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首页> 外文期刊>Physiotherapy theory and practice >Consideration of prevention and management of long-term consequences of post-acute respiratory distress syndrome in patients with COVID-19
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Consideration of prevention and management of long-term consequences of post-acute respiratory distress syndrome in patients with COVID-19

机译：考虑Covid-19患者急性呼吸窘迫综合征的急性呼吸窘迫综合征长期后果的思考

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摘要

This manuscript provides support for physical therapists to focus on the long-term, as well as the short-term, consequences of acute respiratory distress syndrome (ARDS) associated with COVID-19. Since late November 2019, COVID-19 has become a global health pandemic and threat. Although most people have no or mild symptoms, COVID-19 spreads aggressively and can lead to ARDS rapidly in a proportion of individuals. The evidence supports that gas exchange and countering the negative effects of bed rest and immobility are priorities in severely affected patients admitted to the intensive care unit (ICU). However, in recent years, research has focused on poor long-term functional outcomes in patients with ARDS, often associated with ICU-acquired weakness, deconditioning, and myopathies and neuropathies. In addition to physical therapists providing respiratory support in the ICU, the literature unequivocally supports the view that early intervention for ICU management of patients with ARDS secondary to COVID-19 needs to focus on reducing contributors to impaired long-term function, with direct attention paid to preventing or managing ICU-acquired weakness, deconditioning, and myopathies and neuropathies, in conjunction with respiratory care.
机译：该手稿为物理治疗师提供了支持，以重点关注长期，以及与Covid-19相关的急性呼吸窘迫综合征（ARDS）的短期后果。自2019年11月下旬以来，Covid-19已成为全球生育的大流行和威胁。虽然大多数人没有或轻微症状，但Covid-19积极地蔓延，可以迅速迅速地处于个体的一部分。证据支持煤气交换和反击床休息和不动的负面影响是受到严重影响的患者的优先事项，该患者被录取为重症监护单元（ICU）。然而，近年来，研究重点关注ARDS患者的长期功能性结果，往往与ICU获得的弱点，过度疾病和神经病变相关。除了在ICU中提供呼吸支持的物理治疗师外，该文献明确地支持认为，早期干预ICU对Covid-19中的ARDS患者的患者，需要关注减轻长期功能的贡献者，直接关注支付与呼吸护理一起预防或管理ICU获取的弱点，过度疾病和肌病和神经病。

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