Lemhöfer Christina, Koczulla Andreas Rembert, Meissner Winfried, Häuser Winfried
Institut für Physikalische und Rehabilitative Medizin, Universitätsklinikum Jena, Jena, Deutschland.
Schön Klinik, Schönau am Königssee, Berchtesgardener Land, Deutschland.
Schmerz. 2024 Jun;38(3):175-182. doi: 10.1007/s00482-023-00704-x. Epub 2023 Mar 16.
The S1 guideline on long/post-COVID of the AWMF [German Association of the Medical Scientific Societies] registration number 020-027) was updated in August 2022.
Under the coordination of the German Society of Pneumology, the guideline was updated by 21 scientific associations, two professional associations and clinical centers each and one institute and statutory accident insurance each. Each scientific association was responsible for its own chapter. The German Pain Society prepared the chapter "Pain". The coordinators of each chapter performed a selective literature search and also received approval for the chapter within their scientific association. During an internal period of comments, all representatives of the participating institutions could comment on all chapters. The AWMF task force commented on the draft of the guideline, which was then finally approved by the boards of all participating institutions.
Coronavirus disease 2019 (COVID-19) increases the risk of persistent headache and musculoskeletal pain. Long/Post-COVID pain is frequently associated with fatigue and cognitive problems. A specialist assessment might be considered if symptoms with limitations of daily activities persist 3 months after the infection. The diagnostic workup of long/post-COVID-associated pain should be performed according to the standards of pain medicine. Management should follow the pain guidelines of the AWMF.
The updated S1 guideline on long/post-COVID is a clinical manual which offers orientation for diagnostics and treatment despite limited data.
德国医学科学协会联盟（AWMF）关于新冠后长期症状的S1指南（注册号020 - 027）于2022年8月更新。
在德国肺病学会的协调下，该指南由21个科学协会、两个专业协会和各临床中心以及各一个研究所和法定事故保险机构共同更新。每个科学协会负责各自的章节。德国疼痛学会编写了“疼痛”章节。各章节的协调人进行了选择性文献检索，并在其科学协会内获得了该章节的批准。在内部意见征求期间，所有参与机构的代表都可以对所有章节发表意见。AWMF特别工作组对该指南草案进行了评论，然后最终由所有参与机构的董事会批准。
2019冠状病毒病（COVID - 19）增加了持续性头痛和肌肉骨骼疼痛的风险。新冠后长期疼痛常与疲劳和认知问题相关。如果感染后3个月仍存在伴有日常活动受限的症状，可能需要进行专科评估。新冠后长期相关疼痛的诊断检查应按照疼痛医学标准进行。管理应遵循AWMF的疼痛指南。
更新后的关于新冠后长期症状的S1指南是一本临床手册，尽管数据有限，但为诊断和治疗提供了指导。
