长期COVID的功能性医疗途径与管理

Sang-Hoon Lee, Sang Man Kim
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摘要

长COVID,也称为SARS-CoV-2感染急性后后遗症或急性后COVID-19综合征,是指在诊断后持续4周以上的一系列症状和并发症。常见的症状包括疲劳、头痛、嗅觉丧失、耳聋、慢性咳嗽、呼吸短促、注意力和记忆力受损、睡眠障碍、抑郁、焦虑和脱发。根据不同的数据,长冠肺炎的发病率有所不同,但据报道,在COVID-19急性患者中,长冠肺炎的发病率为20%至60%。尽管其发病率高,医疗和社会负担沉重,但目前尚无明确的定义或客观的诊断标准。由于证据不足,其诊断和治疗选择也有限。然而,通过肾上腺疲劳、肠道健康、炎症消退、组胺失衡和维生素D缺乏等方面的功能医学方法,可以帮助长期COVID患者。可以利用血液检查、尿有机酸谱和食物不耐受测试,并可以实施生活方式改变、口服或静脉营养治疗。本文综述了目前关于长冠肺炎的医学文献,提出了长冠肺炎的功能医学方法和治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional medical approach and management for long COVID
Long COVID, also known as post-acute sequelae of SARS-CoV-2 infection or post-acute COVID-19 syndrome, refers to a range of symptoms and complications that persist more than 4 weeks after diagnosis. Common symptoms include fatigue, headache, anosmia, ageusia, chronic cough, shortness of breath, impaired concentration and memory, sleep disturbances, depression, anxiety, and hair loss. The incidence of long COVID varies according to the data, but it has been reported in 20% to 60% of acute COVID-19 patients. Despite its high incidence and significant medical and societal burden, there is currently no clear definition or objective diagnostic criteria for long COVID. Its diagnosis and treatment options are also limited due to insufficient evidence. Nevertheless, a functional medicine approach, through aspects such as adrenal fatigue, gut health, inflammation resolution, histamine imbalance, and vitamin D deficiency, can help long COVID patients. Blood tests, urinary organic acid profile, and food intolerance tests can be utilized, and lifestyle modification, oral or intravenous nutrition therapies can be implemented. In this article, we review the existing medical literature on long COVID and propose a functional medicine approach and management for long COVID.
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