呼吸不良和长期COVID患者
Kenneth Nugent1, Gilbert Berdine1
1Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
The American journal of the medical sciences
|July 19, 2024
概括
许多患者经历持续的COVID后呼吸不良 (呼吸短促) 由于功能障碍的呼吸,而不是肺损伤. 对于这些人来说,建议进行呼吸再训练和肺部康复.
科学领域:
- 肺部病理学 肺部病理学
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 以前患有COVID-19感染的患者经常出现慢性症状,包括疲劳和呼吸不良.
- 后COVID患者的呼吸障碍可能与可测量的肺功能变化不成比例.
- 一些患者表现出正常的心肺运动测试尽管有显著的呼吸障碍.
研究的目的:
- 为了调查COVID-19后患者呼吸障碍的潜在原因,通过正常的肺功能测试.
- 识别导致持续呼吸短促的异常呼吸模式.
- 建议适当的干预措施来管理COVID后的呼吸系统症状.
主要方法:
- 分析患者数据,包括肺功能测试和心肺运动测试.
- 识别异常的呼吸模式,如功能障碍的呼吸.
- 对持续性呼吸障碍潜在的神经或心理机制的审查.
主要成果:
- 一小部分患者在运动测试中表现出呼吸障碍,而这并不能由肺部或心脏限制来解释.
- 这些患者经常表现出功能障碍的呼吸,其特点是呼吸率不规则和潮体积.
- 呼吸控制受损表明潜在的中枢神经系统参与或呼吸系统症状的持续"记忆".
结论:
- 功能障碍的呼吸是COVID-19后无法解释的呼吸障碍的一个关键因素.
- 肺部康复和特定的呼吸再培训对于管理这些患者至关重要.
- 需要进一步研究COVID后呼吸道症状的神经基础.
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