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对新冠病毒病多方面表现的全面洞察:一篇叙述性综述

Comprehensive Insights Into the Multi-faceted Manifestations of COVID-19: A Narrative Review.

作者信息

Gollapudi Sairama, Chimurkar Vilas

机构信息

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

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

出版信息

Cureus. 2024 Jun 30;16(6):e63493. doi: 10.7759/cureus.63493. eCollection 2024 Jun.

DOI:10.7759/cureus.63493
PMID:39081420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11287236/
Abstract

The emergence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and the ensuing COVID-19 pandemic had far-reaching and multifaceted effects on global health. This paper provides a comprehensive overview of the physical, extrapulmonary, and psychological manifestations associated with COVID-19. It highlights the wide-ranging impact of the virus on various organ systems, including the respiratory, cardiovascular, renal, gastrointestinal, ocular, dermatologic, and nervous systems. Additionally, it explores the complex connections between COVID-19 infection and neuropsychiatric symptoms, shedding light on the potential underlying mechanisms. The paper also delves into the phenomenon of "long COVID," a condition characterized by persistent symptoms extending well beyond the disease's acute phase. It discusses the diverse and often debilitating symptoms that individuals with long COVID may experience, encompassing physical, cognitive, and psychological aspects. The complexity and variability of long COVID underscore the challenges it poses to healthcare professionals and the importance of ongoing research to understand its underlying mechanisms. Furthermore, the paper touches on the current state of knowledge regarding the aetiology of long COVID and the various approaches to symptom management and treatment. While a definitive cure remains elusive, efforts are underway to alleviate the burden of long COVID through pharmacological interventions, physical therapy, cognitive-behavioral therapy, and support networks. This paper comprehensively explores COVID-19's far-reaching effects, emphasizing the need for a holistic and interdisciplinary approach to understanding and managing the diverse manifestations of this global health challenge. Ongoing research and collaborative efforts are essential in addressing the complex and evolving nature of COVID-19 and its aftermath.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的出现以及随之而来的新冠疫情对全球健康产生了深远而多方面的影响。本文全面概述了与新冠病毒病(COVID-19)相关的身体、肺外及心理表现。它强调了该病毒对包括呼吸、心血管、肾脏、胃肠、眼部、皮肤及神经系统在内的各种器官系统的广泛影响。此外,它还探讨了COVID-19感染与神经精神症状之间的复杂联系,揭示了潜在的机制。本文还深入研究了“长期新冠”现象,这是一种以症状持续远超疾病急性期为特征的病症。它讨论了长期新冠患者可能经历的多样且往往使人衰弱的症状,涵盖身体、认知和心理方面。长期新冠的复杂性和变异性凸显了它给医护人员带来的挑战以及持续研究以了解其潜在机制的重要性。此外,本文还涉及了关于长期新冠病因的当前知识状态以及症状管理和治疗的各种方法。虽然尚未找到确切的治愈方法,但正在通过药物干预、物理治疗、认知行为疗法和支持网络努力减轻长期新冠的负担。本文全面探讨了COVID-19的深远影响,强调需要采取整体和跨学科方法来理解和管理这一全球健康挑战的多样表现。持续的研究和合作努力对于应对COVID-19及其后果的复杂和不断演变的性质至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/11287236/20382f92fd3a/cureus-0016-00000063493-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/11287236/20382f92fd3a/cureus-0016-00000063493-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/937d/11287236/20382f92fd3a/cureus-0016-00000063493-i01.jpg

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本文引用的文献

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How covid-19 affects the brain.新冠病毒如何影响大脑。
New Sci. 2023 Feb 4;257(3424):14-15. doi: 10.1016/S0262-4079(23)00189-6. Epub 2023 Feb 3.
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Gastrointestinal symptoms in COVID-19: the long and the short of it.新型冠状病毒肺炎的胃肠道症状:长与短。
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COVID-19 and the Eye: Ocular Manifestations, Treatment and Protection Measures.新型冠状病毒肺炎与眼睛:眼部表现、治疗和防护措施。
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Associations Between COVID-19 Symptoms and Psychological Distress.新冠病毒病症状与心理困扰之间的关联
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