20140103 纖維肌疼痛症 病患衛教

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Transcript of 20140103 纖維肌疼痛症 病患衛教

  • 1. Fibromyalgia

2. Fibromyalgia 3. ? 4. 5. 45 6. ! 7. ? 45 ! !? 8. 9. ? YES ! P (substance P) serotonin .. 10. ( ) Harding SM. Am J Med Sci 1998;315:367-376; Leavitt F, et al. Arthritis Rheum 1986;29:775-781; Roizenblatt S, et al. Arthritis Rheum. 2001;44:222-230; Weir PT, et al. J Clin Rheumatol 2006;12:124-128; Wolfe F, et al. Arthritis Rheum 1990:33:160-172; Wolfe F et al. Arthritis Rheum 1995;38:19-28. 11. 2% 7 12. ?2%98% 13. ? ! ! 14. 15. ! ? ? 16. - FAD : Pregabalin (Lyrica 75mg) Dulxetine (Cymbalta 30mg) Milnacipran 17. - 18. 19. amitriptyline fluoxetine duloxetine milnacipran meclobemide pirlindole tropisetr on pramipexole FAD : Pregabalin (Lyrica 75mg) 20. Pregabalin (Lyrica 75mg) 21. Yes or No? 22. heated pool therapy B 23. 24. ? : : : 25.