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新冠后遗症(PASC 或长期新冠):基于证据的方法。

Postacute Sequelae of COVID (PASC or Long COVID): An Evidenced-Based Approach.

作者信息

Griffin Daniel O

机构信息

Division of Infectious Diseases, Department of Medicine, Columbia University, College of Physicians and Surgeons, New York, New York, USA.

出版信息

Open Forum Infect Dis. 2024 Aug 27;11(9):ofae462. doi: 10.1093/ofid/ofae462. eCollection 2024 Sep.

Abstract

While the acute manifestations of infectious diseases are well known, in some individuals, symptoms can either persist or appear after the acute period. Postviral fatigue syndromes are recognized with other viral infections and are described after coronavirus disease 2019 (COVID-19). We have a growing number of individuals with symptoms that persist for weeks, months, and years. Here, we share the evidence regarding the abnormalities associated with postacute sequelae of COVID-19 (PASC) and therapeutics. We describe physiological and biochemical abnormalities seen in individuals reporting PASC. We describe the several evidence-based interventions to offer patients. It is expected that this growing understanding of the mechanisms driving PASC and the benefits seen with certain therapeutics may not only lead to better outcomes for those with PASC but may also have the potential for understanding and treating other postinfectious sequelae.

摘要

虽然传染病的急性表现广为人知,但在一些个体中,症状可能会持续存在或在急性期后出现。病毒感染后疲劳综合征在其他病毒感染中也有发现,在2019冠状病毒病(COVID-19)后也有相关描述。我们看到越来越多的人出现持续数周、数月甚至数年的症状。在此,我们分享有关与COVID-19急性后遗症(PASC)相关异常及治疗方法的证据。我们描述了报告有PASC的个体中出现的生理和生化异常。我们介绍了几种基于证据的干预措施,以提供给患者。预计对驱动PASC的机制的不断深入了解以及某些治疗方法所带来的益处,不仅可能为患有PASC的人带来更好的结果,还可能有助于理解和治疗其他感染后后遗症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7f/11363684/3d6cd78e05d3/ofae462f1.jpg

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