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目的探讨儿童型纤维肌痛综合征(FMS)的临床特点。方法对1997年3月—2004年11月间我院收治的6例FMS患儿的临床表现、实验室检查以及治疗效果进行回顾性分析,并复习国内外文献。结果6例FMS患儿中,5例女性患儿均以腹痛起病,1例男性患儿以广泛性疼痛及左膝关节痛起病,均误诊为其他疾病。6例FMS患儿均有全身弥漫性疼痛(平均疼痛得分8.8,压痛点数13.7个)、疲乏、睡眠障碍、气温下降及活动后疼痛加重,出现关节痛、肌痉挛、腹痛、肠激惹征及尿急各有5例患儿,痛经4例,抑郁3例,晨僵、感觉异常及焦虑各2例。实验室和器械检查基本正常,治疗效果尚可。结论儿童FMS临床并非少见,应引起重视,避免误诊。
Objective To investigate the clinical features of pediatric fibromyalgia syndrome (FMS). Methods The clinical manifestations, laboratory tests and treatment effects of 6 FMS children admitted to our hospital from March 1997 to November 2004 were retrospectively analyzed and reviewed at home and abroad. Results Of the 6 FMS children, 5 cases of children with abdominal pain onset, a male patient with extensive pain and left knee joint pain, were misdiagnosed as other diseases. All 6 patients with FMS had diffuse systemic pain (average pain score 8.8, tenderness points 13.7), fatigue, sleep disturbance, decreased temperature and aggravated post-activity pain, joint pain, muscle spasm, abdominal pain, irritable bowel syndrome, Urinary urgency in each of 5 cases of children, 4 cases of dysmenorrhea, depression in 3 cases, morning stiffness, sensory abnormalities and anxiety in 2 cases. Laboratory and instrument checks were normal, the treatment effect is acceptable. Conclusion Children’s FMS clinical is not uncommon, should pay attention to avoid misdiagnosis.