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新冠病毒最新诊断方法的演变:中国视角。

Evolution of the newest diagnostic methods for COVID-19: a Chinese perspective.

机构信息

Department of Clinical Laboratory, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510140, China.

National Center for Respiratory Medicine, National Clinical Research Center of Respiratory Disease, State Key Laboratory of Respiratory Disease, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510140, China.

出版信息

J Zhejiang Univ Sci B. 2023 Jun 15;24(6):463-484. doi: 10.1631/jzus.B2200625.

Abstract

Coronavirus disease 2019 (COVID-19) has continued to spread globally since late 2019, representing a formidable challenge to the world's healthcare systems, wreaking havoc, and spreading rapidly through human contact. With fever, fatigue, and a persistent dry cough being the hallmark symptoms, this disease threatened to destabilize the delicate balance of our global community. Rapid and accurate diagnosis of COVID-19 is a prerequisite for understanding the number of confirmed cases in the world or a region, and an important factor in epidemic assessment and the development of control measures. It also plays a crucial role in ensuring that patients receive the appropriate medical treatment, leading to optimal patient care. Reverse transcription-polymerase chain reaction (RT-PCR) technology is currently the most mature method for detecting viral nucleic acids, but it has many drawbacks. Meanwhile, a variety of COVID-19 detection methods, including molecular biological diagnostic, immunodiagnostic, imaging, and artificial intelligence methods have been developed and applied in clinical practice to meet diverse scenarios and needs. These methods can help clinicians diagnose and treat COVID-19 patients. This review describes the variety of such methods used in China, providing an important reference in the field of the clinical diagnosis of COVID-19.

摘要

自 2019 年底以来,2019 冠状病毒病(COVID-19)在全球范围内持续传播,对世界各国的医疗保健系统构成了巨大挑战,造成严重破坏,并通过人际接触迅速传播。发热、乏力和持续干咳是其主要症状,这种疾病有可能破坏我们全球社会的脆弱平衡。快速准确地诊断 COVID-19 是了解全球或某一地区确诊病例数量的前提,也是进行疫情评估和制定控制措施的重要因素。它对于确保患者接受适当的治疗也至关重要,从而实现对患者的最佳护理。逆转录-聚合酶链反应(RT-PCR)技术目前是检测病毒核酸最成熟的方法,但存在许多缺点。同时,为满足各种场景和需求,已开发并应用了多种 COVID-19 检测方法,包括分子生物学诊断、免疫诊断、影像学和人工智能方法。这些方法有助于临床医生诊断和治疗 COVID-19 患者。本文介绍了中国使用的各种方法,为 COVID-19 的临床诊断领域提供了重要参考。

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