Wolfe F, Ross K, Anderson J, Russell I J, Hebert L
University of Kansas School of Medicine-Wichita.
Arthritis Rheum. 1995 Jan;38(1):19-28. doi: 10.1002/art.1780380104.
To determine the prevalence and characteristics of fibromyalgia in the general population.
A random sample of 3,006 persons in Wichita, KS, were characterized according to the presence of no pain, non-widespread pain, and widespread pain. A subsample of 391 persons, including 193 with widespread pain, were examined and interviewed in detail.
The prevalence of fibromyalgia was 2.0% (95% confidence interval [95% CI] 1.4, 2.7) for both sexes, 3.4% (95% CI 2.3, 4.6) for women, and 0.5% (95% CI 0.0, 1.0) for men. The prevalence of the syndrome increased with age, with highest values attained between 60 and 79 years (> 7.0% in women). Demographic, psychological, dolorimetry, and symptom factors were associated with fibromyalgia.
Fibromyalgia is common in the population, and occurs often in older persons. Characteristic features of fibromyalgia--pain threshold and symptoms--are similar in community and clinic populations, but overall severity, pain, and functional disability are more severe in the clinic population.
确定普通人群中纤维肌痛的患病率及特征。
对堪萨斯州威奇托市3006人进行随机抽样，根据是否存在疼痛、非广泛性疼痛和广泛性疼痛进行特征描述。对391人（包括193名有广泛性疼痛者）的子样本进行详细检查和访谈。
纤维肌痛的患病率在男女中均为2.0%（95%置信区间[95%CI]为1.4, 2.7），女性为3.4%（95%CI 2.3, 4.6），男性为0.5%（95%CI 0.0, 1.0）。该综合征的患病率随年龄增长而增加，在60至79岁达到最高值（女性>7.0%）。人口统计学、心理、痛觉测量和症状因素与纤维肌痛有关。
纤维肌痛在人群中很常见，且在老年人中经常发生。纤维肌痛的特征性表现——疼痛阈值和症状——在社区人群和临床人群中相似，但临床人群的总体严重程度、疼痛和功能残疾更为严重。
