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長(zhǎng)新冠患疲勞感比晚期癌癥更強(qiáng),,但獲得的理解很少

ERIN PRATER
2023-06-18

長(zhǎng)新冠患者遭遇的機(jī)能障礙通常比中風(fēng)患者更嚴(yán)重,亟需更多研究從而幫助人們應(yīng)付這一致人衰弱的新疾病,。

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像很多隱形疾病一樣,長(zhǎng)新冠的影響遠(yuǎn)比很多健康人士想象中更嚴(yán)重,。

英國(guó)一項(xiàng)新研究揭示,,長(zhǎng)新冠會(huì)導(dǎo)致人身體極其衰弱,數(shù)千名患者報(bào)告稱(chēng)出現(xiàn)機(jī)能障礙,、容易疲勞和生活質(zhì)量不佳,,狀況甚至比患有嚴(yán)重乃至有性命之虞的疾病(如晚期癌癥,、帕金森病和終末期腎?。┑幕颊吒愀?。

倫敦大學(xué)學(xué)院(University College London)和埃克塞特大學(xué)(University of Exeter)的研究人員調(diào)查了近4000名轉(zhuǎn)診到長(zhǎng)新冠診所的英國(guó)成年人,。他們發(fā)現(xiàn),,長(zhǎng)新冠患者遭遇的機(jī)能障礙通常比中風(fēng)患者更嚴(yán)重,與帕金森病患者相似,,影響工作,、家庭生活和休閑活動(dòng)。

半數(shù)患者報(bào)告稱(chēng)上個(gè)月因長(zhǎng)新冠癥狀誤工一天或多天,,五分之一患者報(bào)告稱(chēng)上個(gè)月誤工三到四周,。

研究參與者還報(bào)告稱(chēng),健康相關(guān)生活質(zhì)量低到難以想象,,得分與晚期癌癥患者相似,。作者寫(xiě)道,通常情況下癌癥4期患者的生活質(zhì)量都比長(zhǎng)新冠患者要好,。

機(jī)能受損和低生活質(zhì)量背后的主要原因是疲勞,,通常比患有終末期腎病或癌癥和貧血的患者情況更糟。研究人員報(bào)告稱(chēng),,其他影響生活質(zhì)量的癥狀包括呼吸困難,、焦慮、抑郁和腦霧等,。

該研究主要作者,,全科醫(yī)生,也是倫敦大學(xué)學(xué)院教授亨利·古德費(fèi)洛在新聞稿中表示,,盡管高達(dá)17%的新冠患者會(huì)出現(xiàn)病毒感染后疾病,,人們對(duì)長(zhǎng)新冠的了解仍然很粗淺。

“我們的研究發(fā)現(xiàn),,長(zhǎng)新冠會(huì)對(duì)患者的生活造成毀滅性影響,,其中疲勞對(duì)社交活動(dòng)到工作、家務(wù)和保持親密關(guān)系等各方面的影響最大,,”他表示,。

埃克塞特大學(xué)醫(yī)學(xué)統(tǒng)計(jì)學(xué)教授,,也是該研究另一位作者威廉·亨里指出,,長(zhǎng)新冠會(huì)導(dǎo)致人們比某些癌癥患者更疲勞,且生活質(zhì)量更差,,“然而獲得的支持和理解不可同日而語(yǔ),。”

“我們迫切需要更多研究從而開(kāi)展實(shí)證服務(wù),幫助人們應(yīng)付這一致人衰弱的新疾病,?!彼f(shuō)。

長(zhǎng)新冠的癥狀

雖然長(zhǎng)新冠或新冠急性后遺癥(PASC)的定義各不相同,,通常是指新冠感染后出現(xiàn)的新癥狀,,或在感染后不久出現(xiàn)然后持續(xù)12周或更久的癥狀。

多位專(zhuān)家表示,,真正的長(zhǎng)新冠最好定義為感染新冠后出現(xiàn)的慢性疲勞綜合征,,類(lèi)似感染皰疹、萊姆病和埃博拉等病后可能出現(xiàn)的病毒感染后疾病,。

專(zhuān)家認(rèn)為,,至于其他一些新冠并發(fā)癥,,例如器官損傷,,還有重癥監(jiān)護(hù)后綜合征,即病人因插管和長(zhǎng)期臥床等痛苦住院經(jīng)歷患上的后遺癥,,不應(yīng)視為長(zhǎng)新冠,。

