新型冠状病毒肺炎长期症状及其科学防控

Long COVID-19 and its scientific prevention and control

国内外已有较多研究发现新型冠状病毒(简称新冠病毒)感染者存在长期症状,即COVID-19长期症状(long COVID-19),也被称为COVID-19后遗症(post-COVID-19 condition)。WHO将COVID-19长期症状定义为新冠病毒感染者在感染病毒3个月后所出现的、持续至少2个月,并且无法被其他诊断所解释的症状。COVID-19长期症状包括全身症状如疲劳、头痛及呼吸困难等,影响精神与神经、呼吸、心血管和消化等多个系统。基于已有研究证据,建议加强COVID-19长期症状的科学研究、现阶段坚持“动态清零”总方针、加快推进疫苗全程接种、未来开展COVID-19长期症状的早期监测与干预,以有效防止COVID-19长期症状带来的远期疾病负担和经济负担。

Global literature have reported that individuals who have recovered from the acute phase of COVID-19 may suffer from persistent symptoms,namely long COVID-19,also known as the post-COVID-19 condition.WHO defined that long COVID-19 occurs in individuals with a history of SARS-CoV-2 infection,usually 3 months from the onset of COVID-19 with symptoms and that last for at least 2 months and cannot be explained by an alternative diagnosis.Symptoms of long COVID-19 include fatigue,headache dyspnea and so on,affecting multiple systems such as neurological,psychiatric,respiratory,cardiovascular and gastrointestinal systems.Based on the existing evidence,it is suggested to strengthen scientific research on long COVID-19,persist in a“dynamic COVID-zero strategy”currently to reduce infections,accelerate vaccination coverage,and carry out early monitoring and intervention of long COVID-19,to cope with the long-term disease and economic burden caused by long COVID-19.