纤维肌痛的诊断标准：批判性回顾和未来展望。,Journal of Clinical Medicine

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纤维肌痛的诊断标准：批判性回顾和未来展望。
Journal of Clinical Medicine ( IF 3.0 ) Pub Date : 2020-04-23 , DOI: 10.3390/jcm9041219
Carmen M Galvez-Sánchez ₁ , Gustavo A Reyes Del Paso ₁

Affiliation

纤维肌痛综合征 (FMS) 是一种慢性疾病，其特征是广泛的疼痛和其他临床和情绪症状。缺乏该疾病的客观标志物一直是 FMS 研究、临床管理和对该疾病的社会认可的一个持续存在的问题。对 FMS 诊断标准（尤其是美国风湿病学会 (ACR) 制定的标准）进行了重要的历史修订。本叙述性评论的结构如下：引言；FMS的历史背景，包括提出和修订诊断标准的研究；ACR FMS诊断标准（1990年和2010年版本）的制定过程；修订2010年ACR FMS诊断标准；根据2010年和2011年的标准制定了有助于诊断和评估疾病临床严重程度的量表，例如多症状痛苦量表和FMS调查问卷；患病率和性别比与不同诊断标准的关系；ACR FMS 标准的有效性和诊断准确性；鉴别诊断和合并症的问题；ACR FMS 标准的优势和主要局限性；FMS诊断的新视角；以及新发现对 FMS 诊断的影响。结论是，尽管制定了 2010 年 FMS 官方诊断标准以及 2011 年和 2016 年的诊断建议，但卫生专业人员和患者的投诉仍在继续。

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Diagnostic Criteria for Fibromyalgia: Critical Review and Future Perspectives.

Fibromyalgia syndrome (FMS) is a chronic illness characterized by widespread pain and other clinical and emotional symptoms. The lack of objective markers of the illness has been a persistent problem in FMS research, clinical management, and social recognition of the disease. A critical historical revision of diagnostic criteria for FMS, especially those formulated by the American College of Rheumatology (ACR), was performed. This narrative review has been structured as follows: Introduction; historical background of FMS, including studies proposing and revising the diagnostic criteria; the process of development of the ACR FMS diagnostic criteria (1990 and 2010 versions); revisions of the 2010 ACR FMS diagnostic criteria; the development of scales based on the 2010 and 2011 criteria, which could help with diagnosis and evaluation of the clinical severity of the disease, such as the Polysymptomatic Distress Scale and the FMS Survey Questionnaire; relationships of prevalence and sex ratio with the different diagnostic criteria; validity and diagnostic accuracy of the ACR FMS criteria; the issues of differential diagnosis and comorbidity; the strength and main limitations of the ACR FMS criteria; new perspectives regarding FMS diagnosis; and the impact of the novel findings in the diagnosis of FMS. It is concluded that despite the official 2010 FMS diagnostic criteria and the diagnostic proposal of 2011 and 2016, complaints from health professionals and patients continue.

更新日期：2020-04-23

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