在长期COVID中质疑肺扩散能力:DLCO和DLNO测试的见解
Jordan K Parks1, Bruce D Johnson2, Meredith G Shea1
1Mayo Clinic, Division of Cardiovascular Diseases, Scottsdale, AZ, United States.
Frontiers in physiology
|December 10, 2025
概括
长期COVID患者表现出肺扩散能力 (DLCO) 和氧化吸收 (DLNO) 的减少,主要是由于肺毛细血管血液体积 (Vc) 的减少. 这些发现突出了影响长期COVID幸存者的呼吸系统健康的潜在 perfusion 问题.
科学领域:
- 肺部医学 肺部医学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 长期存在的COVID-19的呼吸系统影响,特别是长期COVID患者,尚不清楚.
- 对这个人群来说,全面评估肺功能至关重要.
研究的目的:
- 为了全面评估长期COVID患者的肺功能.
- 为了比较长期COVID和无症状个体之间的肺功能参数.
主要方法:
- 同时测量一氧化碳 (DLCO) 和氧化 (DLNO) 的扩散能力.
- 进行了胸部计算机断层扫描 (CT) 和肺部超声波.
- 74名参与者被分为长期COVID (LC) 和无症状 (NS) 组.
主要成果:
- 与NS组相比,LC组的DLCO,DLNO,肺毛细血管血液体积 (Vc) 和膜体积 (VA) 显著降低.
- 确定Vc是DLCO降低的主要驱动因素.
- 通过CT或超声波检测到组之间的肺液没有显著差异.
结论:
- 肺毛细血管血液体积减少可能是长期COVID患者呼吸系统问题的关键因素.
- 对于临床管理策略,需要进一步研究.
- 损伤的肺 perfusion 在长期COVID患者护理中需要注意.
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