sequelae

后遗症
  • 文章类型: Journal Article
    尽管各种癌症疗法对患者的生存都取得了成功,这些治疗可能会产生负面副作用,对呼吸系统特别严重的损害。鉴于癌症治疗后呼吸道相关疾病的增加,我们敦促该领域考虑一门新学科,称为“肿瘤学-呼吸学”(或共呼吸学)。
    Despite the success of various cancer therapies on patient survival, these treatments can have negative side effects, particularly severe damage to the respiratory system. Given the rise in respiratory-associated illnesses in response to cancer treatment, we urge the field to consider a new discipline referred to as \'oncology-respirology\' (or onco-respirology).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    烧伤是一种被低估的严重伤害,对幸存者的身体产生负面影响,心理上和经济上,因此是相当大的公共卫生负担。尽管烧伤治疗取得了重大进展,许多烧伤仍未愈合或出现严重的并发症/后遗症。核苷酸结合寡聚化结构域样受体(NLRs)家族含pyrin结构域3(NLRP3)炎性体是伤口愈合的关键调节因子,包括烧伤伤口愈合。更好地了解烧伤创面愈合的病理生理机制可能有助于找到促进烧伤创面愈合的最佳治疗靶点。减少烧伤后的并发症/后遗症,最大限度地恢复烧伤皮肤的结构和功能。本文旨在总结目前对NLRP3炎性体在烧伤创面愈合中的作用和调控机制的认识。以及NLRP3抑制剂参与烧伤治疗的临床前研究,强调NLRP3靶向治疗在烧伤创面中的潜在应用。
    Burns are an underestimated serious injury negatively impacting survivors physically, psychologically and economically, and thus are a considerable public health burden. Despite significant advancements in burn treatment, many burns still do not heal or develop serious complications/sequelae. The nucleotide-binding oligomerization domain-like receptors (NLRs) family pyrin domain-containing 3 (NLRP3) inflammasome is a critical regulator of wound healing, including burn wound healing. A better understanding of the pathophysiological mechanism underlying the healing of burn wounds may help find optimal therapeutic targets to promote the healing of burn wounds, reduce complications/sequelae following burn, and maximize the restoration of structure and function of burn skin. This review aimed to summarize current understanding of the roles and regulatory mechanisms of the NLRP3 inflammasome in burn wound healing, as well as the preclinical studies of the involvement of NLRP3 inhibitors in burn treatment, highlighting the potential application of NLRP3-targeted therapy in burn wounds.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    COVID-19后遗症是COVID-19的长期症状。心血管疾病不仅是COVID-19后遗症发生的危险因素,也是COVID-19感染直接或间接导致的潜在结果。
    本研究旨在调查山东中医药大学附属医院心内科门诊患者和住院患者新型冠状病毒感染康复后的心血管系统相关症状,分析影响因素,和相关症状的症状特征,从而为进一步制定合理的诊疗方案提供依据。
    自2023年1月15日至2023年2月15日,山东中医药大学附属医院心血管内科收治的新型冠状病毒感染康复患者452例因心血管系统症状(主诉胸痛和心悸)纳入本研究。使用统一的问卷记录一般信息,既往病史,胸痛或心悸的特征,以及选定患者的其他COVID-19相关后遗症。所有数据采用SPSS26.0统计软件进行统计学分析。
    本研究共纳入226例有心血管症状的患者和226例无心血管症状的患者。经过单因素和多因素logistic回归分析,女性(OR2.081,95%CI=1.358-3.189)和年轻人(OR2.557,95%CI=1.44-4.54)发生心血管症状、高血压前期(OR1.905,95%CI=1.091-3.329)和高血压(OR2.287,95%CI=1.433-3.649)的风险增加;既往有心血管疾病病史的患者(1.8OR62,95%CI=2.138)发生心血管症状的风险增加,452例患者报告的与COVID-19后遗症相关的主要症状为疲劳(76.8%),呼吸急促(54.2%),口干口苦(46.0%),胃肠道症状(42.7%),睡眠障碍(37.4%),出汗(31.9%),寒战(29%),头晕(25.7%),脑雾混乱(25.2%),和耳鸣(14.6%)。与没有心血管症状的患者相比,有心血管症状的患者更容易出现呼吸急促(OR3.521,95%CI=2.226-5.472),胃肠道症状(OR2.039,95%CI=1.226-3.393),口干口苦(OR1.918,95%CI=1.229-2.992)。差异有统计学意义(P<0.05)。
    在这种新的冠状病毒感染中,女人,年轻人,老年人,患有高血压前期的人,高血压,有心血管疾病和糖尿病病史的患者发生心血管症状的风险更高,有心血管症状的患者更容易出现其他COVID-19后遗症。
    UNASSIGNED: COVID-19 sequelae are long-term symptoms of COVID-19. Cardiovascular disease is not only a risk factor for the occurrence of COVID-19 sequelae but also a potential result directly or indirectly caused by COVID-19 infection.
