新冠肺炎康复患者三个月随访的临床、放射学结果和肺功能测试

IF 1.1 Q4 IMMUNOLOGY Immunopathologia Persa Pub Date : 2023-02-09 DOI:10.34172/ipp.2023.31362
Hanieh Raji, S. Borsi, Z. Mehraban, Sahar Azizi Moghadam
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引用次数: 0

摘要

简介:2019冠状病毒病(新冠肺炎)的长期肺部后果尚不清楚。目的:本研究的目的是在为期三个月的随访中,对治愈的新冠肺炎患者进行临床和放射学后果以及肺功能测试。患者和方法:本前瞻性描述性流行病学研究招募了通过逆转录聚合酶链反应(RT-PCR)检测实验室确诊的新冠肺炎感染患者。所有患者在出院前和出院后三个月进行计算机断层扫描和血氧测量。进行肺活量测试和6分钟步行测试(6MWT),以确定呼吸困难和持续呼吸道症状的水平。结果:本研究招募了80名患者。在3个月的随访中,血氧饱和度高于出院时间。胸部CT扫描显示异常结果的患者占66.3%。肺功能检查结果显示,只有27例(35.75%)患者出现肺功能异常。6MWT的中位距离为325米(四分位间距为96-480米)。结论:对新冠肺炎患者的随访显示,大多数治愈的新冠肺炎患者的放射学异常,这表明需要延长随访期,以调查新冠肺炎的长期后果。
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Clinical, radiological outcomes and pulmonary function tests in patients recovered from COVID-19 in a three-month follow-up
Introduction: Long-term pulmonary consequences of coronavirus disease 2019 (COVID-19) are unknown. Objectives: The aim of this study was the clinical and radiologic consequences and pulmonary function test in the cured COVID-19 patients in a three-month follow-up. Patients and Methods: Patients with laboratory-confirmed COVID-19 infection by a reverse transcription polymerase chain reaction (RT-PCR) assay were recruited in this prospective descriptive epidemiological study. Computerized tomography (CT) scan and blood oxygen measurement were performed before and three months after discharge for all the patients. Spirometry test and 6-minute walk test (6MWT) were conducted to determine the levels of dyspnea and persistent respiratory symptoms. Results: Eighty patients were recruited in this study. At the 3-month follow-up, oxygen saturation was higher than the time of discharge from the hospital. Chest CT scan showed abnormal results in 66.3% of patients. The pulmonary function test results indicated that only 27 (35.75%) of patients had abnormal test. The median distance in the 6MWT was 325 meters (interquartile range, 96-480 m). Conclusion: Follow-up of COVID-19 patients revealed radiological abnormalities in most cured COVID-19 patients, indicating the need for more extended follow-up periods for investigating the long-term consequences of COVID-19.
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CiteScore
1.70
自引率
0.00%
发文量
65
审稿时长
3 weeks
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