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COVID-19后1年周围神经病变和F波异常的危险因素:一项前瞻性队列研究。

Risk factors for 1-year peripheral neuropathy and F-wave abnormalities after COVID-19: a prospective cohort study.

作者信息

Yang Qian, Chang Yingying, Zhao Yinuo, Lai Yanhui, Liu Xuzhao, Xiao Ying, Li Na, Cui Shuhua, Wang Zhibo, Cui Ling, Zhao Yubin

机构信息

Haikou Fourth People's Hospital, Haikou, Hainan, China.

Hebei University of Chinese Medicine, Shijiazhuang, Hebei, China.

出版信息

Front Neurol. 2025 Jul 8;16:1532046. doi: 10.3389/fneur.2025.1532046. eCollection 2025.

Abstract

OBJECTIVE

To explore the risk factors for peripheral neuropathy (PNP) and F-wave abnormality during one-year rehabilitation for coronavirus disease 2019 (COVID-19).

METHODS

This prospective cohort study included patients with COVID-19 who were discharged from Shijiazhuang People's Hospital after treatment and routine rehabilitation between December 2020 and April 2021. Multivariable logistic regression analysis was used to analyze the independent risk factors for PNP and F-wave abnormality. -values <0.0125 were considered significant in the multivariable analyses to account for type I error.

RESULTS

A total of 313 patients with COVID-19 [aged 49.0 (IQR 33.0-58.0) years, and 191 (61.0%) females] were included. During one-year follow-up, 232 (74%) patients developed PNP (PNP group), and 81 (26%) did not (non-PNP group). In the PNP group, 51 (16%) patients had mononeuropathy, and 181 (58%) had polyneuropathy. Additionally, F-wave abnormality was detected in 22 (7%) out of 313 patients. Multivariable logistic regression analysis showed that age [odds ratio (OR) = 1.22, confidence interval (CI): 1.05-1.41,  = 0.009] was independently associated with PNP. College or higher education (OR = 5.07, 95% CI: 1.80-13.90,  = 0.002) was independently associated with mononeuropathy.

CONCLUSION

Age might be an independent risk factor for PNP, while higher education was associated with mononeuropathy.

摘要

目的

探讨2019冠状病毒病(COVID-19)患者在一年康复期外周神经病变(PNP)和F波异常的危险因素。

方法

这项前瞻性队列研究纳入了2020年12月至2021年4月期间在石家庄市人民医院接受治疗及常规康复后出院的COVID-19患者。采用多变量逻辑回归分析来分析PNP和F波异常的独立危险因素。在多变量分析中,为控制I类错误,P值<0.0125被视为具有统计学意义。

结果

共纳入313例COVID-19患者[年龄49.0(四分位间距33.0 - 58.0)岁,女性191例(61.0%)]。在一年的随访期间,232例(74%)患者发生PNP(PNP组),81例(26%)未发生(非PNP组)。在PNP组中,51例(16%)患者为单神经病变,181例(58%)为多神经病变。此外,313例患者中有22例(7%)检测到F波异常。多变量逻辑回归分析显示,年龄[比值比(OR)=1.22,置信区间(CI):1.05 - 1.41,P = 0.009]与PNP独立相关。大专及以上学历(OR = 5.07,95%CI:1.80 - 13.90,P = 0.002)与单神经病变独立相关。

结论

年龄可能是PNP的独立危险因素,而高学历与单神经病变相关。

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