The "Yangkang" physical examination package ranging from several hundred yuan to more than 3,000 yuan is here. Should I have a physical examination after recovery?

　　Author: Lin Zhiyin ▪ Lu Ruyi

　　Recently, many medical examination institutions or hospitals, such as Ruici Medical Examination, Meinian Health, Ciming Medical Examination, Aikang Guobin, etc., have launched the "Yangkang" physical examination package, the purpose of which is to "prevent the sequelae of the new crown" or check the body's recovery The situation, for most people infected with the new crown, after "Yangkang", is it necessary to undergo physical examination and screening?

　　The thousand-yuan physical examination package comes out

　　On December 30, 2022, Ciming Physical Examination launched a "365/529 yuan" "Yangkang" mandatory inspection package on its official account, including CT/Xincai/myocardial enzymes, etc." Among them, taking the 365 yuan package as an example, The label is exclusive to Beijing, including low-dose spiral CT of the lungs, 3 items of myocardial enzymes (assistant diagnosis of myocarditis), cardiac color Doppler ultrasound, 5 items of immune function, electrocardiogram, liver and kidney function and other testing items.

　　At the same time, Aikang Guobin also launched a physical examination package for the prevention of new crown sequelae on its WeChat applet, with prices ranging from 405 yuan to 3,086 yuan. The physical health status of infected and recovered people; the second is to discover the impact of new crown infection on important organs such as the heart and lungs; the third is to evaluate the immune recovery status of infected and recovered people; the fourth is to give early warning of sudden diseases such as cardiopulmonary.

　　A reporter from China Business News called the physical examination appointment office of Shanghai Haihua Hospital as a "Yangkang" person. The relevant personnel at the medical examination appointment office of the hospital recommended that women after "Yangkang" recommend to choose the 1099 yuan group-buying "Yangkang" screening (upgrade version) package.

The "Yangkang" screening (standard version) package includes more conventional items such as B-ultrasound, chest CT, C-reactive protein, blood sugar, and electrolytes.

Compared with the standard version, the upgraded version has more comprehensive screening, including gynecological examinations for women, as well as immunoglobulin, chest X-ray, cardiac function test, color Doppler ultrasound, breast color Doppler ultrasound and other items.

　　"Especially for chest tightness and other symptoms after Yangkang, I recommend you to take our upgraded package, which includes cardiac color ultrasound items. In terms of price, the original price is 1645 yuan, and the discounted price on the online group buying platform is 1099 yuan. "Shanghai Haihua Hospital's physical examination appointment office said, "Now there are people who have the same needs as you will come to do this Yangkang screening, but there are not too many people at present. There is no need to queue up. In terms of the time for the report, if the speed is fast, the report can be issued in 3 to 5 days. If it is slow, for example, some gynecological examinations may be slower, and it will take about a week."

　　A reporter from China Business News checked the relevant online appointment platform of the Celebrity Health Examination Center and found that the "Yangkang"-related physical examination packages of the medical examination center mainly include two packages, namely the Yangkang special physical examination plan for 700 yuan and the "Yangkang" package for 1,600 yuan. Health" comprehensive physical examination program.

When calling, the relevant personnel at the appointment office of the Celebrity Health Checkup Center recommended the 1,600 yuan Yangkang health checkup package to the reporter and said: "Our 700 yuan item is relatively small, just a few items. If you want to do a physical examination, 1,600 yuan is definitely It is more appropriate, 700 yuan only includes blood test, liver function, nasopharyngeal (EB) virus, new crown antibody test, etc., a total of 6 items. However, the 1600 yuan Yangkang comprehensive physical examination is equivalent to a basic physical examination package .”

　　"Considering that Chinese New Year is coming soon, there are not too many people making appointments for medical examinations, and basically there is no need to wait in line when they come. In comparison, there may be more people who go to the hospital when they get sick, but for physical examinations, the main reason is to do CT. More. Generally speaking, because the epidemic is more serious, everyone has more positive symptoms, and fewer people come for physical examinations than before. Because there are not many people, the physical examination reports are usually issued within 3 to 4 days, and basically within a week. The result." The relevant personnel at the appointment office of the Celebrity Health Examination Center said.

　　In addition, some pediatric hospitals have also launched online physical examination packages for Yangkang patients.

Relevant personnel at the appointment office of Chengdu Children's Specialized Hospital told Yicai.com: "Our package mainly targets the effects of major organs after infection, including the heart, liver, kidneys, lungs and respiratory tract. For some patients with palpitations For Yangkang patients, it is recommended to do myocardial enzyme spectrum and electrocardiogram to see if there is any myocardial damage, and the main item of lung examination is CT."

　　Is "Yangkang" physical examination necessary?

