慢性疲労症候群 : 歯科領域疾患との関連

概要

論文の詳細を見る
Chronic fatigue syndrome (CFS) consists of various symptoms, including unexplained and prolonged fatigue, generalized pains, sleep disturbance, and depressive mood. Possible etiological factors have been proposed from many research fields, such as infection, immunology, endocrinology, neurology, and psychiatry. We had reported impaired hemodynamic regulation in patients with CFS caused by autonomic nervous system dysfunction, that is, increased sympathetic activity and decreased parasympathetic activity. Various treatments have been reported to be partially effective against CFS. Above all, behavior therapy which is composed of cognitive-behavior therapy and graded exercise therapy was found to be of benefit. Drug therapy including use of antidepressants had a limited role. Complicated etiological factors require the physician to comprehend not only the patient's symptoms but also mental and environmental aspects. Comprehensive assessment and management of CFS patients is crucial as the basis of a bio-psycho-social medical model. Additionally, fibromyalgia (FM) is reviewed. Both CFS and FM are frequently further complicated by temporomandibular disorders, so dentists are required to have knowledge of these diseases and to be able to identify CFS or FM in dental patients with chronic orofacial pain.
福岡歯科大学学会の論文
2007-03-31