不同体质量指数的纤维肌痛综合征妇女的关节疼痛、疲劳以及生活质量的分析

Influence of Different Body Mass Indexes on Joint Pain,Fatigue and Life Quality of Women with Fibromyalgia Syndrome

目的探讨不同体质量指数(BMI)的纤维肌痛综合征妇女的关节疼痛、疲劳以及生活质量的区别。方法选取2012年6月—2013年12月收治的纤维肌痛综合征妇女88例,根据BMI将患者分为A组24例(BMI<18)、B组32例(18≤BMI≤24)和C组32例(BMI>24)。比较3组关节疼痛的视觉模拟评分(VAS)和5点口述疼痛评分问卷(VARS-5)得分、僵痛和疲劳情况、生活质量健康调查问卷(SF-16)。结果 B组VAS和VARS-5得分、僵痛和疲劳的发生率均低于A组和C组,A组亦低于C组(P<0.05);B组SF-16结果优于A组和C组,A组亦优于C组(P<0.05)。结论 BMI正常的纤维肌痛综合征妇女关节疼痛程度较低,疲劳发生率较低且生活质量较高。

Objective To investigate the influence of different body mass indexes（ BMI） on joint pain,fatigue and life quality of women with fibromyalgia syndrome. Methods A total of 88 women with fibromyalgia syndrome admitted during June 2012 and December 2013 were divided into group A（ BMI 18,n = 24）,group B（ 18≤BMI≤24,n =32） and group C（ BMI〉24,n = 32）. The values of joint pain evaluated with visual analogue scale（ VAS）,5 points of visual analogue range scale questionnaire（ VARS-5）,incidence rates of frozen pain and fatigue and life quality and health questionnaire（ SF-16） of 3 groups were compared. Results Scores of VAS and VARS-5 and incidence rates of frozen pain and fatigue in group B were significantly lower than those in group A and group C,and the values in group A were also significantly lower than those in group C（ P〈0. 05）; SF-36 scale scores of group B were more superior to those of group A and C,and the scores of group A were also superior to those of group C（ P〈0. 05）. Conclusion Fibromyalgia syndrome women with normal BMI have a lower pain level and a lower incidence rate of fatigue with better quality of life.