纤维肌痛的管理:一个更新
Eric A Jones1, Farrah Asaad1, Nishil Patel1
1Department of Rehabilitation and Human Performance, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Biomedicines
|June 27, 2024
概括
纤维肌痛管理包括患者教育,运动和心理治疗. 有效的药物包括duloxetine,milnacipran,pregabalin和amitriptyline用于缓解症状.
科学领域:
- 神经学 神经学
- 类风湿病学 类风湿病学
- 疼痛医学 医学 疼痛医学
背景情况:
- 纤维肌痛是一种慢性疼痛障碍,影响了许多人,导致广泛的疼痛,疲劳和认知问题.
- 由于异常的疼痛处理,它显著降低了生活质量和日常功能.
研究的目的:
- 提供一篇关于纤维肌痛理解和管理的最新评论.
- 提供对改善患者治疗结果的各种治疗工具的见解.
主要方法:
- 关于纤维肌痛诊断和治疗的综合文献综述.
- 对非药理和药理干预措施的分析.
主要成果:
- 患者教育,运动和心理治疗是关键的非药物治疗策略.
- 杜洛西丁,米尔纳西普兰,普雷加巴林和阿米林在纤维肌痛症状方面显示出一致的好处.
- 无抗炎药和乙氨基的疗效有限,一般不推使用.
结论:
- 结合教育,运动,心理治疗和特定药物的多学科方法对于纤维肌痛管理至关重要.
- 新兴的治疗方法,如NMDA受体对抗剂,纳尔特雷和大麻素,由于证据有限和潜在的副作用,需要谨慎使用.
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