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新型冠状病毒肺炎后肺功能和运动能力的评估

Evaluation of pulmonary function and exercise capacity after COVID-19 pneumonia.

作者信息

Okan S, Okan F, Duran Yücesoy F

机构信息

Associate Professor, Department of Physical Therapy and Rehabilitation Tokat, Tokat State Hospital, Yeni mah, Merkez, Tokat 60100, Turkey.

Assistant Professor, Department of Public Health Nursing Tokat, Faculty of Health Sience, Gaziosmanpasa University, Turkey.

出版信息

Heart Lung. 2022 Jul-Aug;54:1-6. doi: 10.1016/j.hrtlng.2022.03.004. Epub 2022 Mar 11.

Abstract

BACKGROUND

Individuals who suffer from coronavirus disease 2019 (COVID-19) pneumonia may experience pulmonary dysfunction during the chronic period due to pulmonary parenchymal damage after acute disease.

OBJECTIVES

The aim of the present study was to evaluate the pulmonary function and exercise capacity of patients treated for COVID 19 pneumonia after discharge.

METHODS

In this cross-sectional study, 79 people who were hospitalized with COVID-19 between March and October 2020 were evaluated at least two months after discharge. A pulmonary function test and a six-minute walk test were administered to the individuals included in the study.

RESULTS

Restrictive-type disorder was detected in 21.5% of the individuals who were evaluated at least two months after discharge. The forced expiratory volume in the first second (FEV1) and the forced vital capacity (FVC) values of the pulmonary function tests were significantly lower in the individuals with severe/critical clinical disease compared to those with moderate disease (p = 0.004 and p = 0.001, respectively). Although the six-minute walk test (6MWT) distances were lower in the severe/critical group than in the moderate group, the difference was not statistically significant (p > 0.05).

CONCLUSIONS

Individuals who are discharged after hospitalization for COVID-19 pneumonia may develop a restrictive type of pulmonary dysfunction. Therefore, survivors of COVID-19 pneumonia should be evaluated for pulmonary function and rehabilitation needs and should be provided with treatment as required.

摘要

背景

2019年冠状病毒病(COVID-19)肺炎患者在急性期后可能因肺实质损伤而在慢性期出现肺功能障碍。

目的

本研究旨在评估COVID-19肺炎出院患者的肺功能和运动能力。

方法

在这项横断面研究中,对2020年3月至10月期间因COVID-19住院的79人在出院至少两个月后进行了评估。对纳入研究的个体进行了肺功能测试和六分钟步行测试。

结果

在出院至少两个月后接受评估的个体中,21.5%检测出限制性障碍。与中度疾病患者相比,重症/危重症临床疾病患者肺功能测试的第一秒用力呼气量(FEV1)和用力肺活量(FVC)值显著更低(分别为p = 0.004和p = 0.001)。虽然重症/危重症组的六分钟步行测试(6MWT)距离低于中度组,但差异无统计学意义(p > 0.05)。

结论

COVID-19肺炎住院后出院的个体可能会出现限制性肺功能障碍。因此,应对COVID-19肺炎幸存者的肺功能和康复需求进行评估,并根据需要提供治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a66/8913294/811d2965b8da/gr1_lrg.jpg

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