在COVID-19的康复患者中持续的呼吸道症状和肺功能异常
N S Vishnu1, Mandeep K Sodhi1, Deepak Aggarwal1
1Department of Pulmonary, Critical Care and Sleep Medicine, Government Medical College and Hospital, Sector-32, Chandigarh, India.
Lung India : official organ of Indian Chest Society
|November 14, 2023
概括
持续的呼吸道症状和异常的肺功能在COVID-19后很常见,特别是在严重的病例中. 风险因素包括年龄,并发症和最初的疾病严重程度,突出显示了对随访护理的需要.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 由SARS-CoV-2引起的COVID-19在康复后可能导致持续的症状和肺部异常,称为后COVID综合征.
- 虽然许多人完全康复,但有一部分人经历了长期的呼吸问题,需要对其流行率和风险因素进行调查.
研究的目的:
- 量化COVID-19幸存者的持续呼吸系统症状和肺功能缺陷的负担.
- 为了确定这些后COVID后续和初始疾病严重程度,患者人口统计和并发症之间的相关性.
主要方法:
- 招募85名符合特定纳入/排除标准的COVID后患者.
- 综合数据收集包括病史,体检和螺旋计.
- 肺部发现与基线COVID-19严重程度和其他患者因素的相关性分析.
主要成果:
- 疲劳和呼吸困难是最常见的症状;咳,胸痛和发烧也持续.
- 在45.88%的参与者中观察到异常的螺旋计,主要是限制性肺功能.
- 持续症状和肺功能异常的可能性增加与严重/中度的COVID-19,老年,并发症,延长住院和类固醇/氧气疗法等治疗有关.
结论:
- 这项研究量化了COVID-19后的肺部后遗症,并确定了它们发展的关键风险因素.
- 对这些持续症状和相关风险因素的认识对于有效的后COVID患者的随访和管理至关重要.
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