CAJ | 학술논문

目的分析纤维肌痛综合征(FMS)的临床特点、诊断和治疗等,提高对该病的认识.方法回顾性分析我院2008年7月至2011年7月诊治的52例FMS的临床资料,并结合文献,探讨其临床特点、实验室检查、治疗和预后等.结果 52例FMS患者中女性和男性的比例约为9∶1,平均确诊时间4年,疼痛呈弥漫性,压痛多呈对称性,疲劳和睡眠障碍为最常见症状,无特异性的实验室检查,37例单纯药物治疗患者中有21例(57％)症状缓解,15例联合治疗患者中,有12例(80％)症状缓解.结论 FMS发病率高,临床表现多样,应引起临床医生的足够重视,由于本研究样本数量的限制,尚不能得出联合治疗优于单纯药物治疗的结论.
목적 분석섬유기통종합정(FMS)적림상특점、진단화치료등,제고대해병적인식.방법 회고성분석아원2008년7월지2011년7월진치적52례FMS적림상자료,병결합문헌,탐토기림상특점、실험실검사、치료화예후등.결과 52례FMS환자중녀성화남성적비례약위9∶1,평균학진시간4년,동통정미만성,압통다정대칭성,피로화수면장애위최상견증상,무특이성적실험실검사,37례단순약물치료환자중유21례(57％)증상완해,15례연합치료환자중,유12례(80％)증상완해.결론 FMS발병솔고,림상표현다양,응인기림상의생적족구중시,유우본연구양본수량적한제,상불능득출연합치료우우단순약물치료적결론.
Objective To analyze the clinical features,diagnosis and treatment of fibromyalgiav syndrome (FMS).Methods Retrospectively analyzed 52 cases of FMS treated in our hospital between July,2008 to July,2011,and its clinical features,laboratory examination results,treatment and prognosis were analyzed.Results The ratio of female and male patients was 9∶1 in 52 FMS patients.The diagnosis was delayed for four years in average.Pain of FMS was diffuse and tenderness was symmetrical.Fatigue and sleepdisorder were the most common symptoms.There were no specific laboratory tests for this condition.Symptoms of 21 patients (57％) were alleviated among 37 patients who received drug treatment only,and comparatively,the symptoms of 12 patents (80％) were alleviated among 15 patients who received combined drugs and non-drug treatment.Conclusion The incidence of FMS is high and its clinical features vary.Clinician should pay much attention to the disease.Because the study sample size is small,so further study is needed to demonstrate the superiority of the combined therapy.