不同COVID-19疫苗对糖尿病患者部分生物标志物的影响

Munther Kamil Oudha, Ahmad Shandookh Hameed, Lina Abdullah Naser
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摘要

在紧急批准不同的COVID-19疫苗(数百万剂)后,出现了许多对不良反应的担忧,特别是在糖尿病患者等弱势群体中。在这项研究中,我们研究了不同的COVID疫苗对糖尿病患者的几种生物标志物的影响,以及这是否引起了这一群体的关注。材料与方法:本研究分为两组糖尿病患者,每组20人;在研究的一组中,他们接种了新冠病毒疫苗,要么是阿斯利康疫苗,要么是辉瑞- biontech疫苗,其他组被控制,要么是辉瑞- biontech疫苗,另一组——对照组——没有接种任何疫苗。在第一次给药后大约一周,两组人都采集了血液样本,并对结果进行了统计研究。结果:所有生物标志物均有所增加。苏格兰皇家银行的增加可能仅仅是由于免疫反应,同样的道理也适用于CRP的增加。铁蛋白增加不重要;只有3名患者出现明显症状,这可能是由于活动性感染。d -二聚体水平的增加在所有患者中都很明显,这引起了最大的关注。结论:最大的问题是d -二聚体水平的上升,因为它引起了对凝血障碍和心脏病的担忧,而这已经是糖尿病患者的担忧。应进行进一步调查,并在接种疫苗后仔细监测凝血风险。
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Effect of different COVID-19 vaccines on some biomarkers in diabetics
After the emergency approval of different COVID-19 vaccines the administration of millions of doses, many concerns arise for adverse effects, especially in vulnerable groups such as diabetics. In this study, we investigate what effects different COVID vaccines could have on several biomarkers in diabetic patients and whether that raises a concern for this group or not. Materials and methods:  this study includes  two groups of diabetics each group consists of 20 participants  ; One of the groups under study, where they received the COVID-19 vaccine either AstraZeneca or  Pifizr-BioNTech vaccine and the other groups were controlled or the Pfizer-BioNTech vaccine, the other group-the control group- did not take any vaccine. Blood samples were taken from both groups about a week after the first  dose and statistical studies were conducted on the results. Results: Noticed an increase in all biomarkers. Increase in RBS could simply be due to immune response, same thing could be said for the CRP increase. Ferritin increase was not important; it was only apparent in three patients and that could be due to active infection. The increase in D-dimer levels was apparent in all patients and that raises the biggest concern. Conclusion: the biggest issue was seen in the rising of D-dimer levels because it raises concern about clotting disorders and heart disease which is already a concern for diabetic patients. Further investigation should be done and careful monitoring for clotting risks is necessary after the vaccine.  
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