解开纤维肌痛的诊断和管理
Ji-Hyoun Kang1, Sung-Eun Choi1, Dong-Jin Park1
1Division of Rheumatology, Department of Internal Medicine, Chonnam National University Medical School and Hospital, Gwangju, Korea.
Journal of rheumatic diseases
|July 21, 2023
概括
纤维肌痛 (FM) 是一种复杂的慢性疼痛疾病. 2016年美国风湿病学学院的标准最能诊断出FM,尽管仍需要新的治疗方法.
科学领域:
- 类风湿病学 类风湿病学
- 疼痛医学 医学 疼痛医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 纤维肌痛是一种具有不清楚病理生理学的慢性疼痛疾病,导致诊断和管理挑战.
- 关键症状包括广泛的疼痛,疲劳,睡眠障碍,认知问题和情绪障碍.
- 存在多个诊断标准,包括2016年ACR,AAPT和修改的2019年FAS标准.
研究的目的:
- 审查目前对纤维肌痛病理生理学和诊断的理解.
- 评估最近的纤维肌痛诊断标准的表现.
- 总结当前纤维肌痛治疗的证据,并确定研究缺口.
主要方法:
- 对纤维肌痛治疗的随机对照试验和元分析的系统审查.
- 拟议和确定的纤维肌痛诊断标准的比较分析.
- 在文献中搜索有关纤维肌痛病理学,诊断和治疗的研究.
主要成果:
- 2016年美国风湿病学院 (ACR) 标准显示,与新提出的标准相比,其表现优越.
- 药物和非药物治疗方法在许多研究中都显示出治疗效果.
- 尽管有现有的治疗方法,但纤维肌痛的潜在病理生理学仍然不完全理解.
结论:
- 2016年ACR标准目前是诊断纤维肌痛最有效的标准.
- 虽然有治疗方法,但进一步的研究对于改善管理策略至关重要.
- 对纤维肌痛病理生理学的持续调查对于开发更有效的治疗方法至关重要.
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