改善COVID后症状的新型呼吸疗法:一个案例系列
Hadas Golan1, Rosalba Courtney2, Jeremy Wolfberg3
1Department of Otolaryngology, Boston Medical Center, Boston, Massachusetts.
概括
这项研究表明,综合性呼吸疗法可以帮助长期COVID患者呼吸问题和相关症状. 呼吸重新训练改善了患者的功能,并减少了与后COVID条件相关的症状.
科学领域:
- 肺部病理学 肺部病理学
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 后COVID条件通常涉及复杂的症状,如呼吸不全和疲劳,复杂的声音和呼吸道问题.
- 功能障碍呼吸 (DB) 越来越被认为是导致这些衰弱的后COVID症状的因素.
- 传统的语音语言病理学治疗可能对同时出现DB的患者不那么有效.
研究的目的:
- 评估一个整合性呼吸疗法 (IBT) 协议,用于COVID后病情和DB的迹象的患者.
- 系统地评估和解决DB的生物力学,生物化学和心理生理学方面.
- 为改善呼吸功能提供有针对性的,以患者为中心的呼吸再培训.
主要方法:
- 采用了病例系列设计,专注于耳鼻喉诊所的患者.
- 患者使用IBT原则进行了DB维度的系统评估.
- 治疗包括在6-12周一次的远程医疗和个人课程中进行密集,全面的呼吸再培训.
主要成果:
- 所有参与者都在DB参数中表现出可测量的改善.
- 患者报告COVID后症状显著减少.
- 整个参与者群体的整体日常功能和生活质量得到改善.
结论:
- 综合,密集的呼吸再培训,解决DB的多个维度,对长期COVID患者来说是有前途的.
- 在这个人群中,IBT可能是治疗呼吸障碍和其他症状的有效方法.
- 需要进一步的受控试验来验证和完善IBT协议.
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