三个月后COVID-19患者的功能状态的评估使用肺功能测试
Mohini Asija1, Shaveta Dahiya1, Rohit Parsad1
1Internal Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.
Cureus
|June 28, 2024
概括
许多COVID-19幸存者在出院三个月后经历了持续的症状和减少的运动能力. 简单的测试,如螺旋计和六分钟步行测试 (6MWT) 可以识别这些功能限制在康复的患者.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 康复医学 康复医学 康复医学
背景情况:
- 由于COVID-19的流行,大量患者出现了长期残留症状.
- 肺纤维化是严重的COVID-19的潜在并发症,导致限制性肺病和长期增加的发病率.
- 评估COVID-19后的功能状态对于患者管理和康复规划至关重要.
研究的目的:
- 评估从中度至重度COVID-19肺炎中恢复过来的患者的残留症状和功能状态.
- 评估螺旋计和六分钟步行测试 (6MWT) 在识别COVID-19后功能限制方面的实用性.
- 为了确定持续症状和运动能力缺陷的流行情况,医院出院后三个月.
主要方法:
- 一项在北印度进行的观察性,前性,横截面研究.
- 包括50名住院患有中度至重度COVID-19肺炎的患者,至少在出院后三个月评估.
- 排除18岁以下的个人,孕妇,以及具有先前存在的呼吸道或心脏疾病的人.
主要成果:
- 80%的患者报告了持续的症状,运动性呼吸不良 (42%) 和休息性呼吸不良 (32%) 是最常见的.
- 74%的患者在6MWT上实现的距离小于预期,平均距离为426.1米.
- 48%的患者在6MWT后显示氧和率显著下降 (≥3%),表明运动诱导的脱.
结论:
- 持续的症状和功能限制在COVID-19幸存者中很常见,即使在康复数月后也是如此.
- 螺旋测量和6MWT是评估COVID-19后患者功能限制的宝贵工具.
- 长期跟踪和有针对性的康复措施对于管理中度至重度的COVID-19幸存者至关重要.
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