纤维肌痛中的耳部症状：一篇叙述性综述
Ear Complaints in Fibromyalgia: A Narrative Review.
作者信息
Skare Thelma Larocca, de Carvalho Jozélio Freire
机构信息
Rheumatology Unit, Hospital Evangélico Mackenzie, Curitiba, Parana, Brazil.
Núcleo de Pesquisa Em Doenças Crônicas Não Transmissíveis (NUPEN), School of Nutrition, Federal University of Bahia, Rua das Violetas, 42, Ap. 502, Pituba, Salvador, Bahia, Brazil.
出版信息
Rheumatol Ther. 2024 Oct;11(5):1085-1099. doi: 10.1007/s40744-024-00701-1. Epub 2024 Aug 3.
INTRODUCTION
Patients with fibromyalgia (FM) have innumerable complaints due to the central amplification of somatic stimuli. The aim of this paper was to review the ear complaints in patients with FM.
METHODS
A review of articles published in PubMed/MEDLINE, Embase, Web of Science, and Scopus from 1966 to June 2023 was performed.
RESULTS
Seventeen papers were included in the review. They showed that patients with FM have a higher hearing loss rate, mostly at high frequencies, and hyperacusis. The prevalence of vestibular symptoms (tinnitus, dizziness) and hyperacusis was higher than in the general population, reaching 87.0% of the sample. Subjective findings did not always correspond to objective results. In some studies, the degree of FM severity was associated with ear symptoms; in others, it was not.
CONCLUSIONS
Ear complaints in patients with FM are linked to subjacent disease and may be related to stimuli central amplification.
引言
纤维肌痛（FM）患者因躯体刺激的中枢放大而有无数的主诉。本文的目的是回顾FM患者的耳部主诉。
方法
对1966年至2023年6月在PubMed/MEDLINE、Embase、Web of Science和Scopus上发表的文章进行了综述。
结果
该综述纳入了17篇论文。这些论文表明，FM患者的听力损失率更高，主要是高频听力损失，以及听觉过敏。前庭症状（耳鸣、头晕）和听觉过敏的患病率高于一般人群，在样本中达到87.0%。主观结果并不总是与客观结果相符。在一些研究中，FM的严重程度与耳部症状有关；而在另一些研究中则无关。
结论
FM患者的耳部主诉与潜在疾病有关，可能与刺激的中枢放大有关。
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