    UNASSIGNED: The aim of this study is to investigate the cardiovascular system-related symptoms of outpatients and inpatients of the Cardiovascular Department of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine after recovery from novel coronavirus infection, analyze the influencing factors, and symptom characteristics of related symptoms, and thereby provide a basis for further formulating a reasonable diagnosis and treatment plan.
    UNASSIGNED: From January 15, 2023 to February 15, 2023, 452 recovered patients with novel coronavirus infection who were admitted to the Cardiovascular Department of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine due to symptoms of the cardiovascular system (complaints of chest pain and palpitations) were involved in this study. A unified questionnaire was used to record the general information, past medical history, characteristics of chest pain or palpitations, and other COVID-19-related sequelae of the selected patients. All data were statistically analyzed by SPSS 26.0 statistical software.
    UNASSIGNED: A total of 226 patients with cardiovascular symptoms and 226 patients without cardiovascular symptoms were included in this study. After univariate and multivariate logistic regression analysis, women (OR 2.081, 95% CI = 1.358-3.189) and young people (OR 2.557, 95% CI = 1.44-4.54) had a higher risk of cardiovascular symptoms; prehypertension (OR 1.905, 95% CI = 1.091-3.329) and hypertension (OR 2.287, 95% CI = 1.433-3.649) increased the risk of cardiovascular symptoms; patients with history of previous cardiovascular disease (OR 1.862, 95% CI = 1.16-2.988) and history of diabetes (OR 2.138, 95% CI = 1.058-4.319) had a higher risk of developing cardiovascular symptoms. The main symptoms related to COVID-19 sequelae reported by all 452 patients were fatigue (76.8%), shortness of breath (54.2%), dry mouth and bitter mouth (46.0%), gastrointestinal symptoms (42.7%), sleep disturbances (37.4%), sweating (31.9%), chills (29%), dizziness (25.7%), confusion of brain fog (25.2%), and tinnitus (14.6%). Compared with patients without cardiovascular symptoms, patients with cardiovascular symptoms were more likely to have shortness of breath (OR 3.521, 95% CI = 2.226-5.472), gastrointestinal symptoms (OR 2.039, 95% CI = 1.226-3.393), and dry mouth and bitter mouth (OR 1.918, 95% CI = 1.229-2.992). The differences were statistically significant (P < 0.05).
    UNASSIGNED: In this new coronavirus infection, women, young people, the elderly, people with prehypertension, hypertension, and patients with a history of cardiovascular disease and diabetes have a higher risk of developing cardiovascular symptoms, and patients with cardiovascular symptoms are more likely to develop other COVID-19 sequelae.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    COVID-19的急性期常表现为神经系统表现。
    本研究旨在调查对幸存者的长期神经系统影响。
    这项研究招募了来自武汉的1,546名COVID-19幸存者,包括1,119例非严重病例和427名严重幸存者。参与者在出院两年后接受采访,报告他们的神经症状。比较了严重和非严重COVID-19幸存者的COVID-19神经系统症状。
    在1,546名COVID-19幸存者中,44.24%发现至少一种神经症状。最普遍的自我报告症状是疲劳(28.33%),记忆力不足(13.26%),注意力不足(9.96%),肌痛(8.34%),头晕(3.82%),头痛(2.52%)。严重者疲劳发生率较高,肌痛,记忆缺陷,注意力不足比非严重病例。年纪大了,严重COVID-19和共病负担与长期神经系统症状相关.
