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新型冠状病毒肺炎患者胃肠道症状的临床表现:综合评价。

Clinical Manifestations of Gastrointestinal Symptoms in COVID-19 Patients: An Integrative Review.

机构信息

Mohammad Abbasinia, PhD, MSc, is Assistant Professor of Nursing, Department of Nursing, School of Nursing and Midwifery, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran.

Ahmad Hormati, PhD, MD, is Assistant Professor of Gastroenterology and Hepatology, Gastrointestinal and Liver Diseases Research Center, Iran University of Medical Sciences, Tehran, Iran; and Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran.

出版信息

Gastroenterol Nurs. 2021;44(1):E1-E10. doi: 10.1097/SGA.0000000000000584.

Abstract

After the outbreak of novel coronavirus disease 2019 (COVID-19) in Wuhan, China, its spread to other countries is rapidly increasing. In this integrative review, we report the prevalence of gastrointestinal symptoms in patients with COVID-19. For this purpose, available articles on gastrointestinal manifestations in patients with COVID-19, which were reported from China, were reviewed. All reviewed articles were searched from December 11, 2019, to June 20, 2020, based on specific key words. Related findings in these articles show that the main target of COVID-19 is lung tissue, as after the virus enters the body, it mainly causes respiratory symptoms in affected patients. But in addition to respiratory symptoms, it is possible that, over time, these patients present with other symptoms, the most obvious of which are gastrointestinal symptoms. It is well documented that diarrhea and vomiting are the most common gastrointestinal symptoms in COVID-19 patients. As part of this report, we also look at the incidence and frequency of gastrointestinal symptoms in COVID-19 patients in Iran. The results can be used by providers as a guideline for better management of gastrointestinal symptoms in these patients.

摘要

自 2019 年中国武汉新型冠状病毒病(COVID-19)爆发以来,其在其他国家的传播迅速增加。在本次综合综述中,我们报告了 COVID-19 患者胃肠道症状的流行情况。为此,我们对 2019 年 12 月 11 日至 2020 年 6 月 20 日期间来自中国的 COVID-19 患者胃肠道表现的相关文章进行了综述。基于特定的关键词,对所有综述文章进行了检索。这些文章中的相关研究结果表明,COVID-19 的主要靶标是肺组织,因为病毒进入人体后,主要在受感染患者中引起呼吸道症状。但除了呼吸道症状外,随着时间的推移,这些患者可能会出现其他症状,其中最明显的是胃肠道症状。有充分的证据表明,腹泻和呕吐是 COVID-19 患者最常见的胃肠道症状。在本报告的一部分中,我们还研究了 COVID-19 患者在伊朗出现胃肠道症状的发生率和频率。研究结果可作为提供者更好地管理这些患者胃肠道症状的指南。

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