纤维肌痛综合征52例临床分析

纤维肌痛综合征52例临床分析

朱彩侠;池淑红;王海英;鱼云霞

【期刊名称】《中华风湿病学杂志》 【年(卷),期】2012(016)012

【摘要】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.%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