从中度至危急的COVID-19中康复的患者的离院后螺旋测量评估:一个横截面研究
Chee-Shee Chai1, Muhammad Amin Bin Ibrahim2, Nur Amira Binti Azhar3
1Department of Medicine, Faculty of Medicine and Health Science, University Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia. cschai@unimas.my.
Scientific reports
|July 16, 2024
概括
近一半的COVID-19幸存者表现出异常的肺功能,特别是限制性模式和PRISM. 胸部X射线发现和心血管疾病是关键相关因素,需要对高危患者进行螺旋计查.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 呼吸系统健康 呼吸系统健康
背景情况:
- 随着肺功能缺陷影响长期健康,COVID-19后的恢复日益令人担忧.
- 了解异常肺功能的患病率和预测因素对于有效的COVID后护理至关重要.
研究的目的:
- 确定马来西亚从中度至危急COVID-19中恢复过来的患者中螺度异常的流行率和类型.
- 为了确定与COVID-19后异常肺功能相关的因素.
主要方法:
- 这是一项前性研究,涉及408名患者在COVID-19出院后至少三个月.
- 进行螺旋测量以评估肺功能,分为限制性,阻塞性和保留比率受损螺旋测量 (PRISm) 模式.
- 统计分析确定了与异常螺旋计学相关的独立因素.
主要成果:
- 46.8%的患者表现出异常的螺旋计.
- 限制性模式 (28.4%) 和PRISM (17.4%) 是最常见的异常.
- 在6分钟步行测试期间,胸部X射线,心血管疾病和氧气脱的巩固/地面玻璃不透明与异常的螺旋计显著相关.
结论:
- 异常的肺功能,特别是限制性模式和PRISM,在COVID-19幸存者中很常见.
- 识别相关因素,如放射性发现和并发症,有助于风险分层.
- 建议对高风险的COVID-19后患者进行例行螺旋计查,以指导管理.
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