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2019冠状病毒病与帕金森病样症状之间的潜在关联。

The potential association between COVID-19 and Parkinson's disease-like symptoms.

作者信息

Maruki Taketomo, Morioka Shinichiro, Kutsuna Satoshi, Kimura Yasuyoshi, Mochizuki Hideki, Ohmagari Norio

机构信息

Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Department of Infection Control, Osaka University Graduate School of Medicine/Faculty of Medicine, Japan.

出版信息

GHM Open. 2024 Jul 31;4(1):32-36. doi: 10.35772/ghmo.2024.01003.

Abstract

Although the initial triggers of Parkinson's disease (PD) remain largely unknown, viral infections have been implicated in some cases. In this study, we investigated the neurological sequelae and explored the potential association between post COVID-19 conditions and the development of Parkinson's disease-like symptoms by conducting a questionnaire survey on patients with COVID-19. We surveyed patients who had recovered from COVID-19 and visited the outpatient service of the institution from February 2020 to November 2021. Demographic and clinical data and data regarding the presence and duration of post COVID-19 conditions were obtained. The most common symptom was insomnia, experienced by 141 participants (27.9%). Bradykinesia was the next most common symptom, experienced by 66 participants (13.1%). Moreover, 18 (3.6%) participants reported persistence for > 180 days. Notably, the median duration of bradykinesia was 90 days. The proportions of patients with dysbasia, resting tremor, not previously noted constipation, and somniloquy were 9.1%, 5.0%, 4.8%, and 2.8%, respectively. Few participants had any of these symptoms lasting for more than 180 days. None of the participants was first diagnosed with PD, other neurological diseases, or dementia after COVID-19. Longitudinal follow-up surveys are needed to better understand the relationship between COVID-19 and PD.

摘要

尽管帕金森病(PD)的初始触发因素在很大程度上仍不明确,但在某些情况下病毒感染被认为与之有关。在本研究中,我们对新冠肺炎患者进行了问卷调查,以调查神经后遗症,并探讨新冠肺炎后状况与帕金森病样症状发展之间的潜在关联。我们调查了2020年2月至2021年11月期间从新冠肺炎康复并到该机构门诊就诊的患者。获取了人口统计学和临床数据以及关于新冠肺炎后状况的存在情况和持续时间的数据。最常见的症状是失眠,141名参与者(27.9%)有此症状。运动迟缓是第二常见的症状,66名参与者(13.1%)有此症状。此外,18名(3.6%)参与者报告症状持续超过180天。值得注意的是,运动迟缓的中位持续时间为90天。步态障碍、静止性震颤、既往未出现的便秘和说梦话的患者比例分别为9.1%、5.0%、4.8%和2.8%。很少有参与者出现这些症状持续超过180天。没有参与者在新冠肺炎后首次被诊断为帕金森病、其他神经疾病或痴呆。需要进行纵向随访调查,以更好地了解新冠肺炎与帕金森病之间的关系。

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