年龄方面新型冠状病毒感染(COVID - 19)对血液某些生化指标的影响

M. M. Alimurzaeva, S. M. Izudinova, A. Dzhafarova, R. Khalilov
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摘要

目的:探讨新型冠状病毒感染对不同年龄患者多项标准血液生化指标的影响。材料与方法:对诊断为COVID-19感染社区获得性肺炎的3个年龄组514例患者(1 ~ 25 ~ 35岁组、2 ~ 36 ~ 50岁组、3 ~ 51岁以上组)进行研究。患者血液生化指标均采用Indiko生化分析仪测定。结果:氮代谢指标研究显示,各年龄组患者总蛋白和尿素含量变化不明显,但肌酐和尿酸浓度升高,以第3组患者最为明显。研究结果显示,各年龄组患者血液中AST、ALT的活性均显著升高,以第2组和第3组患者更为显著。同时α-淀粉酶活性、胆红素浓度随年龄增长而升高,铁含量下降,达到病理值。炎症标志物- CRP的含量对患者年龄的依赖性最明显:第一组患者增加6.9倍,第二组患者增加12.3倍,51岁以上患者增加17.25倍。结论:随着患者年龄的增加,各组患者对应的多项生化参数与对照水平的偏差更加明显,达到与参考值明显偏离的值。
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Age aspects of the effects of the new coronavirus infection (COVID 19) on certain biochemical blood parameters
   Objective: to study the effects of a new coronovirus infection on a number of standard biochemical blood parameters in patients of different ages.   Materials and methods: 514 patients of 3 age groups (group 1st — 25–35 years old, group 2nd — 36–50 years old and group 3rd — over 51 years old) with a diagnosis of community-acquired pneumonia caused by COVID-19 infection were studied. All biochemical parameters of the blood of patients were determined using an Indiko biochemical analyzer.   Results: the study of nitrogen metabolism indicators showed that in patients of all age groups, the content of total protein and urea does not undergo significant changes, however, there is an increase in the concentration of creatinine and uric acid, which is most pronounced in patients of the group 3rd. The study of the activities of AST, ALT in the blood of patients showed a significant increase in all age categories, more significant in persons of the groups 2nd and 3rd. At the same time, the activity of α-amylase, the concentration of bilirubin increase with age, and the levels of iron decrease, reaching pathological values. The content of the inflammation marker — CRP shows the most pronounced dependence on the age of patients: in patients of the group 1st, it increases by 6.9 times, in the 2nd group — by 12.3 times, in patients over 51 years old — by 17.25 once.   Conclusion: with an increase in the age of patients, the deviations of many biochemical parameters from the control levels corresponding to each group become more pronounced and reach values that deviate significantly from the reference.
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