Khan Zara, Naqvi Rubina
Zara Khan, Registrar, Department of Nephrology Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan.
Prof. Rubina Naqvi, Department of Nephrology Sindh Institute of Urology and Transplantation (SIUT), Karachi, Pakistan.
Pak J Med Sci. 2021 Nov-Dec;37(7):1939-1942. doi: 10.12669/pjms.37.7.4474.
Fibromyalgia syndrome (FMS) is a well-established medical problem which gives rise pain at various sites, fatigue, sleep disturbances, poor memory and definitely affects quality of life. Its prevalence in chronic kidney disease (CKD) is scarcely reported, thus we aimed to assess this condition and report its prevalence in our population.
The current study was carried out in all adult CKD stage III and IV patients registered from January 2020 to July 2020 at outpatient department of a tertiary care renal institution in Karachi, Pakistan. This is a cross sectional study where prevalence of FMS was assessed by interviewing and examining patients according to established criteria for FMS. All data and laboratory parameters were recorded on a proforma and statistical analysis was done on SPSS version22.0.
During the study period of six months, 161 patients with CKD stage III and IV were registered. Among these 81 male and 80 were females. Mean age was 47.12±9.27 (range 21-60) years. There were 22 (13.66%) patients found to have FMS. Mean Widespread Pain Index (WPI) score was 5.68±4.36 (range 1-16), while severity scale (SS) 2a was 3.17±1.78 (range 1-9) and SS2b 2.04±0.96 (range 1-5) was recorded.
From Pakistan prevalence of FMS has never been published. As this syndrome affects quality of life of patients, its recognition and proper management is immensely required.
纤维肌痛综合征（FMS）是一个已被充分认知的医学问题，它会引发身体多处疼痛、疲劳、睡眠障碍、记忆力减退，并且确实会影响生活质量。其在慢性肾脏病（CKD）中的患病率鲜有报道，因此我们旨在评估这种情况并报告其在我们研究人群中的患病率。
本研究针对2020年1月至2020年7月在巴基斯坦卡拉奇一家三级医疗肾脏机构门诊部登记的所有成年CKD III期和IV期患者开展。这是一项横断面研究，通过依据既定的FMS标准对患者进行访谈和检查来评估FMS的患病率。所有数据和实验室参数都记录在一份表格上，并使用SPSS 22.0版本进行统计分析。
在为期六个月的研究期间，登记了161例CKD III期和IV期患者。其中男性81例，女性80例。平均年龄为47.12±9.27（范围21 - 60）岁。发现有22例（13.66%）患者患有FMS。平均广泛疼痛指数（WPI）评分为5.68±4.36（范围1 - 16），而严重程度量表（SS）2a为3.17±1.78（范围1 - 9），SS2b为2.04±0.96（范围1 - 5）。
巴基斯坦从未公布过FMS的患病率。由于这种综合征会影响患者的生活质量，因此极其需要对其进行识别和妥善管理。
