Martinez J E, Ferraz M B, Sato E I, Atra E
Division of Rheumatology, Escola Paulista de Medicina, São Paulo, Brazil.
J Rheumatol. 1995 Feb;22(2):270-4.
To evaluate and compare the quality of life of patients with fibromyalgia (FM) and rheumatoid arthritis (RA).
Forty-four women with FM and 41 with RA were studied. There were 3 evaluations, with a 3-month interval. Besides special and general clinical examinations, the following tests were applied: pain numerical scale (PNS), Health Assessment Questionnaire (HAQ), Fibromyalgia Impact Questionnaire (FIQ), Arthritis Helplessness Index (AHI), Modified Post-Sleep Inventory (PSI), and questions about sleep disorders and socioeconomic impact.
Results include the following: tender points (TP): FM = 13.9, RA = 2.9; PNS: FM = 7.2, RA = 6.8; HAQ: FM = 0.90, RA = 1.22; FIQ: FM = 47.2, RA = 42.5; AHI: FM = 32.7, RA = 31.8; sleep quality--mean duration of daily sleep: FM = 6.7 h, RA = 6.1; PSI scores: FM = 64.6, RA = 57.2. On questioning regarding economic impact, there was a decrease in family income for 65% of patients with FM and 75.1% for those with RA. Fifty-five percent of patients with FM and 66.6% of those with RA received social security aid. At followup evaluation, there was a statistically significant improvement in the following items for the patients with FM: TP count, HAQ, and AHI. The patients with RA improved in number of TP and AHI.
FM has a negative impact on quality of life, similar to RA. Clinical, functional, and economic problems related to the disease were observed. The alteration observed remained relatively stable during the study period, except for physical disability.
评估并比较纤维肌痛（FM）患者和类风湿关节炎（RA）患者的生活质量。
对44名FM女性患者和41名RA女性患者进行了研究。共进行了3次评估，间隔为3个月。除了特殊和常规临床检查外，还应用了以下测试：疼痛数字量表（PNS）、健康评估问卷（HAQ）、纤维肌痛影响问卷（FIQ）、关节炎无助感指数（AHI）、改良睡眠后量表（PSI），以及关于睡眠障碍和社会经济影响的问题。
结果如下：压痛点（TP）：FM = 13.9，RA = 2.9；PNS：FM = 7.2，RA = 6.8；HAQ：FM = 0.90，RA = 1.22；FIQ：FM = 47.2，RA = 42.5；AHI：FM = 32.7，RA = 31.8；睡眠质量——每日平均睡眠时间：FM = 6.7小时，RA = 6.1小时；PSI评分：FM = 64.6，RA = 57.2。在询问经济影响时，65%的FM患者和75.1%的RA患者家庭收入减少。55%的FM患者和66.6%的RA患者获得了社会保障援助。在随访评估中，FM患者在以下项目上有统计学显著改善：TP计数、HAQ和AHI。RA患者的TP数量和AHI有所改善。
FM对生活质量有负面影响，与RA相似。观察到了与疾病相关的临床、功能和经济问题。除身体残疾外，在研究期间观察到的变化保持相对稳定。
