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[新型冠状病毒肺炎综合康复中线粒体功能障碍的纠正]

[Correction of mitochondrial dysfunction in the complex rehabilitation of COVID-19].

作者信息

Tereshin A E, Kiryanova V V, Reshetnik D A

机构信息

North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia.

St. Petersburg State Medical Institution Nikolaevskaya Hospital, St. Petersburg, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(8):25-29. doi: 10.17116/jnevro202112108125.

Abstract

OBJECTIVE

To study the effectiveness of a course of intravenous administration of cytoflavin in combination with a standard rehabilitation program for post-COVID fatigue syndrome caused by mitochondrial dysfunction.

MATERIAL AND METHODS

The dynamic examination of 45 patients with post-COVID syndrome at the second stage of rehabilitation was carried out. The patients were subdivided into 2 groups comparable in gender and age. The volume of lung damage in patients of both groups was also comparable at range of 25-80%. Twenty-four patients of the control group were treated with the standard post-COVID rehabilitation protocol: pulse magnetic therapy, inhalation therapy, aeroion therapy, infrared laser therapy, course aerobic training, psychotherapy, and standard drug therapy. Twenty-one patients of the main group additionally received intravenous administration of cytoflavin daily for 10 days. The dynamics of the scores on the Rehabilitation Routing Scale, HDRS, the Asthenic Status Scale, and the 6-minute walk test was analyzed.

RESULTS AND CONCLUSION

The additional intravenous administration of cytoflavin at the complex rehabilitation of post-COVID syndrome can significantly improve the therapeutic results: it significantly improves the overall functional state, reduces depression and fatigue level and increases tolerance to physical exertion.

摘要

目的

研究静脉注射细胞黄素疗程联合标准康复方案治疗由线粒体功能障碍引起的新冠后疲劳综合征的有效性。

材料与方法

对45例处于康复第二阶段的新冠后综合征患者进行动态检查。将患者按性别和年龄分为2组,两组患者的肺损伤程度在25%-80%范围内也具有可比性。对照组的24例患者采用标准的新冠后康复方案治疗:脉冲磁疗、吸入疗法、空气离子疗法、红外激光疗法、疗程有氧运动训练、心理治疗和标准药物治疗。主要组的21例患者额外每天静脉注射细胞黄素,共10天。分析康复路径量表、汉密尔顿抑郁量表、虚弱状态量表和6分钟步行试验得分的动态变化。

结果与结论

在新冠后综合征的综合康复中额外静脉注射细胞黄素可显著改善治疗效果:显著改善整体功能状态,降低抑郁和疲劳水平,并提高对体力消耗的耐受性。

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