗及其他策略的非药物多组分方法对纤维肌痛也有效。尽管存在显著且有时会导致功能障碍的身体和心理症状,但纤维肌痛是一种可控制的疾病,可能会有较好的预后。