慢性疲勞病患之身體心理症狀及相關檢查的描述性研究

A Descruotuve Syrvey of the Somatic,Psychological Symptoms and its Related Objective Findings in Chronic Fatigue Patients

10.7023/TJFM.200306.0061

施嫈瑜(Ying-Yu Shih)；李世代(Shyh-Dye Lee)；郭聖達(San-Dar Kuo)；陳鏡任(Jing-Yenn Chen)；楊土恆(Shih-Heng Yang)

chronic fatigue ； functional somatic syndrome ； sleep disturbance ； neurasthenia

台灣家庭醫學雜誌

13卷2期（2003 / 06 / 01）

61 - 70

繁體中文

疲勞是許多身體及精神疾病所合併的常見、非特異性的主觀症狀。本研究以102位以慢性疲勞為主訴至家庭醫學科門診就醫的病患為對象，施以常規檢查及問卷調查，希能對慢性疲勞病患之病症表現及常用檢查之結果有概括性的認識。 病患平均併有12.13±6.36種的身體心理情緒障礙症狀：一半以上的病患合併有口乾、頸部僵疼、健忘、頭痛或暈、心悸、煩躁不寧、眼睛乾澀或模糊等身體症狀，四成病患併有焦慮或憂鬱的精神症狀。病患的睡眠障礙相當普遍，約七成病患受無恢復型睡眠困擾、四成病患有入睡困難情形。客觀檢查發現肝功能及抗細胞核抗體的異常率最高，然所有客觀異常結果與身體症狀的關連性皆不明顯。 鑒於難以用實驗檢查做驗證的身體症狀相當常見，臨床醫師應以身體心理社會模式來提供類此機能性身體化症候群病患的周全性醫療照護。

Fatigue is a common. Non-specific, subjective symptom associated with several somatic and psychiatric illnesses. 102 patients with the chief complaint of chronic fatigue were evaluated by clinical examination and self-reported questionnaire. The average number of evaluated symptoms was 12.13±6.36 More than half of the patients had mouth dryness, neck tightness, poor memory, headache, dizziness, palpitation, irritability, and dry eyes. About 40% of the patients had psychiatric morbidity as anxiety and depression. Sleep difficulty was very common in patients with chronic fatigue, characterized by non-restorative sleep. There were about 30% who patients had abnormal liver function test and positive anti-nuclear antibody (ANA). But few symptomatic differences were found between normal and abnormal scientific data. Symptoms, and especially those without clear underlying medical explanations, account for a large percentage of clinical encounters. In providing patients comprehensive care, family physicians need to use bio-psycho-social model to manage this sort of functional somatic syndrome.

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