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应对长期挑战:对新冠后遗症、患者影响、发病机制及管理的全面综述

Navigating the Long Haul: A Comprehensive Review of Long-COVID Sequelae, Patient Impact, Pathogenesis, and Management.

作者信息

Rathod Nishant, Kumar Sunil, Chavhan Roma, Acharya Sourya, Rathod Sagar

机构信息

Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Neurosurgery, Trivandrum Medical College, Thiruvananthapuram, IND.

出版信息

Cureus. 2024 May 13;16(5):e60176. doi: 10.7759/cureus.60176. eCollection 2024 May.

DOI:10.7759/cureus.60176
PMID:38868283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11167581/
Abstract

Long COVID, characterized by persistent symptoms following a SARS-CoV-2 infection, presents a significant public health challenge with wide-ranging implications. This comprehensive review explores the epidemiology, clinical manifestations, pathogenesis, risk factors, diagnosis, patient impact, management strategies, and long-term prognosis of COVID. Despite a varied symptomatology that spans multiple organ systems, including respiratory, neurological, and cardiovascular systems, this condition is primarily associated with chronic inflammation and potential viral persistence. Prevalence varies, influenced by the initial infection severity, demographic factors, and pre-existing conditions. The review emphasizes the necessity for healthcare systems to adapt to the needs of long-COVID patients by developing standardized diagnostic criteria and personalized, multidisciplinary treatment approaches. Current research gaps and future directions are identified, highlighting the urgent need for further studies on pathophysiological mechanisms and effective therapeutic interventions. This review aims to inform healthcare providers, researchers, and policymakers, enhancing patient care and guiding ongoing and future research initiatives. The continuing global focus and collaborative efforts offer hope for improved outcomes for those affected by long COVID, marking an essential step towards addressing this emergent condition comprehensively.

摘要

长期新冠(Long COVID)表现为感染新冠病毒后持续出现症状,对公共卫生构成重大挑战,影响广泛。这篇综述全面探讨了新冠的流行病学、临床表现、发病机制、危险因素、诊断、对患者的影响、管理策略以及长期预后。尽管症状多样,涉及包括呼吸系统、神经系统和心血管系统在内的多个器官系统,但这种情况主要与慢性炎症和潜在的病毒持续存在有关。患病率因初始感染严重程度、人口统计学因素和既往疾病而异。该综述强调医疗系统有必要通过制定标准化诊断标准和个性化、多学科治疗方法来适应长期新冠患者的需求。确定了当前的研究差距和未来方向,突出了对病理生理机制和有效治疗干预措施进行进一步研究的迫切需求。本综述旨在为医疗服务提供者、研究人员和政策制定者提供信息,改善患者护理,并指导当前和未来的研究计划。全球持续的关注和合作努力为改善长期新冠患者的预后带来了希望,这是全面应对这一紧急情况的重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5c/11167581/803675d69e22/cureus-0016-00000060176-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5c/11167581/07d1f4aeac7c/cureus-0016-00000060176-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5c/11167581/803675d69e22/cureus-0016-00000060176-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5c/11167581/07d1f4aeac7c/cureus-0016-00000060176-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5c/11167581/803675d69e22/cureus-0016-00000060176-i02.jpg

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Long-COVID Prevalence and Its Association with Health Outcomes in the Post-Vaccine and Antiviral-Availability Era.疫苗接种和抗病毒药物可及时代的长期新冠患病率及其与健康结局的关联
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Cluster analysis of long COVID in Japan and association of its trajectory of symptoms and quality of life.
日本长新冠的聚类分析及其症状轨迹和生活质量的关联。
BMJ Open Respir Res. 2024 Feb 23;11(1):e002111. doi: 10.1136/bmjresp-2023-002111.
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Persistent SARS-CoV-2 infection: significance and implications.持续的 SARS-CoV-2 感染:意义和影响。
Lancet Infect Dis. 2024 Jul;24(7):e453-e462. doi: 10.1016/S1473-3099(23)00815-0. Epub 2024 Feb 7.
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The Multisystem Impact of Long COVID: A Comprehensive Review.长新冠的多系统影响:全面综述
Diagnostics (Basel). 2024 Jan 24;14(3):244. doi: 10.3390/diagnostics14030244.
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Unraveling Links between Chronic Inflammation and Long COVID: Workshop Report.揭开慢性炎症与长新冠之间的联系:研讨会报告。
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