    神经症状在COVID-19幸存者中很常见,特别是在严重的情况下。
    UNASSIGNED: The acute stage of COVID-19 often presents with neurological manifestations.
    UNASSIGNED: This study aims to investigate the long-term neurological effects on survivors.
    UNASSIGNED: This study recruited 1,546 COVID-19 survivors from Wuhan, including 1,119 nonsevere cases and 427 severe survivors. Participants were interviewed two years after discharge to report their neurological symptoms. The neurological symptoms of COVID-19 were compared between survivors of severe and nonsevere COVID-19.
    UNASSIGNED: Among the 1,546 COVID-19 survivors, 44.24% discovered at least one neurological symptom. The most prevalent self-reported symptom was fatigue (28.33%), memory deficit (13.26%), attention deficit (9.96%), myalgia (8.34%), dizziness (3.82%), and headache (2.52%). Severe cases had higher incidences of fatigue, myalgia, memory deficit, attention deficit than nonsevere cases. Older age, severe COVID-19, and comorbidity burden were associated with long-term neurological symptoms.
    UNASSIGNED: Neurological symptoms are common among COVID-19 survivors, especially in severe cases.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    COVID-19伴布鲁氏菌病患者的临床特征和转归尚未得到很好的证实,我们试图分析局部和文献COVID-19例布鲁氏菌病康复前后的临床结局。
    我们回顾性收集了2020年1月15日至2022年4月29日黑龙江省传染病医院共病患者的住院数据,并进行了出院后的前瞻性随访。人口统计,流行病学,临床症状,放射学和实验室数据,治疗药物和结果,并对后续进行了分析,并证明了系统审查的结果。
    共纳入4例COVID-19布鲁氏菌病患者。1例患者在covid之前患有活动性布鲁氏菌病,3例患者在布鲁氏菌病之前患有非活动性布鲁氏菌病。中位年龄为54.5岁,均为男性(100.0%)。2例(50.0%)为中度,一个是轻度无症状的,分别。3例(75.0%)至少有一种合并症(布鲁氏菌病除外)。所有4例患者均在COVID-19核酸筛查中发现。病例C和D入院时只有头痛和发烧,分别。中药治疗4例,三例西药,住院期间无不良反应发生。所有患者均治愈出院。此外,1例(25.0%)仍有活动性布鲁氏菌病,但COVID-19无阳性,其他3例(75.0%)除1例恢复后随访期间出现疲劳和焦虑外,无不适症状。进行文献综述,在两个病例报告中报告了两个类似的病例,两者都被恢复了,然而,恢复后无随访数据。
    这些病例表明,患有布鲁氏菌病的COVID-19患者在康复前后均有良好的预后。应该进行更多的临床研究来证实我们的发现。
    UNASSIGNED: Clinical characteristics and outcome in COVID-19 with brucellosis patients has not been well demonstrated, we tried to analyze clinical outcome in local and literature COVID-19 cases with brucellosis before and after recovery.
    UNASSIGNED: We retrospectively collected hospitalization data of comorbid patients and prospectively followed up after discharge in Heilongjiang Infectious Disease Hospital from January 15, 2020 to April 29, 2022. Demographics, epidemiological, clinical symptoms, radiological and laboratory data, treatment medicines and outcomes, and follow up were analyzed, and findings of a systematic review were demonstrated.
