[纤维肌痛综合征的定义、分类及诊断]
[Definition, classification and diagnosis of fibromyalgia syndrome].
作者信息
Eich W, Häuser W, Friedel E, Klement A, Herrmann M, Petzke F, Offenbächer M, Schiltenwolf M, Sommer C, Tölle T, Henningsen P
机构信息
Abteilung Innere Medizin II, Universitatsklinikum Heidelberg, Heidelberg.
出版信息
Z Rheumatol. 2008 Dec;67(8):665-6, 668-72, 674-6. doi: 10.1007/s00393-008-0404-4.
BACKGROUND
Interdisciplinary guidelines for the definition, classification and diagnosis of chronic widespread pain (CWP) and fibromyalgia syndrome (FMS) were developed by collaboration of 10 German medical and psychological associations and 2 patient self-help organizations.
METHODS
A systematic literature search was performed in the Cochrane Library (1993-12/2006). Medline (1980-2006), and Scopus (1980-12/2006). Levels of evidence were assigned according to the classification system of the Oxford Center for Evidence-Based Medicine. Grading of the strength of recommendation was done according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.
RESULTS
CWP is defined by the criteria of the American College of Rheumatology (ACR-strong consensus). FMS can be diagnosed for clinical purposes by symptom-based criteria (without tender point examination) as well as by the ACR criteria (strong consensus).
背景
慢性广泛性疼痛（CWP）和纤维肌痛综合征（FMS）的定义、分类及诊断的跨学科指南由10个德国医学和心理学协会以及2个患者自助组织合作制定。
方法
在考克兰图书馆（1993年至2006年12月）、医学期刊数据库（1980年至2006年）和Scopus数据库（1980年至2006年12月）进行系统的文献检索。根据牛津循证医学中心的分类系统确定证据水平。推荐强度分级按照德国疾病管理指南程序进行。采用标准化程序就推荐意见达成共识。
结果
CWP根据美国风湿病学会标准定义（ACR - 强烈共识）。FMS在临床诊断中可依据基于症状的标准（无需压痛点检查）以及ACR标准（强烈共识）进行。
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