在患有后COVID-19疲劳症的个体中,失眠,心肺功能和生活质量
Nathalea Spode de Arruda1,2, Alessandra Hofstadler Deiques Fleig3, Charles Rech2
1Postgraduate Program in Human Communication Disorders, Federal University of Santa Maria-UFSM, Santa Maria, RS, Brazil.
Sleep medicine: X
|February 10, 2025
概括
后COVID-19疲劳与更多的失眠和白天嗜睡有关. 这种疲劳也与肺功能,运动能力和生活质量下降有关,失眠是关键预测因素.
科学领域:
- 肺部病理学 肺部病理学
- 睡眠医学 睡眠医学
- 康复医学 康复医学 康复医学
背景情况:
- 后COVID-19综合征可以表现为持续的疲劳,影响各种生理功能.
- 了解COVID-19后疲劳的多方面的后果对于有效的管理和康复至关重要.
研究的目的:
- 为了比较患有和没有COVID-19后疲劳的个体的失眠,肺功能,呼吸肌肉强度,功能能力和生活质量.
- 为了确定COVID-19后疲劳的预测因素.
主要方法:
- 34名COVID-19后患者使用查尔德疲劳量表 (CFS),失眠严重程度指数 (ISI),爱普沃思睡眠量表 (ESS),螺旋计,最大呼吸压力 (MIP),6分钟步行测试 (6MWT) 和WHOQOL-BREF进行了评估.
- 参与者被分为疲劳 (CFS分数≥4) 和非疲劳 (CFS分数<4) 组.
主要成果:
- 疲劳组的失眠率较高 (80%与49%),白天睡眠过度 (45%与7%).
- 在疲劳组中观察到最大吸气压 (MIP) 降低,6分钟步行测试 (6MWT) 距离,以及Tiffeneau指数 (FEV1/FVC).
- 疲劳严重程度与失眠严重程度 (ISI,ESS) 相对相关,与功能能力 (6MWT) 和肺功能 (FEV1) 相反.
- 失眠严重程度指数 (ISI) 被确定为COVID-19后疲劳的独立预测指标,解释了其62%的差异.
结论:
- 后COVID-19疲劳与更高的失眠,减少呼吸肌肉强度,功能能力和生活质量下降的患病率有关.
- 失眠是COVID-19后疲劳的重要独立预测因素,强调了解决睡眠障碍在恢复过程中的重要性.
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