患者和臨床醫(yī)生同樣面臨的問(wèn)題是,該疾病可能導(dǎo)致大量其他癥狀,。如今已確定的癥狀包括200多種,,從持續(xù)咳嗽和耳朵麻木到“大腦著火”感,以及新出現(xiàn)的勃起功能障礙等等,。

根據(jù)去年夏天《柳葉刀》上一項(xiàng)里程碑式的研究,,哪怕癥狀最終消退,長(zhǎng)新冠患者在徹底康復(fù)之前九個(gè)月或更長(zhǎng)時(shí)間里,,平均出現(xiàn)60種癥狀,,涉及九個(gè)或更多器官。(財(cái)富中文網(wǎng))

譯者:梁宇

審校:夏林

像很多隱形疾病一樣,,長(zhǎng)新冠的影響遠(yuǎn)比很多健康人士想象中更嚴(yán)重,。

英國(guó)一項(xiàng)新研究揭示,長(zhǎng)新冠會(huì)導(dǎo)致人身體極其衰弱,,數(shù)千名患者報(bào)告稱(chēng)出現(xiàn)機(jī)能障礙,、容易疲勞和生活質(zhì)量不佳,狀況甚至比患有嚴(yán)重乃至有性命之虞的疾?。ㄈ缤砥诎┌Y,、帕金森病和終末期腎病)的患者更糟糕,。

倫敦大學(xué)學(xué)院(University College London)和??巳卮髮W(xué)(University of Exeter)的研究人員調(diào)查了近4000名轉(zhuǎn)診到長(zhǎng)新冠診所的英國(guó)成年人。他們發(fā)現(xiàn),長(zhǎng)新冠患者遭遇的機(jī)能障礙通常比中風(fēng)患者更嚴(yán)重,,與帕金森病患者相似,,影響工作、家庭生活和休閑活動(dòng),。

半數(shù)患者報(bào)告稱(chēng)上個(gè)月因長(zhǎng)新冠癥狀誤工一天或多天,,五分之一患者報(bào)告稱(chēng)上個(gè)月誤工三到四周。

研究參與者還報(bào)告稱(chēng),,健康相關(guān)生活質(zhì)量低到難以想象,,得分與晚期癌癥患者相似。作者寫(xiě)道,,通常情況下癌癥4期患者的生活質(zhì)量都比長(zhǎng)新冠患者要好,。

機(jī)能受損和低生活質(zhì)量背后的主要原因是疲勞,通常比患有終末期腎病或癌癥和貧血的患者情況更糟,。研究人員報(bào)告稱(chēng),,其他影響生活質(zhì)量的癥狀包括呼吸困難、焦慮,、抑郁和腦霧等,。

該研究主要作者,全科醫(yī)生,,也是倫敦大學(xué)學(xué)院教授亨利·古德費(fèi)洛在新聞稿中表示,,盡管高達(dá)17%的新冠患者會(huì)出現(xiàn)病毒感染后疾病,人們對(duì)長(zhǎng)新冠的了解仍然很粗淺,。

“我們的研究發(fā)現(xiàn),,長(zhǎng)新冠會(huì)對(duì)患者的生活造成毀滅性影響,其中疲勞對(duì)社交活動(dòng)到工作,、家務(wù)和保持親密關(guān)系等各方面的影響最大,,”他表示。

??巳卮髮W(xué)醫(yī)學(xué)統(tǒng)計(jì)學(xué)教授,,也是該研究另一位作者威廉·亨里指出,長(zhǎng)新冠會(huì)導(dǎo)致人們比某些癌癥患者更疲勞,,且生活質(zhì)量更差,,“然而獲得的支持和理解不可同日而語(yǔ)?!?/p>

“我們迫切需要更多研究從而開(kāi)展實(shí)證服務(wù),,幫助人們應(yīng)付這一致人衰弱的新疾病?!彼f(shuō),。

長(zhǎng)新冠的癥狀

雖然長(zhǎng)新冠或新冠急性后遺癥(PASC)的定義各不相同,,通常是指新冠感染后出現(xiàn)的新癥狀,或在感染后不久出現(xiàn)然后持續(xù)12周或更久的癥狀,。

