在COVID-19幸存者中,呼吸不良的运动反应和心理健康症状
Kathryn M Milne1,2, Juthaporn Cowan3,4,5, Michele R Schaeffer1,6
1Centre for Heart Lung Innovation, The University of British Columbia and Providence Research, St Paul's Hospital, Vancouver, BC, Canada.
ERJ open research
|June 20, 2023
概括
在COVID-19之后的持续性呼吸困扰的特点是特定的感觉,如窒息和紧张. 这种呼吸困难与气体交换不良,脱水和COVID-19后焦虑和抑郁症增加有关.
科学领域:
- 肺部医学 肺部医学
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 呼吸不良是COVID-19感染后的频繁和持续的症状.
- 在COVID-19后呼吸障碍的潜在机制仍然不完全理解.
- 了解这些机制对于管理长期COVID症状至关重要.
研究的目的:
- 调查COVID-19后综合征患者呼吸障碍的质量和强度.
- 评估该人口中心理健康症状的负担.
- 为了比较COVID-19后持久性呼吸不良和没有持久性呼吸不良的个体之间的运动反应.
主要方法:
- 一项涉及49名参与者的横截面研究,COVID-19疾病后4个月.
- 参与者被分为持久性呼吸障碍和没有持久性呼吸障碍的组 (修改后的医学研究理事会呼吸障碍得分≥1).
- 方法包括问卷,肺功能测试和心肺运动测试.
主要成果:
- 呼吸障碍组报告了运动呼吸障碍强度和不愉快度的增加,有窒息和紧张的特质.
- 在呼吸障碍组中观察到呼吸器低效率 (较高的VE/V'CO2最低值) 和脱水 (较低的无氧值).
- 持久性呼吸不良的个体中,焦虑,抑郁和创伤后压力症状的增加很普遍.
结论:
- 后COVID-19持续性呼吸不良与一个独特的表型有关,包括异常气体交换和脱水.
- 这种呼吸困难与心理压力增加有很大关系,包括焦虑和抑郁.
- 研究结果表明,COVID-19后呼吸不良的呼吸道,心血管和心理因素之间存在复杂的相互作用.
相关概念视频
01:26COPD: Management Using Bronchodilators and Corticosteroids
255
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
255
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.8K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.8K
01:25Hyperpnea and Hyperventilation
1.2K
Hyperventilation refers to a higher-than-normal rate and depth of breathing, often associated with anxiety attacks. This excessive breathing surpasses the body's need to expel CO2, leading to a condition known as hypocapnia - an unusually low level of carbon dioxide in the blood. Hypocapnia can constrict cerebral blood vessels, reducing blood flow to the brain, which may result in dizziness or fainting. Early signs include tingling and muscle spasms in the hands and face, caused by falling...
1.2K
01:23Assessment of Respiration
1.2K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.2K
01:23Acute Respiratory Failure-IV
181
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
181
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K