新型冠状病毒感染临床病程与疫苗接种状况的比较

S. A. Sokotun, A. I. Simakova, N. G. Plekhova, A. O. Mikhailov, M. D. Barbashev, D. Yu. Barbasheva, A. V. Alexandrova, L. Ya. Hafizova
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目的:对比分析新型冠状病毒感染疫苗接种与未接种患者的临床表现。材料和方法。А回顾性分析了160例实验室确诊的COVID-19患者的病史,其中80例未接种疫苗,80例接种了“EpiVacCorona”、“CoviVac”和“Gam-COVID-Vac”疫苗。结果。接种新冠病毒疫苗并不能完全消除感染新冠病毒的可能性,但在接种疫苗的患者感染新冠病毒的过程中存在许多显著的优势和差异。未接种疫苗者病程平均为- 18.1±0.4天,病程平均为2周左右。接种疫苗的患者,无论使用哪种疫苗,恢复得都要早得多。21.3%接种疫苗的患者未观察到多节段性肺炎的体征。未接种疫苗组呼吸支持持续时间为6.0±0.3 d,接种EpiVacCorona疫苗组为4.4±0.7 d,接种CoviVac疫苗组为3.5±0.6 d,接种Gam-COVID-Vac疫苗组为3.2±0.4 d,显著低于对照组(p <0.05)。结论。Сlinically,与未接种疫苗的人相比,接种疫苗的患者的COVID-19症状较轻,未接种疫苗的人最常出现虚弱、咳嗽和广泛的肺损伤。
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Comparative characteristics of the clinical course of a new coronavirus infection depending on the vaccination status
Objective: to provide a comparative analysis of clinical manifestations of the new coronavirus infection in vaccinated and unvaccinated patients. Materials and methods. А retrospective analysis of 160 medical histories of patients with laboratoryconfi rmed diagnosis of coronavirus infection (COVID-19) was presented, including 80 unvaccinated individuals and 80 vaccinated with “EpiVacCorona”, “CoviVac”, and “Gam-COVID-Vac” vaccines. Results. Vaccination against COVID-19 does not completely eliminate the possibility of infection with the virus, but there are a number of significant advantages and diff erences in the course of coronavirus infection among vaccinated patients. The duration of the disease on average was about 2 weeks, and for unvaccinated individuals — 18.1 ± 0.4 days. Vaccinated patients, regardless of the vaccine used, recovered significantly earlier. Signs of polysegmental pneumonia were not observed in 21.3% of vaccinated patients. Respiratory support lasted for 6.0 ± 0.3 days in unvaccinated patients, and for vaccinated individuals with “EpiVacCorona” — 4.4 ± 0.7 days, “CoviVac” — 3.5 ± 0.6 days, “Gam-COVID-Vac” — 3.2 ± 0.4 days, which was signifi cantly lower than the indicators for the control group (p <0.05). Conclusion. Сlinically, COVID-19 in vaccinated patients was milder compared to unvaccinated individuals, who most commonly experienced weakness, coughing, and extensive lung damage.
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