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[新冠后综合征中的神经肌肉表现]

[Neuromuscular manifestations in long-COVID syndrome].

作者信息

Lehmann Helmar C

机构信息

Klinik und Poliklinik für Neurologie, Medizinische Fakultät, Universitätsklinikum Köln, Kerpener Straße 62, 50937, Köln, Deutschland.

出版信息

Nervenarzt. 2022 Aug;93(8):761-768. doi: 10.1007/s00115-022-01321-2. Epub 2022 Jul 19.

Abstract

The term long-COVID syndrome encompasses symptoms that occur after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, persisting over a period of several weeks, and which cannot be explained by another diagnosis. Long-COVID is considered to be a multiorgan condition. In this review article, the data regarding neuromuscular manifestations of long-COVID syndrome are summarized and evaluated based on criteria, such as effect size, plausibility, coherence, and experimental evidence. So far, myalgia and autonomic dysfunction (especially postural tachycardia syndrome) have been postulated as neuromuscular symptoms of long-COVID; however, the evidence to date is limited. In addition to very heterogeneous methodologies and different definitions of long-COVID in the clinical studies, conclusive experimental data supporting the described symptoms as a specific long-term consequence of COVID-19 are lacking.

摘要

长期新冠综合征这一术语涵盖了严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染后出现的症状,这些症状会持续数周,且无法用其他诊断来解释。长期新冠被认为是一种多器官病症。在这篇综述文章中,基于效应大小、合理性、连贯性和实验证据等标准,对有关长期新冠综合征神经肌肉表现的数据进行了总结和评估。到目前为止,肌痛和自主神经功能障碍(尤其是体位性心动过速综合征)已被假定为长期新冠的神经肌肉症状;然而,迄今为止的证据有限。除了临床研究中非常不同的方法学和对长期新冠的不同定义外,缺乏确凿的实验数据来支持将所描述的症状作为新冠病毒病的特定长期后果。

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[Neuromuscular manifestations in long-COVID syndrome].[新冠后综合征中的神经肌肉表现]
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本文引用的文献

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A clinical case definition of post-COVID-19 condition by a Delphi consensus.德尔菲共识对新冠后状况的临床病例定义。
Lancet Infect Dis. 2022 Apr;22(4):e102-e107. doi: 10.1016/S1473-3099(21)00703-9. Epub 2021 Dec 21.

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