Résumé
Nearly three years into the COVID-19 pandemic, there is still no effective treatment. In the meantime, more and more evidence indicate that gastrointestinal symptoms are important manifestations of COVID-19. Therefore, the involvement of multiple system symptoms brings a lot of burden and harm to patients. To our knowledge, traditional Chinese medicine (TCM) has a remarkable effect on improving gastrointestinal function. In particular, a considerable number of clinical practices during the pandemic have demonstrated the significant value of electroacupuncture (EA) in regulating the gastrointestinal function of COVID-19. In summary, EA can regulate the gastrointestinal function of COVID-19. As more is learned about EA, its potential value in COVID-19 deserves further consideration. In this review, we will elucidate the potential efficacy and mechanism of EA in the treatment of gastrointestinal symptoms of COVID-19.
Sujets)
COVID-19 , Électroacupuncture , Maladies gastro-intestinales , Humains , Pandémies , COVID-19/thérapie , Maladies gastro-intestinales/thérapie , Médecine traditionnelle chinoiseSujets)
COVID-19/diagnostic , Virus de l'hépatite/isolement et purification , Hépatite/diagnostic , SARS-CoV-2/isolement et purification , COVID-19/complications , COVID-19/épidémiologie , COVID-19/virologie , Diagnostic différentiel , Hépatite/complications , Hépatite/virologie , Humains , Foie/virologie , PandémiesRésumé
BACKGROUND: The epidemiological and clinical characteristics of coronavirus disease 2019 (COVID-19) patients have been widely reported, but the assessment of dose-response relationships and risk factors for mortality and severe cases and clinical outcomes remain unclear. AIM: To determine the dose-response relationship between risk factors and incidence of COVID-19. METHODS: In this retrospective, multicenter cohort study, we included patients with confirmed COVID-19 infection who had been discharged or had died by February 6, 2020. We used multivariable logistic regression and Cox proportional hazard models to determine the dose-response relationship between risk factors and incidence of COVID-19. RESULTS: It clarified that increasing risk of in-hospital death were associated with older age (HR: 1.04, 95%CI: 1.01-1.09), higher lactate dehydrogenase [HR: 1.04, 95% confidence interval (CI): 1.01-1.10], C-reactive protein (HR: 1.10, 95%CI: 1.01-1.23), and procalcitonin (natural log-transformed HR: 1.88, 95%CI: 1.22-2.88), and D-dimer greater than 1 µg/mL at admission (natural log transformed HR: 1.63, 95%CI: 1.03-2.58) by multivariable regression. D-dimer and procalcitonin were logarithmically correlated with COVID-19 mortality risk, while there was a linear dose-response correlation between age, lactate dehydrogenase, D-dimer and procalcitonin, independent of established risk factors. CONCLUSION: Higher lactate dehydrogenase, D-dimer, and procalcitonin levels were independently associated with a dose-response increased risk of COVID-19 mortality.
Résumé
There is increasing evidence that COVID-19 is a multi-organ infectious disease with respiratory system as its main clinical manifestation. In particular, its risk of cardiovascular infection calls for effective clinical intervention strategies. The multiple values of heparin in its cardiovascular system deserve to be considered.
Sujets)
COVID-19 , Maladies cardiovasculaires , Système cardiovasculaire , Héparine , Humains , SARS-CoV-2Résumé
This letter elucidates the potential novel therapeutic value of electroacupuncture in coronavirus disease 2019 (COVID-19) patients. As a classic treatment of traditional Chinese medicine, electroacupuncture has outstanding effects in the conditioning of gastrointestinal functions for COVID-19 gastrointestinal symptoms.
Sujets)
COVID-19 , Électroacupuncture , Maladies gastro-intestinales , Maladies gastro-intestinales/thérapie , Humains , SARS-CoV-2Résumé
The COVID-19 pandemic has placed significant restrictions on people's daily activities and even change their eating habits, yet it has inadvertently allowed people to benefit potentially from this restriction for certain diseases. The COVID-19 outbreak has had the positive effect of changing the nutritional status of some populations. From this point of view, the COVID-19 pandemic is cleverly beneficial.