　　Combing the "Yangkang" medical examination packages launched by various medical examination institutions, many packages cover lung CT and heart function examination items.

　　With the adjustment of the epidemic prevention and control policy, many places have experienced or are experiencing the peak of the epidemic recently.

With the increase in the number of Omicron infections, whether Omicron can cause pneumonia, myocarditis, etc., these issues have attracted considerable attention.

Judging from the "Yangkang" physical examination packages launched by various medical examination institutions, the focus of screening is mainly related to the two major directions of early warning of pneumonia and myocarditis.

　　A respiratory doctor told a reporter from China Business News that not all Omicron-infected patients need to undergo lung CT examinations. A CT scan of the lungs was then performed.

　　Some cardiologists also told CBN reporters that the general screening for myocarditis is usually performed when there is suspicion or symptoms, such as chest tightness, chest pain, hypoxia, etc. However, when these symptoms occur , or should go to the hospital in time.

　　Recently, Peng Jie, deputy director of the Department of Infectious Medicine and Liver Disease Center, director of the Difficult Infectious Disease Center, and chief physician of Nanfang Hospital of Southern Medical University, said in an interview with a reporter from China Business News that most people do not need to go to the hospital for cough after being infected with the new crown. CT examination.

"Cough itself is a kind of protective reflex. It discharges the secretions in the trachea or bronchi. It mostly occurs during the recovery of the airway mucosa after inflammation. If there is fever again accompanied by coughing or feeling chest tightness and shortness of breath, it should be treated. You need to go to the hospital to find a doctor to evaluate whether to perform CT examination.

　　Peng Jie also said that "white lung" is not unique to new crown infection. Viral infection and bacterial infection can cause white lung in severe cases, including influenza virus, adenovirus, respiratory syncytial virus, Legionella and other pathogens.

White lung is actually not a typical symptom of the new crown.

The typical symptom of COVID-19 is ground-glass changes in the lungs. However, when an infected person has underlying diseases, such as a chronic underlying lung disease, the combined bacterial infection will lead to severe pulmonary manifestations.

In severe respiratory distress syndrome, there will be obvious manifestations such as hypoxia, chest tightness, breathlessness, and inability to speak continuously while sitting.

If you have a finger pulse oximeter at home, and the blood oxygen saturation is relatively low, or you breathe more than 30 times per minute, your heartbeat exceeds 120 times in a calm state, and you have symptoms of palpitation, chest tightness, and shortness of breath, you may need to go to the hospital to check your lung function. .

　　On December 30, 2022, at an interview with experts on the prevention and treatment of the new coronavirus held by the Information Office of the Guangzhou Municipal Government, Xue Yumei, deputy director and chief physician of the Department of Cardiovascular Medicine at the Guangdong Provincial People's Hospital, said that there are two main manifestations of myocarditis induced by the new coronavirus infection: 1. It is arrhythmia, including fast heartbeat, slow heartbeat or irregular heartbeat. In severe cases, it can even cause ventricular fibrillation and lead to sudden death; the second is heart failure and poor heart function.

When myocarditis occurs, patients may experience symptoms of heart failure, such as chest tightness, shortness of breath, edema, and even nausea and vomiting. In severe cases, the heart cannot pump blood at all, leading to cardiogenic shock and sudden death.

That is to say, the symptoms of myocarditis can be mild or severe. When it is mild, you may only feel that your heartbeat is a little faster, and you are more tired than usual. Chest tightness, chest pain, and cough are a little heavier than usual, but if it becomes serious, it can lead to life-threatening.

　　Xue Yumei also said that it is a good thing to be vigilant about the occurrence of myocarditis, but don't be overly anxious.

After the new crown is infected, many reasons can lead to rapid heartbeat and shortness of breath, such as fever, and every time the body temperature rises by 1 degree, the heart rate will increase by about 10 times per minute; The heart rate will also increase; and when the body is in a weak state, it will also be accompanied by an increase in heart rate.

There are three situations in which it is recommended to pay attention: First, if you have underlying heart disease such as coronary heart disease, heart failure, etc., if your heart beats faster, chest tightness, chest pain, shortness of breath, etc. aggravate after the new crown infection, it is not necessarily myocarditis, but the original heart disease may be exacerbated , seek medical attention as soon as possible; second, hypoxia occurs, which leads to rapid heart rate, and emergency medical treatment is required; third, the above-mentioned two major manifestations of myocarditis induced by new crown infection.

Generally, about a week after the infection of the new coronavirus, the symptoms can be gradually relieved, and the physical condition is getting better and better. However, if the symptoms such as chest tightness, chest pain, and palpitation do not improve at this stage, but worsen instead, attention should be paid and seek medical treatment as soon as possible.