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长新冠的症状、并发症及管理:综述。

Symptoms, complications and management of long COVID: a review.

机构信息

Institute of Applied Health Research, 1724University of Birmingham, Birmingham, UK.

Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, 1724University of Birmingham, Birmingham, UK.

出版信息

J R Soc Med. 2021 Sep;114(9):428-442. doi: 10.1177/01410768211032850. Epub 2021 Jul 15.

Abstract

Globally, there are now over 160 million confirmed cases of COVID-19 and more than 3 million deaths. While the majority of infected individuals recover, a significant proportion continue to experience symptoms and complications after their acute illness. Patients with 'long COVID' experience a wide range of physical and mental/psychological symptoms. Pooled prevalence data showed the 10 most prevalent reported symptoms were fatigue, shortness of breath, muscle pain, joint pain, headache, cough, chest pain, altered smell, altered taste and diarrhoea. Other common symptoms were cognitive impairment, memory loss, anxiety and sleep disorders. Beyond symptoms and complications, people with long COVID often reported impaired quality of life, mental health and employment issues. These individuals may require multidisciplinary care involving the long-term monitoring of symptoms, to identify potential complications, physical rehabilitation, mental health and social services support. Resilient healthcare systems are needed to ensure efficient and effective responses to future health challenges.

摘要

目前,全球已有超过 1.6 亿例 COVID-19 确诊病例和 300 多万人死亡。虽然大多数感染者康复,但仍有相当一部分人在急性病后继续出现症状和并发症。患有“长新冠”的患者会经历各种身体和心理/心理症状。汇总的流行数据显示,报告的 10 种最常见症状是疲劳、呼吸急促、肌肉疼痛、关节疼痛、头痛、咳嗽、胸痛、嗅觉改变、味觉改变和腹泻。其他常见症状包括认知障碍、记忆力减退、焦虑和睡眠障碍。除了症状和并发症,长新冠患者经常报告生活质量下降、心理健康和就业问题。这些人可能需要多学科护理,包括长期监测症状,以识别潜在并发症、身体康复、心理健康和社会服务支持。需要有弹性的医疗体系,以确保对未来的健康挑战做出高效和有效的反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e827/8451012/530f87cbd3f3/10.1177_01410768211032850-fig1.jpg

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