Kotova O V, Medvedev V E, Poluektov M G, Belyaev A A, Akarachkova E S
Peoples' Friendship University of Russia, Moscow, Russia.
International Society for the Study of Stress «Stress under control», Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2022;122(5. Vyp. 2):23-28. doi: 10.17116/jnevro202212205223.
The pandemic of coronavirus infection, which has begun in 2019, has not ended to this day. COVID-19 adversely affects human health not only in the acute period of the disease, but also in the long-run: in a large percentage of cases, recovery takes very long, patients require and often have problems returning to their baseline. During the first wave of the pandemic in 2020, researchers noted that about 10-20% of patients didn't fully recover three weeks after the onset of the disease. It is still not clear how long the recovery period can last, and what are the reasons of different time course of the recovery. Long-term recovery after a viral infection is a non-unique feature of COVID-19, which does not facilitate the management of patients with post-COVID syndrome. The impact on mental health after COVID-19 is significant, and at least 30% of those, who have been ill, may have symptoms of anxiety and/or depression after the acute phase of the disease. Since the emergence of the SARS-CoV-2 virus, there has been an increase in somnological disorders by 42%, while every third COVID-19 patient reports altered sleep patterns. In post-COVID-19 syndrome, this condition is referred to as Coronasomnia (COVID-somnia). The success of therapy of this condition depends on reporting and treating mental disorders in patients, as anxiety and depression are often accompanied by sleep disorders, that is, there is a bidirectional influence of mental disorders on the quality of sleep. The article provides data on two anti-anxiety drugs (noofen and adaptol) that help to treat the manifestations of post-COVID syndrome accompanied by sleep disorders.
始于2019年的冠状病毒感染大流行至今仍未结束。新冠病毒不仅在疾病急性期对人类健康产生不利影响,长期来看也是如此:在很大比例的病例中,康复过程非常漫长,患者恢复到基线水平往往需要很长时间且经常存在问题。在2020年大流行的第一波期间,研究人员指出,约10%-20%的患者在疾病发作三周后并未完全康复。目前仍不清楚恢复期会持续多久,以及康复时间进程不同的原因是什么。病毒感染后的长期康复并非新冠病毒感染的独特特征,这给新冠后综合征患者的管理带来了困难。新冠病毒感染后对心理健康的影响很大,至少30%的患者在疾病急性期过后可能会出现焦虑和/或抑郁症状。自严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒出现以来,睡眠障碍增加了42%,而每三名新冠患者中就有一人报告睡眠模式改变。在新冠后综合征中,这种情况被称为新冠失眠症(Coronasomnia)。这种疾病的治疗成功取决于报告和治疗患者的精神障碍,因为焦虑和抑郁通常伴有睡眠障碍,也就是说,精神障碍对睡眠质量有双向影响。本文提供了两种抗焦虑药物(诺芬和阿得尔托)的数据,这两种药物有助于治疗伴有睡眠障碍的新冠后综合征表现。