    UNASSIGNED: A total of four COVID-19 with brucellosis patients were included. One patient had active brucellosis before covid and 3 patients had nonactive brucellosis before brucellosis. The median age was 54.5 years, and all were males (100.0%). Two cases (50.0%) were moderate, and one was mild and asymptomatic, respectively. Three cases (75.0%) had at least one comorbidity (brucellosis excluded). All 4 patients were found in COVID-19 nucleic acid screening. Case C and D had only headache and fever on admission, respectively. Four cases were treated with Traditional Chinese medicine, western medicines for three cases, no adverse reaction occurred during hospitalization. All patients were cured and discharged. Moreover, one case (25.0%) had still active brucellosis without re-positive COVID-19, and other three cases (75.0%) have no symptoms of discomfort except one case fell fatigue and anxious during the follow-up period after recovery. Conducting the literature review, two similar cases have been reported in two case reports, and were both recovered, whereas, no data of follow up after recovery.
    UNASSIGNED: These cases indicate that COVID-19 patients with brucellosis had favorable outcome before and after recovery. More clinical studies should be conducted to confirm our findings.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    随着COVID-19的全球流行和预防,COVID-19后遗症及其综合预防引起了广泛关注。长COVID-19后遗症是指急性COVID-19后三个月,SARS-CoV-2检测阴性,但是一些症状仍然存在,比如咳嗽,长时间的呼吸困难和疲劳,呼吸急促,心悸和失眠。其病理机制与病毒的直接损伤有关,免疫病理反应,内分泌和代谢紊乱。尽管有更有效的治疗COVID-19的方法,但长期COVID-19患者的治疗选择仍然相当有限。心理物理治疗,比如锻炼,氧疗,光生物调节,和冥想,已被尝试作为长COVID-19的治疗方式,有可能通过免疫调节促进恢复,抗氧化作用,和神经内分泌调节。神经内分泌调节在修复病毒感染后的损伤中起着重要作用,调节免疫稳态,并改善长期COVID-19患者的代谢活性。本文以催产素为例,研究了长期COVID-19综合征的心理物理治疗中涉及的神经内分泌机制,并提出了治疗长期COVID-19的心理物理策略。
    With the global epidemic and prevention of the COVID-19, long COVID-19 sequelae and its comprehensive prevention have attracted widespread attention. Long COVID-19 sequelae refer to that three months after acute COVID-19, the test of SARS-CoV-2 is negative, but some symptoms still exist, such as cough, prolonged dyspnea and fatigue, shortness of breath, palpitations and insomnia. Its pathological mechanism is related to direct viral damage, immunopathological response, endocrine and metabolism disorders. Although there are more effective methods for treating COVID-19, the treatment options available for patients with long COVID-19 remain quite limited. Psychophysical therapies, such as exercise, oxygen therapy, photobiomodulation, and meditation, have been attempted as treatment modalities for long COVID-19, which have the potential to promote recovery through immune regulation, antioxidant effects, and neuroendocrine regulation. Neuroendocrine regulation plays a significant role in repairing damage after viral infection, regulating immune homeostasis, and improving metabolic activity in patients with long COVID-19. This review uses oxytocin as an example to examine the neuroendocrine mechanisms involved in the psychophysical therapies of long COVID-19 syndrome and proposes a psychophysical strategy for the treatment of long COVID-19.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目的:这项回顾性研究的目的是研究股骨近端重建(PFR)联合全髋关节置换术(THA)治疗继发于化脓性关节炎(SA)的高髋关节脱位患者的临床结果和并发症。
    方法:在2016年9月至2021年9月之间,我们对SA继发髋关节高位脱位的患者进行了一系列15次连续PFR联合THA,其中,对12髋进行了回顾性检查,平均随访2.5年(范围,1.5-6年)。手术时患者的平均年龄为52岁(范围,40-70年)。
    结果:所有患者均获得随访。术后1年随访,HHS中位数从术前的32.50增加至术后的79.50.中位VAS从术前的7降至术后1年的2。LLD中位数从术前45mm降至术后1年的8mm。平均手术时间125±15分钟(范围103-195分钟)。平均估计失血量为500±105ml(范围450-870ml)。平均住院天数9.5天(范围6-15天)。两名患者出现神经损伤,营养神经治疗后有所改善。1例患者术后反复脱位,接受了再次手术,随访期间无再发脱位。随访期间未见假体松动病例。一名患者发生了术后急性假体周围感染(PJI),接受了清创术治疗,抗生素和植入物保留(DAIR)加抗感染治疗,随访2年无复发。
    结论:本研究表明PFR联合THA有望作为治疗SA继发的高位髋关节脱位的技术,改善与疼痛相关的早期结果,函数,和肢体长度差异。
    OBJECTIVE: The aim of this retrospective study was to examine the clinical outcomes and complications of proximal femur reconstruction (PFR) combined with total hip arthroplasty (THA) in patients with high hip dislocation secondary to septic arthritis (SA).
