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[纤维肌痛和肌痛性脑脊髓炎:氧气线索]

[Fibromyalgia and myalgic encephalomyelitis: The oxygen clue].

作者信息

Beretta Pablo

机构信息

Instituto de Psiquiatría Biológica Integral.

出版信息

Vertex. 2016 Jul;XXVII(128):252-255.

Abstract

In recent years, different authors have described various musculoskeletal oxygenation alterations in patients with fibromyalgia with or without myalgic encephalomyelitis. These patients suffer from meteor-sensitivity worsening their symptoms in lower atmospheric pressure climates (decreased oxygen pressure). They also respond successfully to hyperbaric chamber treatment (increased oxygen pressure), and to coenzime Q10 intake (improved use of oxygen). Having reviewed these findings, oxygen therapy is postulated in higher concentration and pressures to relief the symptoms of fibromyalgia with or without myalgic encephalomyelitis. This article also centralizes on three fibromyalgia and myalgic encephalomyelitis patients who had a severe exacerbation of their symptoms, but responded successfully to treatment with pure oxygen for a limited time. The small number of patients treated and the lack of statistical methodology prevents us from arriving at definitive conclusions. However, medical oxygen could be considered a good alternative therapy to treat patients suffering acute episodes of their symptoms, when they do not respond to other therapeutic strategies. It also suggests the design of a future protocol of chronic oxygen therapy for patients with fibromyalgia with or without myalgic encephalomyelitis.

摘要

近年来,不同的作者描述了纤维肌痛患者(无论是否合并肌痛性脑脊髓炎)各种肌肉骨骼氧合改变。这些患者对天气敏感,在低气压气候(氧压降低)下症状会加重。他们对高压氧舱治疗(氧压增加)以及辅酶Q10摄入(改善氧利用)也有良好反应。在回顾这些研究结果后,有人提出采用更高浓度和压力的氧疗来缓解合并或不合并肌痛性脑脊髓炎的纤维肌痛症状。本文还聚焦于三名纤维肌痛和肌痛性脑脊髓炎患者,他们症状严重加重,但在短时间内接受纯氧治疗后反应良好。由于治疗的患者数量较少且缺乏统计方法,我们无法得出明确结论。然而,当患者对其他治疗策略无反应时,医用氧可被视为治疗症状急性发作患者的一种良好替代疗法。这也提示了为合并或不合并肌痛性脑脊髓炎的纤维肌痛患者设计未来慢性氧疗方案的思路。

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