Clinical Characteristics Analysis of Hospitalized Patients Infected with the Omicron Variant of the Novel Coronavirus

IF 2 Q2 MEDICINE, GENERAL & INTERNAL Journal of clinical medicine research Pub Date : 2023-10-24 DOI:10.32629/jcmr.v4i3.1310
Chao Rui, Liyun Chen, Hui He, Fen Huang, Zhi Zhang
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Abstract

Objective: It’s to analyze the clinical characteristics of hospitalized patients infected with the Omicron variant of the novel coronavirus. Methods: This study retrospectively analyzed the clinical data of 374 Omicron-infected patients admitted to The Third People's Hospital of Wuhu City from January 1, 2022, to December 31, 2022. Clinical characteristics were analyzed. Results: The mean time to nucleic acid conversion was 10.93±3.55 days, with a median of 10 days. There was no statistically significant difference in the infection rate between females and males (P>0.05). The highest proportion of patients was in the age group of 0-44 years (P<0.05). Among patients, those without underlying diseases were more prevalent (P<0.05). The majority of patients had no symptoms or mild symptoms (P<0.05). Regarding vaccination status, most patients had completed the primary immunization or booster immunization (P<0.05). The main symptoms were fever and respiratory symptoms (P<0.05). In laboratory tests, some patients showed a decrease in lymphocyte count (31.82%), elevated C-reactive protein (21.93%), elevated alanine transaminase (18.18%), and elevated creatine kinase (12.30%). Most patients had no lesions on chest CT scans (P<0.05). Traditional Chinese medicine was the primary treatment used (P<0.05). The recovery rate was 100.00%. Conclusion: During this epidemic, the nucleic acid conversion for infected patients occurred around 10 days. Female patients had a higher infection rate, and the majority of cases were asymptomatic or mild. Most patients had completed either primary or booster immunization, indicating some resistance of the Omicron variant to vaccines. The main symptoms were fever and respiratory symptoms, and patients had significantly elevated white blood cell counts, neutrophil counts, and lymphocyte counts, indicating significant infection symptoms. Traditional Chinese medicine was the primary treatment used, and the recovery rate was 100.00%, suggesting that treatment with Traditional Chinese medicine was effective for the Omicron variant.
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新型冠状病毒组粒变异住院患者临床特征分析
目的:分析新型冠状病毒欧米克隆变异感染住院患者的临床特点。方法:回顾性分析芜湖市第三人民医院2022年1月1日至12月31日收治的374例欧米克隆感染患者的临床资料。分析临床特点。结果:核酸转化平均时间为10.93±3.55天,中位时间为10天。男女感染率比较差异无统计学意义(P>0.05)。0 ~ 44岁患者比例最高(p < 0.05)。在患者中,无基础疾病者更为普遍(P<0.05)。大多数患者无症状或症状轻微(P<0.05)。在疫苗接种情况方面,大多数患者完成了一次免疫或加强免疫(P<0.05)。主要症状为发热和呼吸道症状(p < 0.05)。实验室检查显示,部分患者淋巴细胞计数下降(31.82%),c反应蛋白升高(21.93%),丙氨酸转氨酶升高(18.18%),肌酸激酶升高(12.30%)。多数患者胸部CT扫描未见病变(P<0.05)。以中药为主(p < 0.05)。回收率为100.00%。结论:本次疫情期间,感染者核酸转化发生在10天左右。女性患者感染率较高,且以无症状或轻度感染为主。大多数患者完成了初次免疫或加强免疫,这表明Omicron变体对疫苗有一定的耐药性。主要症状为发热和呼吸道症状,患者白细胞、中性粒细胞、淋巴细胞计数明显升高,提示感染症状明显。以中药治疗为主,治愈率为100.00%,提示中药治疗对Omicron变异有效。
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