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中国 310 例 SARS-CoV-2 奥密克戎变异株患者的临床特征,并与德尔塔和贝塔变异株患者比较。

Clinical characteristics of 310 SARS-CoV-2 Omicron variant patients and comparison with Delta and Beta variant patients in China.

机构信息

Department of Critical Care Medicine, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, China.

Department of Critical Care Medicine, The Cancer Hospital of Harbin Medical University, Harbin 150081, China.

出版信息

Virol Sin. 2022 Oct;37(5):704-715. doi: 10.1016/j.virs.2022.07.014. Epub 2022 Aug 7.

DOI:10.1016/j.virs.2022.07.014
PMID:35948265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9357284/
Abstract

Although the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant has spread, data on the clinical characteristics of infected patients are limited. In this study, the demographic, clinical characteristics, and laboratory data of 310 SARS-CoV-2 Omicron variant patients treated at Haihe Hospital of Tianjin were collected and analyzed. Information on these patients was compared to 96 patients with the Delta variant of concern (VOC) and 326 patients with the Beta VOC during the previous coronavirus disease 2019 (COVID-19) outbreak in Harbin. Of the 310 patients infected with the Omicron variant, the median age was 35 years. Most patients were clinically classified as mild (57.74%), and the most common symptoms were cough (48.71%), fever (39.35%), and sore throat (38.26%). The results for different vaccination groups in the Omicron group showed that the median of "SARS-CoV-2 specific IgG" after 2 or 3 doses of vaccination was higher than the unvaccinated group (all Ps ​< ​0.05). Older age was associated with a higher proportion of moderate cases and lower asymptomatic and mild cases based on clinical classifications. Compared to the Delta and Beta groups, the median age of the Omicron group was younger. The total number of asymptomatic patients and mild patients in the Omicron virus group was higher than the Delta and Beta groups (60.97% vs. 54.17% vs. 47.55%). This study presented the clinical characteristics of the first group of patients infected with the Omicron variant in Tianjin, China, and compared their clinical features with patients infected by the Delta and Beta variants, which would increase our understanding of the characteristics of SARS-CoV-2 Omicron variant.

摘要

尽管严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的奥密克戎变体已经传播,但关于受感染患者的临床特征的数据有限。在这项研究中,收集并分析了在天津海河医院接受治疗的 310 名 SARS-CoV-2 奥密克戎变体患者的人口统计学、临床特征和实验室数据。这些患者的信息与在哈尔滨上一次冠状病毒病 2019(COVID-19)爆发期间感染德尔塔变体(VOC)的 96 名患者和感染贝塔 VOC 的 326 名患者进行了比较。在 310 名感染奥密克戎变体的患者中,中位年龄为 35 岁。大多数患者临床分类为轻度(57.74%),最常见的症状是咳嗽(48.71%)、发热(39.35%)和喉咙痛(38.26%)。奥密克戎组中不同接种组的结果显示,2 或 3 剂接种后“SARS-CoV-2 特异性 IgG”中位数高于未接种组(均 P < 0.05)。根据临床分类,年龄较大与中等病例比例较高和无症状及轻症病例比例较低相关。与德尔塔和贝塔组相比,奥密克戎组的中位年龄较小。奥密克戎病毒组的无症状和轻症患者总数高于德尔塔和贝塔组(60.97%比 54.17%比 47.55%)。本研究介绍了中国天津首批感染奥密克戎变体患者的临床特征,并将其临床特征与感染德尔塔和贝塔变体的患者进行了比较,这将增加我们对 SARS-CoV-2 奥密克戎变体特征的理解。

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