探索COVID-19和血管缩之间的联系:一个系统性审查
Mohamed Zahed1, Alzahraa Faris Alesawy2, Ziad Samir Zahed3
1Orthopedics, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, GBR.
Cureus
|September 5, 2025
概括
血管亡 (AVN) 与COVID-19和类固醇使用有关. 这一综述证实了这种关联,强调了对患者进行谨慎的皮质类固醇处方和AVN监测的必要性.
科学领域:
- 骨科和传染病
- 研究病毒感染的肺外并发症
- 风湿病学和药理学
背景情况:
- 血管亡 (AVN) 越来越多地被认为是COVID-19感染后的一种并发症.
- 经常用于COVID-19的皮质类固醇治疗是已知的AVN风险因素.
- 了解这种关联对于患者的管理至关重要.
研究的目的:
- 系统地审查和评估COVID-19,皮质类固醇的使用和AVN的发展之间的联系.
- 综合现有文献中的证据,
- 为临床实践提供有关风险减轻的信息.
主要方法:
- 按照PRISMA指导方针进行系统审查,搜索五个数据库,直到2024年5月30日.
- 包括被诊断为AVN的COVID-19患者的队列和病例系列研究.
- 使用纽卡斯尔-太华尺度 (NOS) 进行偏差风险评估.
主要成果:
- 包括13项研究 (9个病例系列,4个队列) 涉及795名患者.
- 部和大腿部是最常受到影响的部位.
- 发现COVID-19,皮质类固醇使用和AVN发展之间存在显著的关联.
结论:
- COVID-19 和皮质类固醇的使用与无血管性瘤的发展有显著联系.
- 临床医生必须对接受皮质类固醇治疗的患者保持警,尤其是在COVID-19后.
- 进一步研究病理生理学和替代治疗方法是有必要的,以减少AVN风险.
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