    METHODS: Between September 2016 to September 2021, we performed a series of 15 consecutive PFR combined with THA on patients with high dislocation of the hip secondary to SA, of these,12 hips were reviewed retrospectively, with a mean follow-up of 2.5 years (range, 1.5-6 years). The mean age of the patients at the time of surgery was 52 years (range, 40-70 years).
    RESULTS: All patients were followed up. At 1-year postoperative follow-up, the median HHS increased from 32.50 preoperatively to 79.50 postoperatively. The median VAS decreased from 7 before surgery to 2 at 1 year after surgery. The median LLD reduced from 45 mm preoperatively to 8 mm at 1 year after surgery. The mean operative time 125 ± 15 min (range 103-195 min). Mean estimated blood loss was500 ± 105ml (range 450-870 ml). Mean hospital days 9.5 days (range 6-15 days). Two patients developed nerve injuries that improved after nutritional nerve treatment. One patient had recurrent postoperative dislocation and underwent reoperation, with no recurrence dislocation during the follow-up. There were no cases of prosthesis loosening during the follow-up period. One patient developed acute postoperative periprosthetic joint infection (PJI) that was treated with Debridement, Antibiotics and Implant Retention (DAIR) plus anti-infective therapy, with no recurrence during 2 years of follow-up.
    CONCLUSIONS: This study indicates PFR combined with THA shows promise as a technique to manage high hip dislocation secondary to SA, improving early outcomes related to pain, function, and limb length discrepancy.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    2019年冠状病毒病(COVID-19)大流行已经持续了3年多,给全世界的社会带来了巨大的负担。尽管世界卫生组织(WHO)已宣布终止COVID-19作为国际关注的突发公共卫生事件(PHEIC),它仍然被认为是全球威胁。以前,关于COVID-19紧急情况是否最终会结束或从PHEIC转变为更常见的传染病,以及各国应如何在未来更有时间效率和成本效益地应对类似的流行病。我们回顾了过去,基于文献计量学分析和流行病学数据的COVID-19的中、现状。因此,表明有必要将范式从被动医疗服务转变为预测性服务,预防和个性化医疗(PPPM)方法,以有效保护人群免受COVID-19和任何未来的大流行。本文详细介绍了相应的措施,包括多专业人员的参与,人工智能的应用,快速诊断和患者分层,有效的保护,其中包括先进的卫生政策。
    The coronavirus disease 2019 (COVID-19) pandemic has continued for more than 3 years, placing a huge burden on society worldwide. Although the World Health Organization (WHO) has declared an end to COVID-19 as a Public Health Emergency of International Concern (PHEIC), it is still considered a global threat. Previously, there has been a long debate as to whether the COVID-19 emergency will eventually end or transform into a more common infectious disease from a PHEIC, and how should countries respond to similar pandemics in the future more time-efficiently and cost-effectively. We reviewed the past, middle and current situation of COVID-19 based on bibliometric analysis and epidemiological data. Thereby, the necessity is indicated to change the paradigm from reactive healthcare services to predictive, preventive and personalised medicine (PPPM) approach, in order to effectively protect populations against COVID-19 and any future pandemics. Corresponding measures are detailed in the article including the involvement of multi-professional expertise, application of artificial intelligence, rapid diagnostics and patient stratification, and effective protection, amongst other to be considered by advanced health policy.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号