重症后COVID-19心肺康复:对患者特征和康复动态的综合研究与炼强度相关
Andreea Dumitrescu1, Gabriela Doros2, Voichita Elena Lazureanu3
1Cardioprevent Foundation, Calea Dorobantilor 3, 300134 Timisoara, Romania.
Journal of clinical medicine
|July 14, 2023
概括
严重的COVID-19幸存者从量身定制的心肺康复中受益. 低强度和高强度课程在三个月内显著改善了心脏和肺功能.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
背景情况:
- 严重的COVID-19通常会导致严重的心肺损伤,需要专门的康复治疗.
- 后COVID-19恢复需要干预,以解决持久的心脏和肺部功能障碍.
研究的目的:
- 评估严重的COVID-19对心肺健康的影响.
- 评估COVID-19后患者分层低强度和高强度康复干预措施的有效性.
主要方法:
- 在3个月内 (2021年9月至2022年9月) 对84名严重的COVID-19患者进行前性研究.
- 患者被分为个别定制的低强度和高强度康复组.
- 监测心肺功能,包括肺损伤,氧气需求,喷射分数和肺体积.
主要成果:
- 两个康复组都在肺损伤,氧气需求,射出分数和肺动脉压力方面表现出显著改善.
- 关键的肺功能测试 (FVC,FEV1,FEV1/FVC,PEF,FEF 25-75%) 显示了相当大的改善.
- 在3个月的时间里,工作强度和整体心肺功能在两组中都大大改善.
结论:
- 在严重的COVID-19幸存者中,个性化,有针对性的康复有效改善长期心肺健康.
- 低强度和高强度训练方案都足以在3个月内改善心脏和肺功能.
- 综合性心肺康复,按患者康复分层,对于COVID-19后的护理至关重要.
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