新冠肺炎住院患者降钙素原水平的研究

Somayeh Sheidaei, M. Ghasemi, Elahe Kavoosi, Fatemeh Abedian kenari
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摘要

背景:2019冠状病毒病(COVID-19)是一种影响全球的新兴疾病,需要广泛研究。研究表明,高降钙素原(PCT)水平与许多疾病的严重程度有关,如细菌性心内膜炎、胰腺炎、肾盂肾炎、小肠结肠炎,甚至阑尾炎。本研究旨在评估伊朗北部医院收治的COVID-19患者的血清PCT水平。方法:本横断面描述性分析研究在伊朗北部马赞达兰省的布阿里·西纳和伊玛目·霍梅尼医院进行。每位患者填写了一份人口统计特征问卷。从患者的临床记录中提取了部分实验室检查结果和临床表现。结果:共纳入103例COVID-19患者,其中男性53例,女性50例。患者的平均血清PCT水平为0.18±0.024 ng/mL。患者年龄与血清PCT水平(P=0.025)与短期预后(P=0.044)存在显著相关。结论:该疾病的短期预后与血清PCT水平显著相关,提示血清PCT水平升高使短期预后恶化。因此,血清PCT水平可能有助于判断COVID-19患者的病情严重程度和预测疾病预后。
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Procalcitonin Serum Level in the Admitted COVID-19 Patients
Background: Coronavirus disease 2019 (COVID-19) is an emerging disease that has affected the world and requires extensive studies. Studies have shown that high procalcitonin (PCT) level is associated with the severity of many diseases, such as bacterial endocarditis, pancreatitis, pyelonephritis, enterocolitis, and even appendicitis. This study aimed to evaluate the serum PCT levels in COVID-19 patients admitted to hospitals in northern Iran. Methods: This cross-sectional descriptive-analytical study was conducted in Boo-Ali Sina and Imam Khomeini hospitals, Mazandaran Province, the north of Iran. A questionnaire consisting of demographic characterization was filled out for every patient. Results of some laboratories and clinical manifestations of the disorder were extracted from their clinical records. Results: A total of 103 COVID-19 patients (53 male and 50 female) were included in the study. Our patients’ mean serum PCT level was 0.18±0.024 ng/mL. Significant relationships existed between patients’ age and serum PCT level (P=0.025) and short-term prognosis (P=0.044). Conclusion: The short-term prognosis of the disease was significantly associated with the serum PCT level, which indicates that increasing the serum PCT levels worsen the short-term prognosis. Therefore, serum PCT level may help determine disease severity and predict the prognosis of the disease in COVID-19 patients.
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