长期COVID:为纤维肌痛命名一个新词?
1Rheumatology department, Université Paris-Saclay, Assistance Publique - Hôpitaux de Paris, Hôpital Bicêtre, INSERM UMR1184, Le Kremlin Bicêtre, France xavier.mariette@aphp.fr.
Annals of the rheumatic diseases
|November 3, 2023
概括
长期COVID症状,影响高达80%的人,与纤维肌痛非常相似. 这项研究表明压力,而不是感染,驱动这些纤维肌痛类似的COVID后综合征,主张更改名称.
科学领域:
- 医学研究 医学研究
- 后病毒综合征 后病毒综合征
- 精神病体医学是一种精神病体医学.
背景情况:
- 长期COVID呈现出多样化的症状,持续超过COVID-19后3个月,患病率很高 (10-80%).
- 长期COVID和纤维肌痛之间的症状重叠是显著的.
- 最初的长期COVID流行率激增与流行病压力和封锁有关,而不仅仅是感染.
研究的目的:
- 批判性地评估长期COVID的概念和命名法.
- 探索后COVID综合征的潜在的精神和体质基础.
- 为这些条件提出一个替代的,更准确的术语.
主要方法:
- 文献综述和现有关于长期COVID和纤维肌痛的研究的综合.
- 分析流行数据和促成因素的分析.
- 医学术语及其影响的概念分析.
主要成果:
- 没有确定任何一致的生物异常来解释长期COVID.
- 最初的高患病率可能与流行病相关的压力有关,而不是直接的病毒影响.
- 关于长期COVID的现有研究反映了纤维肌痛的历史方法,往往忽视了精神病学的方面.
结论:
- "长期COVID"这个术语被认为是不合适的,因为它涉及病毒的持续性.
- 一个"纤维肌痛类似的COVID后综合征"被提议作为一个更合适的描述.
- 对这些综合征的精神和身体机制的进一步研究至关重要.
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