nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2021-5-83-89nnp-1670Research ArticleREVIEWSОБЗОРЫModern approaches to the treatment of fibromyalgiaСовременные подходы к терапии фибромиалгииНасоноваТ. И.NasonovaT. I.

Татьяна Игоревна Насонова

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, Москва, ул. Россолимо, 11, стр. 1

Tatiana Igorevna Nasonova

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

1, Rossolimo St., Build. 1, Moscow 119021

tatiana.martova@yandex.ruМухаметзяноваА. Х.MukhametzyanovaA. Kh.

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

1, Rossolimo St., Build. 1, Moscow 119021

ТабееваГ. Р.TabeyevaG. R.

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

1, Rossolimo St., Build. 1, Moscow 119021

ЧерноусовП. А.ChernousovP. A.

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine

1, Rossolimo St., Build. 1, Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation2021161020211358389Copyright © Nasonova T.I., Mukhametzyanova A.K., Tabeyeva G.R., Chernousov P.A., 20212021Насонова Т.И., Мухаметзянова А.Х., Табеева Г.Р., Черноусов П.А.Nasonova T.I., Mukhametzyanova A.K., Tabeyeva G.R., Chernousov P.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1670

Fibromyalgia (FM) occurs in 5–12% of patients but is relatively rarely diagnosed, so most patients do not receive adequate treatment. The review analyses pharmacological and non-pharmacological methods of FM treatment. Data suggests that antidepressants (duloxetine, milnacipran, amitriptyline) and antiepileptics (pregabalin, gabapentin) are most effective. Among non-pharmacological methods, the effectiveness of cognitive-behavioral and mindfulness therapy, kinesiotherapy, and biofeedback has been shown. In the management of patients with FM, a combination of non-pharmacological methods and medications can reduce pain and improve the quality of life.

Фибромиалгия (ФМ) встречается у 5–12% пациентов, но относительно редко диагностируется, поэтому большинство пациентов не получают эффективного лечения. В обзоре анализируются лекарственные и нелекарственные методы терапии ФМ. Отмечается, что в качестве лекарственных средств наиболее эффективны антидепрессанты (дулоксетин, милнаципран, амитриптилин) и противоэпилептические средства (прегабалин, габапентин). Из нелекарственных методов терапии показана эффективность когнитивно-поведенческой терапии, майндфулнесс (терапии осознанности), кинезитерапии и биологической обратной связи. При ведении пациентов с ФМ комбинация немедикаментозных методов и лекарственных средств позволяет уменьшить боль и повысить качество жизни.

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The authors declare that there are no conflicts of interest present.