COVID-19合并心血管疾病患者临床特征分析

Yi Zhang, A. Zhang, H. Ming, Z. Qiu, Yifan Jia, S. Lei, Z. Xia
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摘要

目的:回顾性分析2019冠状病毒病(COVID-19)的临床特点及心血管疾病(CVD)对COVID-19临床表现的影响。方法:将2020年2月1日至2月29日武汉大学人民医院确诊的COVID-19患者128例分为心血管病组(n=62)和非心血管病组(n=66)。获取患者一般资料、入院症状及血常规、免疫、心、肝、肾功能等实验室检查结果,采用SPSS 22.0统计软件进行统计分析。比较CVD组与非CVD组各项指标的差异。结果:CVD组与非CVD组性别差异无统计学意义(P < 0.05)。CVD组患者平均年龄高于非CVD组(P < 0.05)。CVD组白细胞计数、中性粒细胞比率、中性粒细胞计数、单核细胞计数、c反应蛋白平均水平均高于非CVD组(均P < 0.05)。CVD组平均LDH、肌血红蛋白、CK-MB、NT-proBNP、TBIL、尿素高于非CVD组(均P < 0.05)。结论:与非CVD合并COVID-19患者相比,CVD合并COVID-19患者年龄更大,症状更明显,心、肝、肾损伤风险更高,但其机制尚不清楚。©2021,武汉大学医学杂志编辑委员会。版权所有。
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Clinical characteristics of patients with COVID-19 combined with cardiovascular disease
Objective: To retrospectively analyze the clinical characteristics of coronavirus disease 2019 (COVID-19) and the impact of cardiovascular disease (CVD) on the clinical manifestations of COVID-19. Methods: A total of 128 patients diagnosed with COVID-19 in Renmin Hospital of Wuhan University from February 1 to February 29, 2020 were divided into CVD group (n=62) and non-CVD group (n=66). The general data, admission symptoms and laboratory examination results including blood routine, immunity, heart, liver and kidney function were obtained and statistically analyzed by SPSS 22.0 statistical software. The differences of various indexes between CVD group and non-CVD group were compared. Results: There was no significant difference in gender between CVD group and non-CVD group(P>0.05).The average age of CVD group was higher than that of non-CVD group (P 0.05). The average levels of eukocyte count, neutrophil ratio, neutrophil count, monocyte count, and C-reactive protein in CVD group were higher than those in non-CVD group (all P 0.05). The average LDH, myohemoglobin, CK-MB, NT-proBNP, TBIL, and Urea in CVD group were higher than those in non-CVD group (all P 0.05). Conclusion: Compared with non-CVD patients with COVID-19, CVD patients with COVID-19 are older, have more obvious symptoms, with a higher risksin heart, liver, and kidney injury, but the mechanism is not clear yet. © 2021, Editorial Board of Medical Journal of Wuhan University. All right reserved.
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武汉大学学报(医学版)
武汉大学学报(医学版) Medicine-Medicine (all)
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0.30
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7289
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