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截至2021 年 7 月 16 日,总共有 772,542 名 新冠肺炎患者康复并已返回社会。大部份的患者已恢复健康,然而有些患者在新冠肺炎康复后持续数周甚至数月仍投诉某些症状。

以下是一部分新冠肺炎幸存者的投诉:

“我每天都很累。我以前可以走一段长远的距离。如今,我无法快速步行或长距离行走,因为我会呼吸困难。”

“我以前经常发表演讲,但现在我连两三句话都说不出来,因为我几乎每天都在喘息。”

“我现在难以理解和思考。”

“我难以使用我为教学生准备的 教材,我的大脑一片空白,我不知道我应该怎么做。”

 

除了以上所陈述的以外,新冠肺炎幸存者也在康复后持续投诉头痛、嗅觉或味觉丧失、站立时头晕、心悸或心跳加快、胸痛、呼吸困难、咳嗽、关节或肌肉疼痛、抑郁或焦虑、发烧、体力活动后症状加重等症状。这些症状是由患者的身体对病毒持续的反应所引起,并称为 新冠長期症狀 (Long COVID) 或冠状病后期综合症 (post COVID condition) 。

任何新冠肺炎患者,包括未住院或患有轻度疾病的患者,也可能经历新冠長期症狀。一些患者亦可能面对对健康有持久影响的医学并发症。

由于新冠肺炎是一个极为新的疾病,而新冠長期症狀也是最近才被承认,因此西方只报告了一些初步资料。在马来西亚,只有一项在医院环境中进行的研究,  涉及处于第四和第五阶段的 1,004 名 新冠肺炎患者。据研究报道,其中的 66% 患者在感染后长达三个月或更长时间,出现疲劳、活动时呼吸困难、失眠、咳嗽和焦虑等症状。在我国, 没有关于无症状或轻微症状(第一至第三阶段)患者的新冠長期症狀数据。

 

我们需要更多关于所有康复并已返回社区的新冠肺炎患者的资料,特别是 新冠長期症狀 的持续时间,经历或未经历过 新冠長期症狀的患者比例,经历的常见症状,患者是否寻求治疗、他们恢复疾病前身体机能的能力、精神状态以及他们重返工作岗位的比例等。 我国有超过 70 万 新冠肺炎患者在康复中,即使他们当中只有一小部分经历了新冠長期症狀,这也可能会对国家的全民健康和经济产生影响。

为了提高康复的 新冠肺炎患者对 新冠長期症狀的认知,也让临床医生和研究人员更好地了解 新冠長期症狀的情况, 并向相关部门提供相关资料以规划健康策略, 我们,来自马大医学院的疫学与循证实践中心研究小组对出院返回社区的康复 新冠肺炎患者发起了一项简短的调查。我们希望所有康复的 新冠肺炎患者,无论是否有任何新冠長期症狀,都能积极参与此调查。

由于此研究是匿名的,我们不会收集姓名或联系方式。所有数据都将保密而调查结果将以集体的方式呈现。调查链接为:https://redcap.link/wm6bvhua 

由衷感谢您的参与。

由马来亚大学医学院社会与预防医学系梅凤鸣教授编写。

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Written By

Prof Moy Foong Ming

Reviewed By

Doc2us Medical Board

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