Roth Alan, Chan Pan San, Jonas Wayne
Jamaica Hospital Medical Center, Jamaica, NY, USA.
Samueli Foundation, Alexandria, VA, USA.
Glob Adv Health Med. 2021 Nov 16;10:21649561211056597. doi: 10.1177/21649561211056597. eCollection 2021.
While COVID-19 has killed millions of people globally, its lasting effects on the health and well-being of entire populations are just becoming clear. As many as 30% of those diagnosed with COVID-19 report continuing health-related problems, regardless of the severity of the initial infection. Given the infection rate in the world, that translates to between 5.4 and 17.9 million globally; about 700 000 in the US. The syndrome goes by many names; here we call it "long COVID." Patients experience a wide range of symptoms, including serious organ system effects such as pulmonary fibrosis, myocarditis, new diabetes diagnoses, stroke, and other cerebrovascular events. They also experience ongoing pain, fatigue, and cognitive dysfunction. We suggest here that these patients require an integrative health approach, one that combines traditional medical management, non-pharmacological approaches, and behavior and lifestyle changes. Such an approach has been shown to be beneficial in other chronic illnesses such as fibromyalgia, chronic fatigue syndrome, and post-Lyme disease.
虽然新冠疫情已在全球造成数百万人死亡,但其对整个人口的健康和福祉的长期影响才刚刚显现出来。高达30%的新冠确诊患者报告称仍有与健康相关的问题,无论最初感染的严重程度如何。鉴于全球的感染率,这意味着全球有540万至1790万人;在美国约有70万。这种综合征有很多名称;在这里我们称之为“长新冠”。患者会出现广泛的症状,包括严重的器官系统影响,如肺纤维化、心肌炎、新诊断出的糖尿病、中风和其他脑血管事件。他们还会持续感到疼痛、疲劳和认知功能障碍。我们在此建议,这些患者需要一种综合健康方法,即结合传统医疗管理、非药物方法以及行为和生活方式改变的方法。这种方法已被证明对其他慢性疾病如纤维肌痛、慢性疲劳综合征和莱姆病后综合征有益。