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肺康复计划是治疗新冠后综合征患者的有效方法。

Pulmonary Rehabilitation Program Is an Effective Treatment Approach for Post-COVID-19 Syndrome Patients.

作者信息

Pádua Karina, Rosa Karissa Yasmim Araújo, Leal Silvania, Oliveira Silva Iransé, Oliveira Rodrigo Franco de, Oliveira Deise Aparecida de Almeida Pires, Oliveira Luís Vicente, Santos Dante Brasil

机构信息

Program in Human Movement and Rehabilitation of the Anápolis University Center, Main Campus Unit, University Av km 3.5, Bloco B2, sl 501, Anápolis 75083-515, GO, Brazil.

Biosciences and Human Movement Laboratory, UNIRIO, Institute of Biosciences, Xavier Sigaud St., 290 2nd Floor, Urca, Rio de Janeiro 22290-180, RJ, Brazil.

出版信息

J Clin Med. 2024 Sep 19;13(18):5542. doi: 10.3390/jcm13185542.

Abstract

Patients with post-COVID-2019 syndrome may have reduced functional capacity and physical activity levels. The pulmonary rehabilitation program (PRP)-an exercise training program-is designed to restore these functions and has been shown to improve dyspnea, exercise capacity, and other measures in these patients. This study aimed to analyze the effects of the RP on post-COVID-19 syndrome patients with respect to objective and subjective functional capacity, balance, and musculoskeletal strength. : A prospective interventional trial was conducted before and after this phase. Patients were referred to the hospital with a confirmed diagnosis of SARS-CoV-2 and subsequently directed to the RP. These patients underwent an 8-week pulmonary rehabilitation program (45-min sessions 3 times/week). Each session consisted of stationary cycle-ergometer and resistance musculoskeletal exercises tailored to individuals' performance. They were evaluated pre- and post-PRP using the maximal handgrip strength (HGS) test, timed up-and-go test, 6-min walk test and its derived variables, and Duke Activity Status Index questionnaire. : From 142 hospitalized patients admitted with a diagnosis of SARS-CoV-2 infection, 60 completed the program, with an attendance rate of 85%. Nineteen patients were categorized as severe/critical, with a significantly higher hospital stay, compared to mild/moderate patients, and there were no differences in terms of sex distribution, age, or BMI between groups. Compared to the pre-PRP evaluation, both groups showed significant ( < 0.001) improvements in TUG, HGS, DASI D6MWT, 6MWS, and DSP variables after the PRP conduction. In addition, the groups exhibited similar improvement patterns following PRP (intragroup analysis), with no intergroup differences. : RPs promote both objective and subjective functional capacity in patients with post-COVID-19 syndrome, with no difference in improvement regardless of the severity of the initial infection.

摘要

新型冠状病毒肺炎后综合征患者的功能能力和身体活动水平可能会下降。肺康复计划(PRP)——一种运动训练计划——旨在恢复这些功能,并且已被证明可以改善这些患者的呼吸困难、运动能力和其他指标。本研究旨在分析肺康复计划对新型冠状病毒肺炎后综合征患者客观和主观功能能力、平衡能力以及肌肉骨骼力量的影响。在此阶段前后进行了一项前瞻性干预试验。确诊感染严重急性呼吸综合征冠状病毒2的患者被转诊至医院,随后接受肺康复计划。这些患者接受了为期8周的肺康复计划(每次45分钟,每周3次)。每次训练包括固定自行车测力计训练和根据个人表现定制的抗阻肌肉骨骼锻炼。在肺康复计划前后,使用最大握力(HGS)测试、计时起立行走测试、6分钟步行测试及其衍生变量以及杜克活动状态指数问卷对他们进行评估。在142例因严重急性呼吸综合征冠状病毒2感染入院的患者中,60例完成了该计划,出勤率为85%。19例患者被归类为重症/危重症,与轻症/中症患者相比,住院时间显著更长,两组在性别分布、年龄或体重指数方面无差异。与肺康复计划前的评估相比,两组在进行肺康复计划后,计时起立行走测试、握力、杜克活动状态指数、6分钟步行距离和6分钟步行速度变量方面均有显著改善(<0.001)。此外,两组在肺康复计划后表现出相似的改善模式(组内分析),组间无差异。肺康复计划可提高新型冠状病毒肺炎后综合征患者的客观和主观功能能力,无论初始感染的严重程度如何,改善情况均无差异。

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