COVID-19 与神经系统疾病的关系

Shivendra Mani Tripathi, Pratik Kumar Vishwakarma, Smriti Ojha, Sudhanshu Mishra
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引用次数: 0

摘要

COVID-19大流行导致了一种社会孤立的生活方式,痴呆症患者是受影响最大的人群之一。封锁程序和无法监测疾病导致这些人的认知功能迅速下降,神经精神症状,如躁动、谵妄和运动能力受损普遍存在。然而,在治疗这些症状时使用抗精神病药物会增加COVID-19期间的死亡风险。考虑到痴呆患者的躁动和疼痛之间的一致关系,有效的疼痛治疗可以作为减少或避免使用抗精神病药物的替代方法。强调了正确评估和管理痴呆患者疼痛的重要性。此外,文章还讨论了COVID-19如何通过炎症、凝血和血管损伤影响大脑健康,从而对认知功能产生潜在的长期影响。卫生保健专业人员必须意识到,在大流行期间,痴呆患者神经精神症状的风险增加,优先考虑疼痛管理,作为抗精神病药物的可行替代方案。适当的护理和关注是必要的,以防止这些脆弱个体的认知能力下降和对大脑健康的潜在长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between COVID-19 and Neurological Disorder
The COVID-19 pandemic has resulted in a socially isolating way of life, and dementia patients are among those who are most affected. Lockdown procedures and the inability to monitor illnesses have led to a rapid decline in cognitive function in these individuals, with neuropsychiatric symptoms, such as agitation, delirium, and impaired motor performance being prevalent. However, the use of antipsychotics in treating these symptoms can increase the risk of death during COVID-19. Effective pain therapy can be used as an alternative to reduce or avoid the use of antipsychotics, given the consistent relationship between agitation and pain in dementia patients. The importance of properly assessing and managing pain in dementia patients is highlighted. Additionally, the article discusses how COVID-19 can affect brain health through inflammation, blood clotting, and blood vessel damage, leading to potential long-term effects on cognitive function. Healthcare professionals must be aware of the increased risk of neuropsychiatric symptoms in dementia patients during the pandemic and prioritize pain management as a viable alternative to antipsychotics. Proper care and attention are necessary to prevent cognitive decline and potential long-term effects on brain health in these vulnerable individuals.
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