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| Hundreds of thousands of Americans have sought medical care for post-Covid health problems that they had not been diagnosed with before becoming infected with the coronavirus, according to the largest study to date of long-term symptoms in Covid-19 patients. |
| 一项迄今为止对Covid-19患者的长期症状所进行的最大规模研究显示，数十万美国人已就感染Covid-19后的健康问题寻求医疗护理，这些健康问题是在感染新冠病毒之前并未被诊断出的。 |
| The study, tracking the health insurance records of nearly 2 million people in the United States who contracted the coronavirus last year, found that one month or more after their infection, almost one-quarter — 23 percent — of them sought medical treatment for new conditions. |
| 这项研究追踪了近200万名去年感染Covid-19的美国人的医疗保险记录，发现在感染发生的一个月或更长时间后，近四分之一(23%)的人因新的健康问题寻求治疗。 |
| Those affected were all ages, including children. Their most common new health problems were pain, including in nerves and muscles; breathing difficulties; high cholesterol; malaise and fatigue; and high blood pressure. |
| 受影响的人分布在多个年龄层，包括儿童。最常见的新健康问题是疼痛（包括神经和肌肉疼痛）、呼吸困难、高胆固醇、不适与疲劳，以及高血压。 |
| Post-Covid health problems were common even among people who had not gotten sick from the virus at all, the study found. While nearly half of patients who were hospitalized for Covid-19 experienced subsequent medical issues, so did 27 percent of people who had mild or moderate symptoms and 19 percent of people who said they were asymptomatic. |
| 研究发现，即使在感染新冠但没有发病的人群中，“后新冠”健康问题也很常见。因感染Covid-19而住院的患者中有近一半需要后续医疗，27%的轻度或中度症状患者和19%的无症状患者也是如此。 |
| “One thing that was surprising to us was the large percentage of asymptomatic patients that are in that category of long Covid,” said Robin Gelburd, president of FAIR Health, a nonprofit organization that conducted the study based on what it says is the nation’s largest database of private health insurance claims. |
| “令我们感到惊讶的是，无症状患者中有很大比例属于长期受新冠影响的类别，”非营利组织FAIR Health的主席罗宾·格尔伯德(Robin Gelburd)说。该组织基于其自称美国最大的私人医保索赔数据库进行了这项研究。 |
| More than half of the 1,959,982 patients whose records were evaluated reported no symptoms from their Covid infection. Forty percent had symptoms but didn’t require hospitalization, including 1 percent whose only symptom was loss of taste or smell; only 5 percent were hospitalized. |
| 在索赔报告得到评估的1959982名患者中，超过一半人感染新冠后没有报告任何症状。40%的人有症状但不需要住院，这其中包括1%的人唯一症状是味觉或嗅觉丧失。只有5%的人接受住院治疗。 |
| Ms. Gelburd said the fact that asymptomatic people can have post-Covid symptoms is important to emphasize, so that patients and doctors know to consider the possibility that some health issues may be aftereffects of the coronavirus. “There are some people who may not have even known they had Covid,” she said, “but if they continue to present with some of these conditions that are unusual for their health history, it may be worth some further investigation by the medical professional that they’re working with.” |
| 格尔伯德说，认识到无症状患者也可能出现感染新冠的后遗症这一点很重要，这样才能使患者和医生认识到要去考虑某些健康问题的出现是新冠后遗症的可能性。“有些人可能甚至不知道自己感染了新冠，”她说，“但如果他们持续出现某些与他们健康史不符的病症，那么医疗专业人员可能有必要进一步调查他们所诊治的疾病到底是什么。” |
| The report analyzed records of people diagnosed with Covid-19 between February and December 2020, tracking them until February 2021. It found that 454,477 people consulted health providers for symptoms 30 days or more after their infection. FAIR Health said the analysis was evaluated by an independent academic reviewer but was not formally peer-reviewed. |
| 该报告分析了2020年2月至12月期间被诊断为Covid-19患者的记录，并追踪这些记录到2021年2月。报告发现，在感染后30天或更长的时间里，有454477人就某些症状咨询医疗机构。FAIR Health表示，该分析已经过独立学术审查员评估，但未经正式的同行评议。 |
| The report “drives home the point that long Covid can affect nearly every organ system,” and that some patients may experience “chronic conditions that will last a lifetime,” said Dr. Ziyad Al-Aly, chief of the research and development service at the VA St. Louis Health Care System, who was not involved in the new study. |
| 该报告“说明了感染新冠的长期后果几乎可以影响每个器官系统”，一些患者可能会经历“将持续一生的慢性疾病”，美国退伍军人事务部圣路易斯卫生系统(VA St. Louis Health Care System)的研发服务主管齐亚德·阿尔阿里(Ziyad Al-Aly)博士说，他没有参与这项新研究。 |
| The most common issue for which patients sought medical care was pain — including nerve inflammation and aches and pains associated with nerves and muscles — which was reported by more than 5 percent of patients, more than a fifth of those who reported post-Covid problems. Breathing difficulties were experienced by 3.5 percent of post-Covid patients. Nearly 3 percent sought treatment for symptoms that were labeled with diagnostic codes for malaise and fatigue. |
| 患者最常寻求医疗服务的问题是疼痛，包括神经炎症以及与神经和肌肉相关的疼痛，超过5%的Covid患者报告了这类情况，这一数字超过了患有新冠后遗症的患者的五分之一。3.5%的新冠康复患者出现呼吸困难。近3%的人因被诊断有不适和疲劳的症状而寻求治疗。 |
| Other new issues for patients, especially adults in their 40s and 50s, included high cholesterol and high blood pressure. Dr. Al-Aly said such health conditions, which have not been commonly considered aftereffects of the virus, make it “increasingly clear that post-Covid or long Covid has a metabolic signature marked by derangements in the metabolic machinery.” |
| 其他的新问题还包括高胆固醇和高血压，尤其常见于40和50多岁的成年患者。阿尔阿里博士说，这些健康问题“越来越清楚地表明，新冠病毒的愈后症状和长期症状具有代谢机制紊乱的代谢特征”，而它们通常不被认为是感染新冠病毒的后遗症。 |
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