線維筋痛症とchronic widespread pain（CWP）・不全型CWPの治療成績の比較

Comparison between the Outcome Treatment Results of Fibromyalgia and Chronic Widespread Pain

　3カ月以上治療を行った線維筋痛症(FM)患者34人とchronic widespread pain(CWP)・不全型CWP患者18人の治療成績を調べた．疼痛が著減し治療を終了した患者を治癒とみなした．初診時の疼痛を100とすると疼痛が30以下になった患者を著効，31から90以下になった患者を有効とみなした．FM患者の治療成績は治癒5人，著効4人，有効17人，不変・悪化8人だった．CWP・不全型CWP患者の治療成績は治癒6人，著効3人，有効7人，不変・悪化2人だった．有意差はないが，CWP・不全型CWPのほうが治療成績がよい傾向にあった．

　The outcome of 34 patients with fibromyalgia (FM) and 18 patients with chronic widespread pain (CWP) or the incomplete form of CWP (I-CWP) who underwent treatment for more than 3 months was compared.　Patients whose pain was markedly relieved after the completion of treatment were classified as a cure.　Pain at the time of the first visit was set equal to 100, and the outcome of the patients whose pain decreased to below 30 and to 31―90 was regarded as “excellent” and “good”, respectively.　Among the 34 patients with FM, the outcome of 5 was classified as a cure, 4 as excellent, 17 as good, and 8 as unchanged or aggravated.　Among the 18 patients with CWP/I-CWP, the outcome of 6 was classified as a cure, 3 as excellent, 7 as good, and 2 as unchanged or aggravated.　The outcome of treatment of CWP/I-CWP was better than the outcome of treatment of FM, but the difference was not significant.