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基层医疗实践中未被检测出的纤维织炎。

Undetected fibrositis in primary care practice.

作者信息

Hartz A, Kirchdoerfer E

机构信息

Department of Family and Community Medicine, Hershey Medical Center, Pennsylvania State University, Hershey 17033.

出版信息

J Fam Pract. 1987 Oct;25(4):365-9.

PMID:3498792
Abstract

The prevalence of symptoms related to fibrositis was investigated for patients seen in a primary care setting. Of 692 adult patients evaluated, 33 (4.6 percent) had symptoms of unexplained, chronic, diffuse muscular pain. Only three patients had been diagnosed as having fibrositis by their physician. Eighteen of 31 patients had symptoms sufficiently severe to interfere with their ability to perform their job or household chores. The percentages of these patients who met the fibrositis criteria ranged from 17 to 55 percent. These results suggest that unexplained, diffuse muscular aching is a common problem, that it is rarely diagnosed, and that the use of several criteria to define fibrositis excludes many patients with the typical primary symptoms.

摘要

对在初级保健机构就诊的患者进行了与纤维织炎相关症状的患病率调查。在接受评估的692名成年患者中,33名(4.6%)有无法解释的慢性弥漫性肌肉疼痛症状。只有3名患者被医生诊断为患有纤维织炎。31名患者中有18名症状严重到足以影响其工作或家务能力。这些符合纤维织炎标准的患者比例在17%至55%之间。这些结果表明,无法解释的弥漫性肌肉酸痛是一个常见问题,很少被诊断出来,并且使用多种标准来定义纤维织炎会排除许多有典型主要症状的患者。

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Factors associated with severity of symptoms in patients with chronic unexplained muscular aching.慢性不明原因肌肉疼痛患者症状严重程度的相关因素。
Ann Rheum Dis. 1989 Apr;48(4):317-21. doi: 10.1136/ard.48.4.317.