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在 COVID-19 大流行期间的甲状腺疾病问题。甲状腺功能减退症和甲状腺功能亢进症 - 有什么变化吗?

Selected thyreology problems during the COVID-19 pandemic. Hypothyroidism and hyperthyroidism - did anything change?

机构信息

Chair and Department of Endocrinology, Medical University, Lublin, Poland.

Chair and Department of Endocrinology, Metabolism, and Internal Medicine, University of Medical Sciences, Poznan, Poland.

出版信息

Endokrynol Pol. 2021;72(2):170-178. doi: 10.5603/EP.a2021.0013.

Abstract

On March 11, 2020, the World Health Organisation (WHO) observed the scale of epidemic risk and declared the state of the COVID-19 pandemic. Most countries, including Poland, implemented national and local emergency management plans to deal with the imminent threat of SARS-CoV-2 infection, one of the most serious in this century, according to many experts. In the era of pandemic, during which an epidemiological regime and social distancing are constantly recommended, and routine medical care and planned surgical procedures have been postponed or significantly reduced, patients and their physicians have to struggle on a daily basis with difficult access to diagnostic and therapeutic procedures. This is a great challenge for both groups. The aim of this study is to assess the current state of knowledge about thyreological diseases during the COVID-19 pandemic and to provide indications for the introduced therapeutic changes on the basis of recent scientific literature published up to December 2020 and searches of the PubMed, Google Scholar, EMBASE, and Web of Science databases, which searched for keywords related to SARS-CoV-2 and its influence on thyreology problems. The main focus was on diagnostic and therapeutic differences in the era of the COVID-19 pandemic, bearing in mind the most common endocrinopathies, i.e. hypothyroidism and hyperthyroidism, as well as advantages and disadvantages and possibilities of using telemedicine in the common practice of a specialist physician.

摘要

2020 年 3 月 11 日,世界卫生组织(WHO)观察到疫情风险规模,并宣布 COVID-19 大流行状态。包括波兰在内的大多数国家都根据许多专家的说法,实施了国家和地方紧急管理计划,以应对 SARS-CoV-2 感染这一本世纪最严重的威胁之一。在大流行时代,流行病学制度和社会隔离不断被建议,常规医疗和计划手术被推迟或大大减少,患者及其医生每天都必须在难以获得诊断和治疗程序的情况下挣扎。这对两组人来说都是一个巨大的挑战。本研究的目的是评估 COVID-19 大流行期间甲状腺疾病的现有知识状况,并根据截至 2020 年 12 月发表的最新科学文献和对 PubMed、Google Scholar、EMBASE 和 Web of Science 数据库的搜索,为引入的治疗变化提供指示,这些搜索针对与 SARS-CoV-2 及其对甲状腺问题的影响相关的关键字。主要重点是 COVID-19 大流行时代的诊断和治疗差异,同时考虑到最常见的内分泌疾病,即甲状腺功能减退症和甲状腺功能亢进症,以及在专科医生的常规实践中使用远程医疗的优缺点和可能性。

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