纤维肌痛综合征(fibromyalgia syndrome,FMS)的主要症状有疼痛和抑郁等,严重影响了患者的身心健康。目前临床上治疗FMS的方法有药物治疗和非药物治疗两种。运动疗法是一种有效的非药物治疗方法,它有助于减轻FMS患者的疼痛和抑郁症状,从而提高其生活质量。本文在分析有氧运动和抗阻运动对FMS患者疼痛和抑郁影响的基础上,进一步研究了FMS的发病机制及运动改善FMS的生理机制。结果表明,规律的中高强度有氧运动和抗阻运动可通过诱导痛觉减退、抗炎作用、改善自主神经功能障碍以及奖赏效应等途径显著改善FMS患者的疼痛和抑郁症状。尽管运动改善FMS患者症状的效果明显,但运动方案仍有待进一步优化,以提高其科学性和安全性。

Fibromyalgia syndrome (FMS) is primarily characterized by pain and depression, both of which significantly impair patients' physical and mental health. Currently,clinical therapies for FMS include both pharmacological and non-pharmacological methods.Exercise therapy is an effective non-pharmacological approach that helps alleviate pain and depressive symptoms in patients with FMS,thereby improving their quality of life.Based on relevant literature, this article analyzes the effects of aerobic exercise and resistance exercise on pain and depression in patients with FMS, further explores the pathogenesis of FMS and the physiological mechanisms by which exercise exerts its therapeutic benefits.The findings indicate that regular medium to high intensity aerobic exercise and resistance exercise can substantially improve pain and depression symptoms in patients with FMS through mechanisms such as inducing hypoalgesia, exerting anti-inflammatory effects,improving autonomic dysfunction,and promoting reward effects. Despite the evident effect of exercise on improving symptoms in patients with FMS, exercise protocols still need further optimization to enhance their scientific rigor and ensure safety.