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长新冠患者持续呼吸困难和疲劳的心肺康复:COVID-Rehab 研究。

Cardiopulmonary Rehabilitation in Long-COVID-19 Patients with Persistent Breathlessness and Fatigue: The COVID-Rehab Study.

机构信息

Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada.

Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada.

出版信息

Int J Environ Res Public Health. 2022 Mar 31;19(7):4133. doi: 10.3390/ijerph19074133.

Abstract

(1) Background: Cardiopulmonary and brain functions are frequently impaired after COVID-19 infection. Exercise rehabilitation could have a major impact on the healing process of patients affected by long COVID-19. (2) Methods: The COVID-Rehab study will investigate the effectiveness of an eight-week cardiopulmonary rehabilitation program on cardiorespiratory fitness (V˙Omax) in long-COVID-19 individuals. Secondary objectives will include functional capacity, quality of life, perceived stress, sleep quality (questionnaires), respiratory capacity (spirometry test), coagulation, inflammatory and oxidative-stress profile (blood draw), cognition (neuropsychological tests), neurovascular coupling and pulsatility (fNIRS). The COVID-Rehab project was a randomised clinical trial with two intervention arms (1:1 ratio) that will be blindly evaluated. It will recruit a total of 40 individuals: (1) rehabilitation: centre-based exercise-training program (eight weeks, three times per week); (2) control: individuals will have to maintain their daily habits. (3) Conclusions: Currently, there are no specific rehabilitation guidelines for long-COVID-19 patients, but preliminary studies show encouraging results. Clinicaltrials.gov (NCT05035628).

摘要

(1) 背景:心肺和大脑功能在 COVID-19 感染后经常受损。运动康复可能对长期 COVID-19 患者的康复过程产生重大影响。(2) 方法:COVID-Rehab 研究将调查为期八周的心肺康复计划对长期 COVID-19 个体心肺功能(V˙Omax)的有效性。次要目标将包括功能能力、生活质量、感知压力、睡眠质量(问卷调查)、呼吸能力(肺活量测试)、凝血、炎症和氧化应激谱(血液采集)、认知(神经心理学测试)、神经血管偶联和脉动(fNIRS)。COVID-Rehab 项目是一项随机临床试验,有两个干预组(1:1 比例),将进行盲法评估。它将总共招募 40 名个体:(1)康复组:以中心为基础的运动训练计划(八周,每周三次);(2)对照组:个体将不得不保持他们的日常习惯。(3) 结论:目前,尚无针对长期 COVID-19 患者的特定康复指南,但初步研究结果令人鼓舞。Clinicaltrials.gov(NCT05035628)。

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Cardiopulmonary Rehabilitation in Long-COVID-19 Patients with Persistent Breathlessness and Fatigue: The COVID-Rehab Study.
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