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与COVID-19相关的肺炎的长期呼吸系统后果:一个队列研究
Saioa Eizaguirre1, Gladis Sabater1, Sònia Belda1
1Department of Respiratory, Dr. Josep, Trueta University Hospital of Girona, and Santa Caterina Hospital of Salt, Girona Biomedical Research Institute (IDIBGI), Girona, Catalonia, Spain.
BMC pulmonary medicine
|November 11, 2023
概括
大多数COVID-19肺炎患者在出院一年后改善了呼吸系统症状和肺功能. 然而,有些人出现了类似肺纤维化的变化,这凸显了长期呼吸监测的必要性.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 在严重的COVID-19肺炎患者中调查长期呼吸系统后果.
- 专注于需要非侵入性呼吸支持的患者.
研究的目的:
- 描述医院出院后最多12个月的呼吸系统结果.
- 为了评估呼吸不良,生活质量,肺功能和成像发现的变化.
主要方法:
- 在大学医院医生Josep Trueta (西班牙) 的前性研究.
- 在出院后3,6个月和12个月评估了94名患者.
- 使用了问卷,肺功能测试,6分钟步行测试和高分辨率CT (HRCT).
主要成果:
- 在12个月内,呼吸障碍,生活质量和运动能力显著改善.
- 减少异常的肺功能测试和HRCT上的磨砂玻璃不透明度.
- 引力支气管切开症的增加,与年龄作为纤维状变化的一个因素.
结论:
- 大多数患者在出院一年后经历了临床和功能恢复.
- 观察到类似于肺纤维化的肺部变化,表明潜在的长期肺损伤.
- 持续的随访对于管理COVID-19后呼吸道并发症至关重要.
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