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棕榈酰乙醇酰胺与叶黄素联合超微化在长新冠患者报告的症状中的作用是什么?一组全科医生在真实环境中进行的回顾性分析。

What Is the Role of Palmitoylethanolamide Co-Ultramicronized with Luteolin on the Symptomatology Reported by Patients Suffering from Long COVID? A Retrospective Analysis Performed by a Group of General Practitioners in a Real-Life Setting.

机构信息

Azienda Sanitaria Locale (ASL), Sistema Sanitario Regionale, 00012 Rome, Italy.

Institute of Anaesthesiology and Reanimation, Catholic University of Sacred Heart, 00168 Rome, Italy.

出版信息

Nutrients. 2023 Aug 24;15(17):3701. doi: 10.3390/nu15173701.

Abstract

Long COVID is a recognized post-viral syndrome characterized by neurological, somatic and neuropsychiatric symptoms that might last for long time after SARS-CoV-2 infection. An ever-growing number of patients come to the observation of General Practitioners complaining of mild or moderate symptoms after the resolution of the acute infection. Nine General Practitioners from the Rome area (Italy) performed a retrospective analysis in order to evaluate the role of the supplementation with Palmitoylethanolamide co-ultramicronized with Luteolin (PEALUT) on neurologic and clinical symptoms reported by their patients after COVID-19 resolution. Supplementation with PEALUT helped to improve all patient-reported symptoms, especially pain, anxiety and depression, fatigue, brain fog, anosmia and dysgeusia, leading to an overall improvement in patients' health status. To our knowledge these are the first data presented on Long COVID patients collected in a territorial setting. Despite their preliminary nature, these results highlight the pathogenetic role of "non-resolving" neuroinflammation in Long COVID development and consequently the importance of its control in the resolution of the pathology and put the focus on the General Practitioner as the primary figure for early detection and management of Long COVID syndrome in a real-life setting. Future randomized, controlled, perspective clinical trials are needed to confirm this preliminary observation.

摘要

长新冠是一种公认的病毒后综合征,其特征是神经系统、躯体和神经精神症状,可能在 SARS-CoV-2 感染后持续很长时间。越来越多的患者在急性感染缓解后来到全科医生处就诊,抱怨有轻度或中度症状。来自意大利罗马地区的 9 位全科医生进行了一项回顾性分析,以评估棕榈酸乙醇酰胺与叶黄素 co- 超微化(PEALUT)补充剂对 COVID-19 缓解后患者报告的神经系统和临床症状的作用。PEALUT 补充剂有助于改善所有患者报告的症状,尤其是疼痛、焦虑和抑郁、疲劳、脑雾、嗅觉和味觉障碍,从而整体改善患者的健康状况。据我们所知,这些是在地域环境中收集的第一批关于长新冠患者的数据。尽管这些结果具有初步性质,但它们突出了“未解决”的神经炎症在长新冠发展中的发病作用,因此控制其在病理缓解中的重要性,并将重点放在全科医生身上,作为在现实环境中早期发现和管理长新冠综合征的主要人物。需要未来进行随机、对照、前瞻性临床试验来证实这一初步观察。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50f4/10490268/8f4edde04d67/nutrients-15-03701-g002.jpg

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