肺部康复计划对严重和危急的COVID-19疾病的影响:一项前性观察性研究
Ayşe Merve Ata1, Ebru Alemdaroğlu1, Refiye Önal1
1Department of Physical Medicine and Rehabilitation, Ankara Bilkent City Hospital, Physical Therapy and Rehabilitation Hospital, Ankara, Türkiye.
概括
肺部康复可以改善严重和危急的COVID-19患者的治疗结果,但肉症和营养不良很常见. 危急患者的手握强度较低,康复时间较长.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 在COVID-19的复苏过程中,COVID-19的复苏.
- 临床评估 临床评估
背景情况:
- 肺部康复为2019年冠状病毒病 (COVID-19) 幸存者提供了好处.
- 个体患者对康复的反应有很大差异.
- 严重和危急的COVID-19病例在康复过程中存在独特的挑战.
研究的目的:
- 为了比较重症和重症COVID-19患者的康复过程.
- 为了调查缩症对COVID-19康复的影响.
- 评估营养参数在COVID-19恢复中的作用.
主要方法:
- 患有持续氧气需求的患者被分为严重或关键组.
- 使用修改后的医学研究委员会尺度,博格尺度和巴特尔指数评估功能状态.
- 通过6分钟的步行测试,手握力和椅子站测试来评估身体功能;通过超声波诊断出肉症.
主要成果:
- 麻症的流行率为77.3%,特别是在严重 (80%) 和危急 (71.4%) 组.
- 临界患者表现出下部手握强度和巴特尔指数得分.
- 在关键组中,康复时间被延长,每日蛋白质和卡路里摄入量始终较低.
结论:
- 萨科佩尼亚和营养不良是严重和危急的COVID-19患者经常出现的并发症.
- 危急疾病与手握力降低有关,尽管肌肉质量相似.
- 有针对性的营养支持和力量训练可能对优化COVID-19康复至关重要.
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