原发性纤维肌痛综合症临床误诊分析  

Analysis of Clinical Misdiagnosis of Primary Fibromyalgia Syndrome

作　　者：穆红璞 

机构地区：[1]河南省南阳市中建七局医院疼痛科,473085

出　　处：《中国继续医学教育》2015年第16期76-77,共2页China Continuing Medical Education

摘　　要：目的分析原发性纤维肌痛综合症误诊、漏诊的原因,减小临床首诊的误诊率。方法选取我院及外院PFs临床首诊误诊的112例病例,按照1990年美国风湿协会纤维肌痛综合症分类判断标准,对误诊病例中患者的性别、年龄、职业以及首诊单位分布情况进行统计分析。结果 PFs病例共130例,其中男23例,女107例,首诊误诊的有112例,误诊率为86.15%,P<0.05,差异具有统计学意义。结论误诊病因分析,PFs病因和发病机制尚没有明确定论,早期症状不明,诊断难度大。临床首诊误诊、漏诊的主要原因在于临床医师对病症认识不足;缺少特异临床检查,常规检查没有异常表现;临床医师观察不仔细,病史了解不详细,缺乏全面细致的体检也是造成临床误诊的原因。Objective Analysis of primary fibromyalgia syndrome misdiagnosis reasons, reduce the first diagnosis of clinical misdiagnosis rate. Methods Selected 112 cases with clinical misdiagnosis PFs from January 2014 to January 2015 in our hospital, according to the 1990 American Rheumatism Association classiifcation criteria for ifbromyalgia syndrome, misdiagnosed cases of sex, age, occupation and distribution of the first diagnosis units for statistical analyzed. Results There were 130 cases of PFs, 23 cases of male, 107 cases of female, the ifrst misdiagnose had 112 case, misdiagnosis rate was 86.15%, P〈0.05, had difference statistically signiifcance. Conclusion Misdiagnosis etiology, PFs etiology and pathogenesis is still no clear conclusion, the early symptoms is unknown, diagnosis is dififcult, clinicians lack knowledge is clinical disease misdiagnosis and missed diagnosis the main reason;at the same time, there is no specific clinical examination routine examination no abnormalities and clinicians not carefully observed, no detailed understanding of the history, the lack of a comprehensive and detailed examination that cause misdiagnosis.

关 键 词：原发性纤维肌痛综合征 误诊 分析 

分 类 号：R742[医药卫生—神经病学与精神病学]