To analyze the clinical and psychological characteristics of fibromyalgia (FM), so as to further understand and improve the capability of identifying FM. The clinical data of 250 FM patients diagnosed in the outpatient clinic of the Department of Rheumatology, the First Medical Center, Chinese PLA General Hospital, from December 2019 to September 2021, were collected and analyzed. The patients aged 40 (31.0, 52.3) years, including 188 female patients (75.2%) and 62 male patients (24.8%). There was a statistically significant difference in age comparison between female [42.5 (33.0,54.0) years] and male patients [32.5 (27.8,43.5) years] (P<0.001). The score of pain degree was 6 (4, 8), and [7 (5, 8)] of female patients was higher than [6 (4, 7)] of the male patients (P=0.040). The widespread pain index (WPI) was 13 (10,15). The regions with high pain incidence were left shoulder girdle (87.2%, 218/250), right shoulder girdle (86.8%, 217/250), upper back (86.4%, 216/250), neck (79.6%, 199/250) and lower back (77.6%, 194/250) and etc. The incidence of chest pain in female patients (55.3%, 104/188) was lower than that in male patients (75.8%, 47/62) (P=0.004). The symptom severity scale (SSS) score was 8 (7-10). 74.6% (185/248) suffered from anxiety and 77.5% (193/249) suffered from depression in 249 patients. Female patients were more common in FM patients than male patients, the median age of female patients was older than that of male patients, and the median score of pain severity of female patients was higher than male patients. Shoulders girdle, upper back, neck and lower back were the most frequently reported pain regions, and the incidence of chest pain in female patients was lower than that in male patients. The incidence of major non-painful symptoms was high and the proportion with anxiety or depression was high. The above clinical features are very helpful for early diagnosis of FM.
分析纤维肌痛患者的临床和心理特征，以加深对其的认识，并提高对其识别的能力。收集并分析2019年12月至2021年9月在解放军总医院第一医学中心风湿免疫科确诊的250例纤维肌痛患者的临床资料。250例患者中女性188例（75.2%），男性62例（24.8%），年龄40.0（31.0，52.3）岁。女性患者年龄［42.5（33.0，54.0）岁］大于男性［32.5（27.8，43.5）岁］（P<0.001）。疼痛程度评分为6（4，8）分，女性患者［7（5，8）分］高于男性［6（4，7）分］（P=0.040）。广泛疼痛指数（WPI）为13（10，15），疼痛部位最多的是左肩胛带区（87.2%，218/250）、右肩胛带区（86.8%，217/250）、上背部（86.4%，216/250）、颈部（79.6%，199/250）和下背部（77.6%，194/250）等。胸部疼痛发生率女性患者（55.3%，104/188）低于男性（75.8%，47/62）（P=0.004）。症状严重程度评分为8（7，10）分。249例患者中焦虑占74.6%（185/248），抑郁占77.5%（193/249）。纤维肌痛患者中女性较男性更多见，女性患者中位年龄、中位疼痛程度评分高于男性。肩胛带区、上背部、颈部和下背部是疼痛最常出现的部位，女性患者胸部疼痛发生率低于男性。主要非疼痛症状的发生比例及伴发焦虑和抑郁的比例均较高。掌握上述临床特征对早期识别纤维肌痛有很大帮助。.