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慢性疲劳综合征:诊断、治疗及未来方向

Chronic Fatigue Syndrome: Diagnosis, Treatment, and Future Direction.

作者信息

Graves B Sue, Patel Mitsu, Newgent Hailey, Parvathy Gauri, Nasri Ahmad, Moxam Jillene, Gill Gurnoor S, Sawhney Vivek, Gupta Manish

机构信息

Exercise Science and Health Promotion, Florida Atlantic University, Boca Raton, USA.

Medicine, Smt. Nathiba Hargovandas Lakhmichand Municipal Medical College, Ahmedabad, IND.

出版信息

Cureus. 2024 Oct 1;16(10):e70616. doi: 10.7759/cureus.70616. eCollection 2024 Oct.

DOI:10.7759/cureus.70616
PMID:39483544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11526618/
Abstract

Myalgic encephalomyelitis (ME), also known as chronic fatigue syndrome (CFS), is a complex, chronic condition marked by persistent, debilitating fatigue that is not alleviated by rest and often worsens with physical or mental exertion. Along with fatigue, patients experience various symptoms, including cognitive impairments, post-exertional malaise, muscle and joint pain, sleep disturbances, and immune system dysfunction. Diagnosing CFS/ME is challenging due to the absence of definitive biomarkers, the overlap of symptoms with other conditions, and the lack of standardized diagnostic criteria. This comprehensive literature review aims to contribute to the understanding of CFS/ME, including its diagnosis, pathophysiology, differential diagnosis, treatment, and future directions.

摘要

肌痛性脑脊髓炎(ME),也称为慢性疲劳综合征(CFS),是一种复杂的慢性疾病,其特征是持续存在、使人衰弱的疲劳,休息不能缓解,且体力或脑力活动后往往会加重。除疲劳外,患者还会出现各种症状,包括认知障碍、劳累后不适、肌肉和关节疼痛、睡眠障碍以及免疫系统功能障碍。由于缺乏明确的生物标志物、症状与其他疾病的重叠以及缺乏标准化的诊断标准,CFS/ME的诊断具有挑战性。这篇全面的文献综述旨在促进对CFS/ME的理解,包括其诊断、病理生理学、鉴别诊断、治疗以及未来方向。

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Chronic Fatigue Syndrome: Diagnosis, Treatment, and Future Direction.慢性疲劳综合征:诊断、治疗及未来方向
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本文引用的文献

1
Mitochondrial dysfunction in long COVID: mechanisms, consequences, and potential therapeutic approaches.长新冠中的线粒体功能障碍:机制、后果和潜在治疗方法。
Geroscience. 2024 Oct;46(5):5267-5286. doi: 10.1007/s11357-024-01165-5. Epub 2024 Apr 26.
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Clinical evidence of the link between gut microbiome and myalgic encephalomyelitis/chronic fatigue syndrome: a retrospective review.肠微生物群与肌痛性脑脊髓炎/慢性疲劳综合征之间关联的临床证据:一项回顾性研究。
Eur J Med Res. 2024 Mar 1;29(1):148. doi: 10.1186/s40001-024-01747-1.
3
Advancing Research and Treatment: An Overview of Clinical Trials in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) and Future Perspectives.推进研究与治疗:肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)临床试验概述及未来展望
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Post-exertional malaise in daily life and experimental exercise models in patients with myalgic encephalomyelitis/chronic fatigue syndrome.肌痛性脑脊髓炎/慢性疲劳综合征患者日常生活中的运动后不适及实验性运动模型
Front Physiol. 2023 Dec 4;14:1257557. doi: 10.3389/fphys.2023.1257557. eCollection 2023.
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Diagnosis and Management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.肌痛性脑脊髓炎/慢性疲劳综合征的诊断与管理。
Mayo Clin Proc. 2023 Oct;98(10):1544-1551. doi: 10.1016/j.mayocp.2023.07.032.
6
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and COVID-19: is there a connection?肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)与 COVID-19:二者之间是否存在关联?
Curr Med Res Opin. 2023 Aug;39(8):1119-1126. doi: 10.1080/03007995.2023.2242244. Epub 2023 Aug 4.
7
Ginsenoside Rg1 can reverse fatigue behavior in CFS rats by regulating EGFR and affecting Taurine and Mannose 6-phosphate metabolism.人参皂苷Rg1可通过调节表皮生长因子受体(EGFR)以及影响牛磺酸和甘露糖6-磷酸代谢来逆转慢性疲劳综合征(CFS)大鼠的疲劳行为。
Front Pharmacol. 2023 Apr 10;14:1163638. doi: 10.3389/fphar.2023.1163638. eCollection 2023.
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Different risk factors distinguish myalgic encephalomyelitis/chronic fatigue syndrome from severe fatigue.不同的风险因素将肌痛性脑脊髓炎/慢性疲劳综合征与严重疲劳区分开来。
Sci Rep. 2023 Feb 11;13(1):2469. doi: 10.1038/s41598-023-29329-x.
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Circulating microRNA expression signatures accurately discriminate myalgic encephalomyelitis from fibromyalgia and comorbid conditions.循环 microRNA 表达谱可准确区分肌痛性脑脊髓炎与纤维肌痛症和合并症。
Sci Rep. 2023 Feb 2;13(1):1896. doi: 10.1038/s41598-023-28955-9.
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The Draft Report by the Institute for Quality and Efficiency in Healthcare Does Not Provide Any Evidence That Graded Exercise Therapy and Cognitive Behavioral Therapy Are Safe and Effective Treatments for Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.医疗质量与效率研究所的报告草案并未提供任何证据表明分级运动疗法和认知行为疗法是治疗肌痛性脑脊髓炎/慢性疲劳综合征的安全有效疗法。
Diseases. 2023 Jan 16;11(1):11. doi: 10.3390/diseases11010011.