肌痛性脑膜炎/慢性疲劳综合征的诊断和管理
Stephanie L Grach1, Jaime Seltzer2, Tony Y Chon1
1Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings
|October 4, 2023
概括
肌痛性脑筋炎/慢性疲劳综合征 (ME/CFS) 是一种复杂的神经疾病. 本综述为诊断,评估和管理ME/CFS提供了一种通用方法,强调其与长期COVID的重叠.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 肌痛性脑筋炎/慢性疲劳综合征 (ME/CFS) 是一种衰弱的神经系统疾病,通常是由感染引发的.
- 最近的研究表明,ME/CFS和COVID后的疾病 (长期COVID) 之间存在很大的重叠.
- 据估计,高达50%的长期COVID患者符合ME/CFS诊断标准.
研究的目的:
- 为广大受众提供ME/CFS的简洁概述.
- 概述ME/CFS目前的诊断和评估策略.
- 描述ME/CFS患者的管理方法.
主要方法:
- 关于ME/CFS和长期COVID的现有研究的文献综述.
- 综合诊断标准和临床评估指南.
- 基于证据的管理策略的总结.
主要成果:
- 诊断ME/CFS需要仔细评估特征性症状.
- 长期COVID的重叠需要提高意识和量身定制的管理.
- 多方面的方法对于有效的ME/CFS患者护理至关重要.
结论:
- 一般的方法可以促进ME/CFS的诊断和管理.
- 认识到ME/CFS和长期COVID的联系对于临床实践至关重要.
- 需要进一步的研究来阐明病理生理学和优化ME/CFS的治疗方法.
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