应提高对常见疼痛疾患--纤维肌痛的识别能力  

Improving the recognition of a common pain disorder:Fibromyalgia

作　　者：郭凯凯 梁东风[2] GUO Kaikai;LIANG Dongfeng(Department of Pain,Chinese PLA General Hospital,Beijing 100853,China;Department of Rheumatology the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心疼痛科,北京100853 [2]解放军总医院第一医学中心风湿免疫科,北京100853

出　　处：《解放军医学院学报》2021年第8期785-789,共5页Academic Journal of Chinese PLA Medical School

基　　金：解放军总医院临床科研扶持基金临床特色优势技术项目(2016FC-TSYS-2006)。

摘　　要：纤维肌痛(fibromyalgia,FM)是慢性广泛性疼痛的最常见原因之一,尽管疼痛是其主要和显著的特征,但它仍是一种复杂的多症状学疾患,包括疲乏、睡眠障碍和功能性症状。FM是第三常见的肌肉骨骼相关疾患,发病率仅次于腰痛和骨关节炎。尽管FM发病机制尚不明确,但神经生理因素(神经可塑性)和社会环境压力之间相互作用导致该病发生的观点已被接受。许多医生对其认识不足,导致大量FM病例出现了诊断不足、过度诊断或误诊的情况。了解FM的临床特征、诊断标准、常见的误诊疾病及共病疾病从而提高对其识别的能力非常重要。Fibromyalgia(FM)is one of the most common causes of chronic widespread pain.With the pain being its main and distinguishing feature,FM is characterized by a complex polysymptomatology that also comprises fatigue,sleep disturbances and functional symptoms.FM is the third most common musculoskeletal condition in terms of prevalence,ranks after lumbar pain and osteoarthritis.Although its etiopathogenesis has not been defined clearly,FM is recognized as a result of interactions between neurophysiological factors(neuroplasticity)and socio-environmental stressors.Given the low awareness of FM,it has been underdiagnosed,overdiagnosed and misdiagnosed in a number of cases.It is very important to understand the clinical features,diagnostic criteria,common misdiagnosed diseases and other concomitant diseases with FM,which is essential to improve the ability of clinicians to identify FM.

关 键 词：纤维肌痛 临床特征 诊断 误诊 疼痛 

分 类 号：F681[经济管理—产业经济]