新冠肺炎感染及康复患者血清生化指标的研究

J. Almadhidi, Abdullah Ali Mohammed, Husam Hadi Jasim
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摘要

对感染新型冠状病毒的伊拉克人进行的生化和免疫学研究很少,患者的康复情况也不清楚。因此,我们旨在研究COVID-19对感染者血清中一些生化化合物的影响,并在6-7个月后进行随访。该研究于2021年10月至12月在伊拉克巴格达进行,研究包括四组(每组由20名受试者组成):A组:未接种疫苗的感染受试者;(B)未接种疫苗的康复受试者;(C)接种疫苗后恢复的受试者;(D)接种疫苗后未感染的受试者。PCR确诊的covid -19感染受试者与接种者接种相同类型的疫苗。作者测量了受试者血清中某些急性期阳性反应物(铁蛋白、c反应蛋白和d -二聚体)、抗体(IgM和IgG)和酶(LDH、AST和ALT)。研究结果显示:A组患者血清铁蛋白、CRP、d -二聚体、LDH水平升高,四组抗体水平均升高,而肝酶(ALT、AST)正常。康复患者(B组和C组)血清中乳酸脱氢酶水平也升高。covid -19感染患者康复后,铁蛋白、CRP和d -二聚体水平可能不会继续升高,但在巴格达的一些伊拉克受试者中,乳酸脱氢酶水平仍升高。关键词:伊拉克,COVID-19,疫苗,急性期反应物,抗体,肝酶
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The study of some biochemical parameters in the serum of infected and recovered patients with COVID-19
Few biochemical and immunological studies have been conducted on Iraqis infected with novel coronaviruses, and also Patients' post-recovery condition is unknown. Therefore, we aimed to study the impact of COVID-19 on some biochemical compounds in the serum of the infected subjects and to follow up the impact after 6-7 months. The research was conducted in Baghdad-Iraq from October to December 2021, and the study included four groups (each group consisted of 20 subjects): Group (A) Infected subjects without vaccination; group (B) Recovered subjects without vaccination; group (C) Recovered subjects after vaccination; and group (D) Non-infected subjects after vaccination. Subjects with COVID-19 infection confirmed by PCR and vaccinated individuals received the same type of vaccine. The authors measured some positive acute phase reactants (ferritin, C-reactive protein, and D-dimer), antibodies (IgM and IgG), and enzymes (LDH, AST, and ALT) in the subjects' serum. The study result showed an Increase in ferritin, CRP, D-dimer and LDH levels in the serum of infected subjects (group A). The antibody levels in the four groups were elevated, while the liver enzymes (ALT and AST) were in the normal values. Elevation of LDH level also in the serum of recovered subjects (groups B and C). Elevated ferritin, CRP, and D-dimer levels may not remain in infected patients after recovery from COVID-19 except for LDH, which is still elevated in some Iraqi subjects in Baghdad. Keywords: Iraq, COVID-19, Vaccine, Acute Phase Reactants, Antibodies, Liver enzymes
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