Department of Anesthesiology, Division of Critical Care, Emory University School of Medicine, Atlanta, GA, USA.
Medical College of Wisconsin, 333 Pine Ridge Blvd Suite 2-730, Wausau, WI, 54476, USA.
Curr Rheumatol Rep. 2019 Mar 4;21(5):14. doi: 10.1007/s11926-019-0814-0.
Fibromyalgia is a complex chronic pain syndrome that can have debilitating consequences for affected patients. When compared to the general population, patients with fibromyalgia experience lowered mechanical and thermal pain thresholds, altered temporal summation of painful stimuli, and higher than normal pain ratings for known noxious stimuli.
There is no definitive cure for fibromyalgia and treatment primarily focuses on both symptom management and improving patient quality of life. This treatment strategy involves a comprehensive multidisciplinary approach consisting of lifestyle modifications, pharmacologic measures, and other complementary approaches including but not limited to acupuncture, yoga, tai chi, and meditation. This manuscript will discuss the diagnosis and treatment of fibromyalgia, as well as complementary and alternative therapies that should be considered by healthcare providers.
纤维肌痛是一种复杂的慢性疼痛综合征，可对受影响的患者造成严重后果。与一般人群相比，纤维肌痛患者的机械和热痛觉阈值降低，疼痛刺激的时间总和改变，以及对已知有害刺激的疼痛评分高于正常水平。
目前尚无纤维肌痛的明确治愈方法，治疗主要侧重于症状管理和改善患者的生活质量。这种治疗策略包括综合多学科方法，包括生活方式改变、药物措施以及其他补充方法，包括但不限于针灸、瑜伽、太极和冥想。本文将讨论纤维肌痛的诊断和治疗，以及医疗保健提供者应考虑的补充和替代疗法。
