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泉州新型冠状病毒野生株、德尔塔变异株及奥密克戎变异株感染患者的临床特征:一项真实世界研究

Clinical characteristics of patients infected with novel coronavirus wild strain, Delta variant strain and Omicron variant strain in Quanzhou: A real‑world study.

作者信息

Zhang Huatang, Chen Wenhuang, Ye Xiaoyi, Zhou Yongjun, Zheng Yijuan, Weng Zhangyan, Xie Jianfeng, Zheng Kuicheng, Su Zhijun, Zhuang Xibin, Yu Xueping

机构信息

Department of Infection, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Quanzhou, Fujian 362000, P.R. China.

Department of Respiratory Disease, The First Hospital of Quanzhou Affiliated to Fujian Medical University, Quanzhou, Fujian 362000, P.R. China.

出版信息

Exp Ther Med. 2022 Dec 9;25(1):62. doi: 10.3892/etm.2022.11761. eCollection 2023 Jan.

Abstract

This study aimed to investigate the clinical features of patients infected with novel coronavirus wild strains, Delta variant strains and Omicron variant strains to provide a reference for early clinical diagnosis and prognostic assessment. The demographic, clinical symptoms and ancillary examination data of 47 patients with novel coronavirus wild type strain infection, 18 with Delta variant infection and 20 with Omicron variant infection admitted to the First Hospital of Quanzhou affiliated with Fujian Medical University were collected and analyzed. The novel coronavirus wild strain and Delta strain were the predominant clinical types; patients infected with the Omicron strain were mainly asymptomatic. Fever and fatigue were the main clinical manifestations in the wild strain and Delta strain groups, whereas dry cough, nasal congestion, sore throat and fever were common clinical manifestations in the Omicron strain group. The Delta strain and Omicron variant groups had fewer comorbidities than the wild-type strain group, but no significant reduction was observed in the negative conversion time of nucleic acids. Significant differences were found in the neutrophil count/lymphocyte count ratio, lymphocyte count, eosinophil count, red blood cell count, hemoglobin level, erythrocyte sedimentation rate, C-reactive protein, prothrombin time, international normalized ratio and plasma D-dimer, PH, PaO, lactic acid and albumin levels among the three groups. Patients infected with the Omicron strain in Quanzhou presented with mild symptoms of the upper respiratory tract as the primary clinical manifestation and had few comorbidities and a good prognosis; however, the negative conversion time of the new coronavirus nucleic acid was still considerably long.

摘要

本研究旨在探讨新型冠状病毒野生株、德尔塔变异株及奥密克戎变异株感染患者的临床特征,为早期临床诊断及预后评估提供参考。收集并分析福建医科大学附属泉州第一医院收治的47例新型冠状病毒野生株感染患者、18例德尔塔变异株感染患者及20例奥密克戎变异株感染患者的人口统计学、临床症状及辅助检查数据。新型冠状病毒野生株和德尔塔株为主要临床类型;奥密克戎株感染患者主要为无症状感染者。发热和乏力是野生株和德尔塔株组的主要临床表现,而干咳、鼻塞、咽痛和发热是奥密克戎株组的常见临床表现。德尔塔株和奥密克戎变异株组的合并症较野生株组少,但核酸转阴时间未见明显缩短。三组患者的中性粒细胞计数/淋巴细胞计数比值、淋巴细胞计数、嗜酸性粒细胞计数、红细胞计数、血红蛋白水平、红细胞沉降率、C反应蛋白、凝血酶原时间、国际标准化比值及血浆D-二聚体、PH、PaO、乳酸及白蛋白水平存在显著差异。泉州地区奥密克戎株感染患者以上呼吸道症状轻微为主要临床表现,合并症少,预后良好;然而,新型冠状病毒核酸转阴时间仍相当长。

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