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本文引用的文献

1
Designing and optimizing clinical trials for long COVID.长新冠临床试验的设计与优化。
Life Sci. 2024 Oct 15;355:122970. doi: 10.1016/j.lfs.2024.122970. Epub 2024 Aug 13.
2
Long COVID science, research and policy.长新冠科学、研究与政策。
Nat Med. 2024 Aug;30(8):2148-2164. doi: 10.1038/s41591-024-03173-6. Epub 2024 Aug 9.
3
Classification Accuracy and Description of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in an Integrated Health Care System, 2006-2017.2006 - 2017年综合医疗保健系统中肌痛性脑脊髓炎/慢性疲劳综合征的分类准确性及描述
Perm J. 2024 Sep 16;28(3):46-57. doi: 10.7812/TPP/23.170. Epub 2024 Jun 19.
4
Heterogeneity in Measures of Illness among Patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Is Not Explained by Clinical Practice: A Study in Seven U.S. Specialty Clinics.肌痛性脑脊髓炎/慢性疲劳综合征患者疾病测量的异质性无法通过临床实践来解释:美国七家专科诊所的一项研究
J Clin Med. 2024 Feb 28;13(5):1369. doi: 10.3390/jcm13051369.
5
Subphenotypes of self-reported symptoms and outcomes in long COVID: a prospective cohort study with latent class analysis.长新冠患者自我报告症状和结局的亚表型:一项采用潜在类别分析的前瞻性队列研究。
BMJ Open. 2024 Mar 14;14(3):e077869. doi: 10.1136/bmjopen-2023-077869.
6
Clinical phenotypes and quality of life to define post-COVID-19 syndrome: a cluster analysis of the multinational, prospective ORCHESTRA cohort.定义新冠后综合征的临床表型和生活质量:多国前瞻性ORCHESTRA队列的聚类分析
EClinicalMedicine. 2023 Jul 21;62:102107. doi: 10.1016/j.eclinm.2023.102107. eCollection 2023 Aug.
7
Persistent serum protein signatures define an inflammatory subcategory of long COVID.持续性血清蛋白标志物定义了长新冠的一个炎症亚类。
Nat Commun. 2023 Jun 9;14(1):3417. doi: 10.1038/s41467-023-38682-4.
8
Long COVID: major findings, mechanisms and recommendations.长新冠:主要发现、机制和建议。
Nat Rev Microbiol. 2023 Mar;21(3):133-146. doi: 10.1038/s41579-022-00846-2. Epub 2023 Jan 13.
9
Post-acute sequelae of COVID-19 symptom phenotypes and therapeutic strategies: A prospective, observational study.新型冠状病毒肺炎(COVID-19)后症状表型及其治疗策略的后遗症:一项前瞻性、观察性研究。
PLoS One. 2022 Sep 29;17(9):e0275274. doi: 10.1371/journal.pone.0275274. eCollection 2022.
10
Unexplained post-acute infection syndromes.不明原因的急性感染后综合征。
Nat Med. 2022 May;28(5):911-923. doi: 10.1038/s41591-022-01810-6. Epub 2022 May 18.

长新冠作为一种感染相关的慢性病:影响

Long COVID as an Infection-Associated Chronic Condition: Implications.

作者信息

Unger Elizabeth R

机构信息

Chronic Viral Diseases Branch, Division of High-Consequence Pathogens and Pathology, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention.

出版信息

Am J Health Promot. 2025 Jul;39(6):960-965. doi: 10.1177/08901171241308066b. Epub 2025 Jun 8.

DOI:10.1177/08901171241308066b
PMID:40485158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12421693/
Abstract

A link between infection and chronic illness has been recognized, along with the complexities of interactions between pathogen, environment, host genetics, route of exposure, and timing of outcomes. The COVID-19 pandemic has brought this issue to the forefront and Long COVID is recognized to be an infection associated chronic condition. However, given the wide range of Long COVID presentations, the singular expression gives a false sense of simplicity. Long COVID is best considered as a group of infection associated conditions requiring developing research studies and treatment trials that address the inherent heterogeneity.

摘要

感染与慢性病之间的联系已得到认可,同时也认识到病原体、环境、宿主遗传学、接触途径和结果发生时间之间相互作用的复杂性。新冠疫情使这个问题成为焦点,长期新冠被认为是一种与感染相关的慢性病。然而,鉴于长期新冠的表现形式多种多样,单一的表述给人一种简单化的错觉。最好将长期新冠视为一组与感染相关的病症,需要开展研究和治疗试验来应对其内在的异质性。