Features of the COVID-19 in lung tissue damage admitted to hospital

L. Povalyaeva, E. Vdoushkina, E. Borodulina, E. Yakovleva, Zh. P. Vasneva, A. Gerasimov, A. Sukhanova
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Abstract

The COVID-19 pandemic continues to spread despite all the efforts of the medical community. The aim of the study – to identify the features of a new coronavirus infection (COVID-19) with lung tissue damage in men and women receiving inpatient treatment. Material and methods. The method of continuous sampling selected 225 patients admitted to inpatient treatment. The patients were divided in 2 groups: the 1st group – men (n=85), the 2nd group – women (n=140). Statistical processing was carried out using the IBM SPSS Statistics 22.0 program. Results. In a comprehensive study of the features of lung tissue damage by the new coronavirus infection SARS-CoV-2 in men and women was found that women received inpatient treatment more often, after ineffective outpatient treatment, the general serious condition at admission was more typical for women who had a positive result of a PCR-test for the detection of SARS-CoV-2 (p=0.038). In the presence of general clinical manifestations complaints of loss of sense of smell were more often presented by women (p=0.020). According to laboratory studies in the indicators of general clinical and biochemical blood tests, on average men often have higher levels of creatinine (p<0.001), women more often have elevated levels of ESR (p=0.003), erythrocytes (p<0.001), CRP (p=0.042) and decreased hemoglobin (p=0.029). Conclusion. In the first wave of the Wuhan pandemic of the SARS-CoV-2 virus strain women prevailed among patients admitted to inpatient treatment with lung tissue damage after ineffective outpatient treatment (p=0.038). There was a commonality in age and clinical manifestations, of the complaints in women, only loss of sense of smell was more common (p=0.020). The erythrocytosis detected in women, increased ESR and CRP, lower hemoglobin and creatinine levels are not specific for COVID-19. There were no statistically significant differences in the terms of hospitalization and the fatal outcome of the disease between men and women. © Eco-Vector, 2022.
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入院肺部组织损伤的新冠肺炎特征
尽管医学界做出了种种努力,但COVID-19大流行仍在继续蔓延。该研究的目的是确定接受住院治疗的男性和女性肺部组织损伤的新型冠状病毒感染(COVID-19)的特征。材料和方法。采用连续抽样的方法选取225例住院患者。患者分为两组:第一组男性85例,第二组女性140例。采用IBM SPSS Statistics 22.0程序进行统计处理。结果。在一项对新型冠状病毒感染SARS-CoV-2对男性和女性肺组织损伤特征的综合研究中发现,女性住院治疗较多,门诊治疗无效后,入院时SARS-CoV-2 pcr检测阳性的女性一般病情更严重(p=0.038)。在有一般临床表现的情况下,女性更常出现嗅觉丧失的主诉(p=0.020)。根据对一般临床和生化血液检查指标的实验室研究,男性的平均肌酐水平往往较高(p<0.001),女性的ESR水平较高(p=0.003),红细胞水平较高(p<0.001), CRP水平较高(p=0.042),血红蛋白水平较低(p=0.029)。结论。在武汉第一波SARS-CoV-2病毒株大流行中,因门诊治疗无效导致肺组织损伤而住院的患者中女性占主导地位(p=0.038)。在年龄和临床表现上存在共性,在女性主诉中,仅嗅觉丧失更为常见(p=0.020)。在女性中检测到的红细胞增多、ESR和CRP升高、血红蛋白和肌酐水平降低并不是COVID-19的特异性。在住院时间和疾病的致命结果方面,男女之间没有统计学上的显著差异。©Eco-Vector, 2022。
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来源期刊
CiteScore
0.70
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发文量
37
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