肺功能,声音和生活质量在后COVID-19综合征:一个随访研究
Juliana Alves Souza1, Adriane Schmidt Pasqualoto2, Denis Altieri De Oliveira Moraes3
1Department of Speech Therapy and Human Communication Disorders, Voice Laboratory at Federal Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil.
概括
长期COVID患者在出院8个月后显示肺功能和语音持续时间有所改善,但持续的语音问题和生活质量下降仍然令人担忧,尤其是对女性来说.
科学领域:
- 肺部病理学 肺部病理学
- 语音语言病理学 语音语言病理学
- 密集护理医学 密集护理医学
背景情况:
- 后COVID-19综合征 (PCS) 可以导致长期的后果,特别是在严重疾病后.
- 评估对肺功能和声音的持续影响对于患者的康复至关重要.
研究的目的:
- 评估肺功能,语音参数,以及密集护理后PCS患者的相关性.
- 确定这些障碍对一般和语音相关生活质量的影响.
主要方法:
- 一项对48名患有PCS的重症监护室幸存者的纵向研究,在出院4个月和8个月后进行评估.
- 评估包括呼吸肌肉强度 (MIP/MEP),螺旋测量,6分钟步行测试 (6MWT),语音评估 (MPT,SPL,失声症) 和生活质量问卷 (SF-36,V-RQoL).
主要成果:
- 观察到的呼吸不良 (mMRC),呼吸肌强度 (MIP/MEP),6MWT和最大发音时间 (MPT) 的改善.
- 在两性中都注意到持续性听障,女性显示MPT减少. 还观察到声音压力水平 (SPL) 的增加.
- mMRC和MPT之间的负相关性;6MWT和MPT之间的正相关性. 降低了女性的身体生活质量得分.
结论:
- 在COVID-19后8个月,肺功能和MPT有所改善,但持续的听障和增加的SPL显而易见.
- 这些发现强调了需要对持续性听力障碍作为PCS的关键组成部分进行进一步调查.
- 语音质量受损和生活质量下降凸显了长期COVID-19康复的多方面的性质.
相关概念视频
01:21Larynx
1.3K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.3K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.7K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.7K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:20COPD: Pathogenesis and Clinical Features
244
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
244
01:25Pulmonary Function Tests
312
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
312
01:29Pneumonia II: Pathophysiology
233
The pathophysiology of pneumonia involves the following steps:
233