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新冠后综合征:新型冠状病毒感染后肺部治疗的研究进展

Post-COVID Syndrome: The Research Progress in the Treatment of Pulmonary after COVID-19 Infection.

作者信息

Ruggiero Valentina, Aquino Rita P, Del Gaudio Pasquale, Campiglia Pietro, Russo Paola

机构信息

Department of Pharmacy, University of Salerno, 84084 Fisciano, Italy.

PhD Program in Drug Discovery and Development, University of Salerno, 84084 Fisciano, Italy.

出版信息

Pharmaceutics. 2022 May 26;14(6):1135. doi: 10.3390/pharmaceutics14061135.

Abstract

Post-COVID syndrome or is defined as the persistence of symptoms after confirmed SARS-CoV-2 infection, the pathogen responsible for coronavirus disease. The content herein presented reviews the reported long-term consequences and aftereffects of COVID-19 infection and the potential strategies to adopt for their management. Recent studies have shown that severe forms of COVID-19 can progress into acute respiratory distress syndrome (ARDS), a predisposing factor of pulmonary fibrosis that can irreversibly compromise respiratory function. Considering that the most serious complications are observed in the airways, the inhalation delivery of drugs directly to the lungs should be preferred, since it allows to lower the dose and systemic side effects. Although further studies are needed to optimize these techniques, recent studies have also shown the importance of in vitro models to recreate the SARS-CoV-2 infection and study its sequelae. The information reported suggests the necessity to develop new inhalation therapies in order to improve the quality of life of patients who suffer from this condition.

摘要

新冠后综合征被定义为在确诊感染导致冠状病毒病的病原体严重急性呼吸综合征冠状病毒2(SARS-CoV-2)后症状持续存在。本文所呈现的内容回顾了新冠病毒感染报告的长期后果和后遗症,以及针对其管理可采用的潜在策略。最近的研究表明,严重形式的新冠病毒病可进展为急性呼吸窘迫综合征(ARDS),这是肺纤维化的一个诱发因素,可不可逆地损害呼吸功能。鉴于在气道中观察到最严重的并发症,应优先选择将药物直接吸入肺部的给药方式,因为这样可以降低剂量和全身副作用。尽管需要进一步研究来优化这些技术,但最近的研究也表明了体外模型对于重现SARS-CoV-2感染及其后遗症研究的重要性。所报告的信息表明有必要开发新的吸入疗法,以改善患有这种疾病的患者的生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e208/9229559/13f3b27f3a77/pharmaceutics-14-01135-g001.jpg

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