Abstract：
The practice guideline for general practitioners (GPs) on polymyalgia rheumatica and temporal arteritis was published in February 2010 by the Dutch College of General Practitioners. This guideline provides GPs with recommendations for the diagnosis and treatment of polymyalgia rheumatica. After other disorders have been excluded, the diagnosis of \'polymyalgia rheumatica\' is made in patients over the age of 50 who have bilateral pain in the neck and shoulder girdle and/or hip girdle that has lasted for longer than 4 weeks, morning stiffness that lasts longer than 60 minutes and an ESR > 40 mm in the first hour. After the diagnosis is made treatment with prednisone or prednisolone 15 mg per day is started. This dosage is diminished very gradually according to a uniform treatment schedule during a period of 3 months, thereafter depending on the clinical course. The practice guideline pays attention to the diagnosis and management of temporal arteritis only when it occurs concurrently with polymyalgia rheumatica.
摘要：
2010年2月，荷兰全科医师学院发布了关于风湿性多肌痛和颞动脉炎的全科医生（GPs）实践指南。该指南为全科医生提供了诊断和治疗风湿性多肌痛的建议。在排除其他疾病后，“风湿性多肌痛”的诊断是在50岁以上的患者中进行的，这些患者的颈肩带和/或髋带双侧疼痛持续超过4周，早晨僵硬持续超过60分钟，第一个小时的ESR>40毫米。诊断后，开始每天使用泼尼松或泼尼松龙15mg治疗。在3个月的时间内，根据统一的治疗方案，该剂量逐渐减少。此后取决于临床过程。实践指南仅在与风湿性多肌痛同时发生时，才注意颞动脉炎的诊断和治疗。