多位專(zhuān)家表示,,真正的長(zhǎng)新冠最好定義為感染新冠后出現(xiàn)的慢性疲勞綜合征,類(lèi)似感染皰疹,、萊姆病和埃博拉等病后可能出現(xiàn)的病毒感染后疾病,。

專(zhuān)家認(rèn)為,至于其他一些新冠并發(fā)癥,,例如器官損傷,,還有重癥監(jiān)護(hù)后綜合征,即病人因插管和長(zhǎng)期臥床等痛苦住院經(jīng)歷患上的后遺癥,,不應(yīng)視為長(zhǎng)新冠,。

患者和臨床醫(yī)生同樣面臨的問(wèn)題是,該疾病可能導(dǎo)致大量其他癥狀,。如今已確定的癥狀包括200多種,,從持續(xù)咳嗽和耳朵麻木到“大腦著火”感,以及新出現(xiàn)的勃起功能障礙等等,。

根據(jù)去年夏天《柳葉刀》上一項(xiàng)里程碑式的研究,,哪怕癥狀最終消退,,長(zhǎng)新冠患者在徹底康復(fù)之前九個(gè)月或更長(zhǎng)時(shí)間里,,平均出現(xiàn)60種癥狀,涉及九個(gè)或更多器官,。(財(cái)富中文網(wǎng))

譯者:梁宇

審校:夏林

Long COVID—like so many invisible illnesses—is far more impactful than many healthy individuals realize.

A new study out of the U.K. reveals the extreme extent of its debilitating nature, with thousands of patients reporting more trouble functioning, greater fatigue, and lower quality of life than those with serious and even life-threatening medical conditions like advanced cancer, Parkinson’s disease, and end-stage kidney disease.

Researchers at University College London (UCL) and the University of Exeter surveyed nearly 4,000 U.K. adults who had been referred to long-COVID clinics. They found that functional impairment—affecting their ability to work, keep up their homes, and enjoy leisure activities—was generally worse among such patients than it was in those who had experienced a stroke, and was similar to that of Parkinson’s disease patients.

Half of patients reported missing work one or more days the previous month because of symptoms, and a fifth reported missing between three and four weeks of work during the previous month.

Study participants also reported dismally low health-related quality of life, with scores similar to those of patients with advanced cancer. Quality of life is generally better among stage 4 lung cancer patients than it is among long-COVID patients, the authors wrote.

The driving factor behind functional impairment and low quality of life is fatigue, which is generally worse than that experienced by those who have end-stage kidney disease or both cancer and anemia. Other symptoms that impact quality of life include breathlessness, anxiety, depression, and brain fog, researchers reported.

While up to 17% of COVID patients go on to develop the post-viral illness, long COVID is still poorly understood, Dr. Henry Goodfellow, a general practitioner, professor at UCL, and lead author of the study, said in a news release.

“Our results have found that long COVID can have a devastating effect on the lives of patients, with fatigue having the biggest impact on everything from social activities to work, chores, and maintaining close relationships,” he said.

William Henley, a professor of medical statistics at the University of Exeter and another author of the study, noted that while long COVID can leave people more fatigued and with worse quality of life than those with some cancers, “support and understanding is not at the same level.”

“We urgently need more research to enable the development of evidence-based services to support people trying to manage this debilitating new condition,” he said.

Symptoms of long COVID

While definitions of long COVID—or post-acute sequelae of COVID (PASC)—vary, it’s generally defined as new symptoms that occur with COVID infection, or develop shortly thereafter, and last for 12 or more weeks.

True long COVID, many experts say, is best defined as a chronic fatigue syndrome–like condition that develops after a COVID infection, similar to other post-viral syndromes that can occur after an infection with herpes, Lyme disease, and Ebola, among others.

Other post-COVID complications like organ damage and post–intensive care syndrome—experienced by patients with traumatic hospital stays that include intubation and prolonged bed confinement—should not be considered long COVID, they contend.

The trouble for patients and clinicians alike is the vast array of other symptoms that can occur with the condition. More than 200 have been identified, from lingering cough and ear numbness to a sensation of “brain on fire” and new erectile dysfunction.

Those with long COVID experienced an average of 60 symptoms in nine different organ systems over nine or more months before recovering, if symptoms ever subsided, according to a landmark study published last summer in?The Lancet.

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