摘要：

功能性运动障碍是一类常见的分离性/转换性障碍，已成为功能性神经系统疾病（以下简称功能性神经疾病）的代表性疾病谱系以及运动障碍疾病的最重要分支之一。2021年功能性运动障碍的诊断与治疗中国专家共识编写组发布首版《功能性运动障碍的诊断与治疗中国专家共识》。随着对功能性运动障碍认识的深入，共识编写组结合国内功能性神经疾病多学科诊疗模式门诊的设置及相关临床实践，纳入近2年最新临床研究进展，在首版基础上进一步详细阐明功能性运动障碍的流行病学、病因及病理生理学机制、临床表现、辅助检查、诊断与鉴别诊断、治疗及预后及其相关推荐意见，以期为疾病提供更具体的诊断与治疗依据，推动我国功能性运动障碍诊断与治疗水平的发展。

关键词: 转换障碍, 运动障碍, 诊疗指南

Abstract:

Functional movement disorder (FMD) is a common category of dissociative/conversion disorder and has become representative disease spectrum of functional neurological disorder (FND) and an important branch of movement disorder diseases. In 2021, we introduced the Chinese expert consensus on the diagnosis and treatment of FMD domestically for the first time. With the progressively understanding of FMD and clinical experiences from FND-multi-disciplinary team (MDT), this article summarizes the research progress in FMD diagnosis and treatment over the past two years. Building upon the initial version, it provides a more detailed overview of FMD's epidemiology, pathophysiology, clinical manifestations, auxiliary examinations, diagnosis and differential diagnosis, treatment and prognosis, along with relevant recommended insights. The aim is to offer more specific diagnostic and therapeutic foundations for clinicians.

Key words: Conversion disorder, Motor disorders, Diagnostic and treatment guideline