在COVID-19和长期COVID后直接恢复肺部
Christoph H Altmann1, Elena Zvonova1, Lutz Richter2
1Klinik für Herz-Kreislauf-Erkrankungen, MEDIAN Klinik Bad Gottleuba, Königstraße 39, 01816 Bad Gottleuba, Germany.
Respiratory physiology & neurobiology
|July 5, 2023
概括
后COVID综合征 (长COVID) 经常导致肺功能障碍. 专门的康复计划有效地改善呼吸,帮助长期COVID患者恢复工作.
科学领域:
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
- 传染性疾病 传染性疾病
背景情况:
- 在SARS-CoV-2感染后经常出现永久性损伤,对于后COVID综合征 (长COVID) 的病理生理学知之甚少.
- 肺部问题和腹膜功能障碍在从COVID-19中康复的患者中很常见.
- 了解这些障碍对于有效的患者管理至关重要.
研究的目的:
- 为了比较COVID-19后直接接受康复的患者和长期COVID患者的肺功能障碍,康复和结果.
- 评估专门的多式联通康复计划的有效性.
- 在两组患者中确定共同的诊断发现.
主要方法:
- 心声图,心肺运动测试 (CPET) 和肺部超声波被用于诊断.
- 康复计划包括呼吸治疗,体育训练,心理支持和教育.
- 患者在急性康复期间和长期COVID阶段 (感染后4-20个月) 都被评估.
主要成果:
- 两组人都表现出类似的肺部问题和常见的隔膜功能障碍.
- 在两组患者中的大多数人中,CPET揭示了功能障碍的呼吸模式.
- 康复计划导致了显著的肺部恢复,并改善了恢复工作率.
结论:
- 功能障碍的呼吸模式和腹膜功能障碍在早期COVID-19恢复和长期COVID中都很普遍.
- 诊断意识和向治疗对于这些疾病至关重要.
- 专门的康复计划是急性COVID-19和长期COVID患者的有效治疗选择.
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