隔膜肌肉缩导致COVID-19幸存者的身体能力低下
Janusz Kocjan1, Mateusz Rydel1, Jan Szczegielniak2
1Faculty of Medicine with Dentistry Division, Department of Thoracic Surgery, Medical University of Silesia, 40-055 Katowice, Poland.
Life (Basel, Switzerland)
|September 28, 2024
概括
后COVID-19患者经常经历隔膜功能障碍,包括缩和,这显著损害了身体功能和运动耐受性. 这种腹膜肌功能障碍是SARS-CoV-2感染后长期疲劳和呼吸障碍的关键因素.
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:
- 长期的SARS-CoV-2感染后果往往包括持续的疲劳和呼吸障碍.
- 隔膜肌肉功能对于呼吸机制和整体身体能力至关重要.
研究的目的:
- 在COVID-19后的患者中全面评估腹膜肌功能.
- 调查隔膜功能障碍对COVID-19后身体功能障碍的贡献.
主要方法:
- 利用超声波来评估隔膜肌肉功能参数.
- 使用6分钟步行测试,mMRC尺度和代谢等效任务 (MET) 来评估呼吸障碍,有氧能力和能量消耗.
- 检查了46名接受肺部康复治疗的患者.
主要成果:
- 在69.5%的COVID-19后患者中确定了隔膜缩和6.5%的.
- 隔膜功能参数与运动耐受度量有很强的相关性,包括6分钟步行测试距离,氧和度,疲劳和博格尺度的运动.
- 特定的COVID-19症状 (咳,发烧,缺乏嗅觉损失) 与隔膜启发性厚度和缩百分比的变化有关.
结论:
- 隔膜肌肉功能障碍是COVID-19的一个显著和普遍的长期后果.
- 这种功能障碍是导致长期功能障碍的主要原因,包括疲劳和呼吸障碍,在SARS-CoV-2感染的幸存者中.
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