青少年ME/CFS -研究综述

Justyna Szrajda
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摘要

慢性疲劳综合征(Chronic Fatigue Syndrome, CFS),又称肌痛性脑脊髓炎(myalgic encephalomyelitis, ME),是一种以长期疲劳为特征的疾病,在休息时没有明显缓解,不是由以前的医疗条件或持续运动引起的。症状很多样,但不是这种疾病所特有的。最常见的是:注意力和记忆力问题、喉咙痛、淋巴结肿大、关节痛、睡眠障碍、头痛。此外,自主神经系统功能和运动后不适检查被认为是诊断青少年ME/CFS的重要指标。所提出的研究分析表明,患有ME/CFS的青少年迫切希望被理解和相信一种很少被理解的疾病。在年轻的ME/CFS患者中,继续教育和保持社会活动似乎是维持生活质量的关键。与健康青少年相比,青少年的ME/ CFS可能导致与学校缺勤、学校生活质量、学习和学业成绩较差有关的重大问题。在青少年中,焦虑可能与ME/CFS同时发生。如果需要,可以考虑对合并症进行支持性治疗。然而,目前对于ME/CFS还没有确定有效的治疗方法,这是迫切需要的。【关键词】ME/CFS;青少年;慢性疲劳综合征
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ME/CFS in Adolescents — Study Review
Chronic Fatigue Syndrome (CFS), also called myalgic encephalomyelitis (ME), is a condition characterized by long-term fatigue that is not significantly alleviated during rest and is not caused by previous medical conditions or continuous exercise. Symptoms are quite diverse, but not specific to this disease entity. The most common are: concentration and memory problems, sore throat, swollen lymph nodes, joint pain, sleep disturbances, headache. Moreover, autonomic nervous system functioning and post-exertional malaise examination is considered to be important in diagnosis of adolescent patients with ME/CFS. The presented analysis of research shows that adolescents with ME/CFS urge to be understood and believed regarding an illness that few understood. Continuing education and remaining the social activity in young ME/CFS patients seems to be crucial in maintaining quality of life. ME/ CFS in adolescents might lead to significant problems related to the school absenteeism, poorer quality of life at school, school and academic achievement compared to healthy adolescents. Anxiety might co-occur with ME/CFS in adolescents. Supportive therapy for comorbidities could be considered, if needed. However, there is no established effective treatment for ME/CFS, for which there is urgent need. (JNNN 2020;9(2):76–79) Key Words: ME/CFS, adolescents, Chronic Fatigue Syndrome
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