后COVID综合征患儿的生活质量(临床病例)

R. Makhmutov, J. V. Poshekhonova, O. A. Likhobabina
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摘要

背景。近年来,现代医学越来越重视病人的生活质量,无论是在跨学科方法中还是在个别疾病中都是如此。生活质量不仅是整体健康的重要组成部分,还能让临床医生根据病理状况的一般标准为患者制定个性化的治疗方法。评估 COVID 后综合征患儿的生活质量。我们研究了自律神经系统的强直性、记忆水平、注意力和表现分布、工作效率、精神稳定性以及焦虑程度的自我评估。生活质量采用我们自己的 "后 COVID 综合征儿童生活质量 "方法进行评估。评估结果一名患有后 COVID 综合征的儿童出现了植物神经、心理情感和认知障碍,给日常生活带来了严重不适,并持续了很长时间。上述神经-植物功能的变化是功能性的,因此我们希望这些变化是可逆的。治疗后,根据我们采用的方法进行的评估,该青少年的生活质量令人满意(43 分)。该临床病例的特点是肌张力障碍、自律神经失调、焦虑加重、情绪不稳定和一些认知障碍,这些都对患者的生活质量产生了负面影响。上述情况表明,越来越有必要进一步发展后 COVID 综合征患儿的生活质量评估,以便为此类患者的医疗矫正和康复制定明确的个性化算法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of life of a child with post-COVID syndrome (clinical case)
Background. In recent years, modern medicine has been paying increasing attention to the patient’s quality of life, both in an interdisciplinary approach and in individual diseases. Quality of life is not only an important component of overall health, but also allows the clinician to develop an individualized approach to the patient based on general criteria for the pathological condition.The aim of the work. To assess the quality of life of a child with post-COVID syndrome.Material and methods. We studied the tonus of autonomic nervous system, the level of memorization, attention span and performance distribution, work efficiency, mental stability, and self-assessment of the anxiety level. The quality of life was assessed using our own method “Quality of life of children with post-COVID syndrome”. Results. A child with post-COVID syndrome developed vegetative, psycho-emotional, and cognitive disorders, which caused significant discomfort in everyday life and persisted for a long period. The neurovegetative changes described above were functional in nature, which allows us to hope for their reversibility. After the treatment, the teenager’s quality of life, based on assessment using our methodology, had a satisfactory score (43 points).Conclusion. The clinical case was characterized by asthenoneurotic disorders, autonomic disorders, increased anxiety, emotional lability, and some cognitive impairments that negatively affected the patient’s quality of life. The above describes the growing need for further development of assessment of the quality of life of children with post-COVID syndrome in order to form clear personalized algorithms for medical correction and rehabilitation of such patients.
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