Multidisciplinary approach to fibromyalgia: What is the teaching?

被引：61

作者：

Sarzi-Puttini, Piercarlo ^{[1
]}

Atzeni, Fabiola ^{[1
,2
]}

Salaffi, Fausto ^{[3
]}

Cazzola, Marco ^{[4
]}

Benucci, Maurizio ^{[5
]}

Mease, Philip J. ^{[6
]}

机构：

[1] Osped L Sacco, L Sacco Univ Hosp, Rheumatol Unit, I-20127 Milan, Italy

[2] Queen Maly Univ London, William Harvey Res Inst, London, England

[3] Polytech Univ Marche, Dept Rheumatol, Ancona, Italy

[4] Azienda Osped Osped Circolo Busto Arsizio Presidi, Unita Operat Med Riabilitat, Varese, Italy

[5] Osped San Giovanni di Dio, Rheumatol Unit, Cagliari, Italy

[6] Univ Washington, Sch Med, Swedish Med Ctr, Seattle, WA USA

来源：

BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2011年 / 25卷 / 02期

关键词：

Fibromyalgia; Interdisciplinary management; Drugs; CONTROLLED CLINICAL-TRIAL; PHARMACOLOGICAL-TREATMENT; DOUBLE-BLIND; PATIENT EDUCATION; SELF-MANAGEMENT; SODIUM OXYBATE; EXERCISE; PAIN; THERAPIES; SYMPTOMS;

D O I：

10.1016/j.berh.2011.03.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Fibromyalgia (FM) is a rheumatic disease that is characterised by chronic musculoskeletal pain, stiffness, fatigue, sleep and mood disorder. FM patients demonstrate dysregulation of pain neurotransmitter function and experience a neurohormone-mediated association with sleep irregularities. There are currently no instrumental tests or specific diagnostic markers for FM, and many of the existing indicators are only significant for research purposes. Antidepressants, non-steroidal anti-inflammatory drugs (NSAIDS), opioids, sedatives, muscle relaxants and antiepileptics have all been used to treat FM with varying results. It has been shown that interdisciplinary treatment programmes lead to greater improvements in subjective pain and function than monotherapies. Physical exercise and multimodal cognitive behavioural therapy are the most widely accepted and beneficial forms of non-pharmacological therapy. (C) 2011 Published by Elsevier Ltd.

引用

页码：311 / 319

页数：9

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