Hubley Sam, Uebelacker Lisa, Eaton Charles
Alpert Medical School of Brown University, Center for Primary Care and Prevention, Memorial Hospital of Rhode Island and Brown University, Pawtucket, Rhode Island.
Am J Lifestyle Med. 2014 Jul 2;10(2):109-119. doi: 10.1177/1559827614536865. eCollection 2016 Mar-Apr.
Medically unexplained symptoms (MUS) are persistent physical symptoms in the absence of identifiable disease. MUS present a major challenge for primary care providers (PCPs) because complex symptom presentations, strained patient-physician relationships, and treatment-resistant symptoms can challenge a PCP's sense of competency. This review is intended to help PCPs understand the burden and theoretical context of MUS and to provide concise recommendations for managing MUS within primary care settings. Based on a narrative review of the literature, these recommendations emphasize in particular the importance of co-creating plausible explanations for MUS, understanding the pitfalls of consultations involving MUS, and developing multimodal treatment plans.
医学上无法解释的症状（MUS）是指在没有可识别疾病的情况下持续存在的身体症状。MUS给初级保健提供者（PCP）带来了重大挑战，因为复杂的症状表现、紧张的医患关系以及难治性症状会挑战PCP的胜任感。本综述旨在帮助PCP了解MUS的负担和理论背景，并为在初级保健环境中管理MUS提供简明建议。基于对文献的叙述性综述，这些建议特别强调了共同为MUS创造合理的解释、理解涉及MUS的会诊中的陷阱以及制定多模式治疗计划的重要性。
