成人COVID-19患者血液学指标分析病例对照研究

S. Ahmed, D. Mohammed, A. Mohammed
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引用次数: 2

摘要

背景:2019冠状病毒病(COVID-19)大流行是全球严重的公共卫生问题。该病毒主要引起呼吸道症状,但其表现可能不同。评估显示,COVID-19可引起血液参数的各种改变。目的:本研究旨在检测COVID-19患者最常见的血液参数变化,并将其与健康人进行比较。方法:本研究将350名个体分为两组,一组为COVID - 19患者,另一组为健康对照组。结果:患者平均年龄53.73岁,男性占52.57%。中年患者占55.43%,老年患者占26.29%,青年患者占18.29%。COVID-19与Hb、MCV、WBC、中性粒细胞、淋巴细胞、单核细胞、嗜酸性粒细胞、血小板等血液指标均有显著相关性(P = 0.000)。结论:COVID-19感染与多系统症状和体征以及大量实验室异常有关。当逆转录聚合酶链反应(RT-PCR)为阴性时,应更加关注血液参数的变化,将其作为提示感染的有价值的标志物。这些参数可以提供感染严重程度的线索,并预测入住重症监护病房(ICU)。
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Hematological Parameters in Adult Patients with COVID-19; A Case-Control Study
Background: The coronavirus disease 2019 (COVID-19) pandemic is a serious public health concern worldwide. The virus mainly causes respiratory symptoms, but its manifestations might be different. Assessments showed that COVID-19 can cause various alterations in the blood parameters. Objectives: This study aimed to detect the most common changes in the blood parameters in COVID-19 patients and compare them with healthy individuals. Methods: In this study, 350 individuals were grouped into two equal groups of COVID‐19 patients and healthy controls. Results: The mean age of patients was 53.73 years, and males constituted 52.57% of them. Middle aged patients constituted about 55.43% of participants, elderly patients 26.29%, and young patients 18.29%. There was a significant correlation between COVID-19 and all the blood parameters, including Hb, MCV, WBC, neutrophils, lymphocytes, monocytes, eosinophils, and platelets (P = 0.000). Conclusions: Infection with COVID-19 is associated with multisystem symptoms and signs, as well as numerous laboratory abnormalities. An increased focus should be on changes in the blood parameters as valuable markers in suggesting the infection when the reverse transcription polymerase chain reaction (RT-PCR) is negative. These parameters can give clues about the severity of the infection and predict the admission to the intensive care unit (ICU).
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