Chen Bingxu, Shi Jie, Chen Jie, Qiu Yuangang
Department of cardiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Youdian Road No. 54, Hangzhou, Zhejiang Province, China.
Key Laboratory of Integrative Chinese and Western Medicine for the Diagnosis and Treatment of Circulatory Diseases of Zhejiang Province, Hangzhou, Zhejiang Province, China.
Open Med (Wars). 2023 Aug 30;18(1):20230771. doi: 10.1515/med-2023-0771. eCollection 2023.
To understand the clinical characteristics of omicron in COVID-19 Rehabilitation Clinic after the current shift of dynamic zeroing policy, we consecutively collected the patients' data who visited in COVID-19 Rehabilitation Clinic of a Grade-A tertiary hospital in Hangzhou, Zhejiang Province, from January 3 to January 10, 2023, analyzed related data and then compared the pneumonia between elderly and non-elderly groups. The results showed that 95.68% of the patients in COVID-19 Rehabilitation Clinic had symptoms, 70.10% had a dry cough, 12.36% had abnormal complete blood count or C-reactive protein, 19.35% had electrolyte disorder, and 2% had abnormal troponin or creatine kinase-MB. 40.45% of patients had abnormal lung CT findings, among them 86.49% of elderly patients had abnormal lung CT findings, and the utilization rate of glucocorticoids in COVID-19 Rehabilitation Clinic was only 5.98%, although people are all susceptible to getting the COVID-19 infection, the elderly are more prone to getting pneumonia, and the glucocorticoids utilization rate is relatively insufficient. It is needed to be stressed that Chinese medical staff should pay more attention to the elderly patients who are vulnerable to getting pneumonia during this period.
为了解动态清零政策调整后新冠康复门诊中奥密克戎毒株感染患者的临床特征,我们连续收集了2023年1月3日至1月10日在浙江省杭州市某三级甲等医院新冠康复门诊就诊患者的数据,分析相关数据,并比较老年组和非老年组的肺炎情况。结果显示,新冠康复门诊中95.68%的患者有症状,70.10%的患者干咳,12.36%的患者全血细胞计数或C反应蛋白异常,19.35%的患者有电解质紊乱,2%的患者肌钙蛋白或肌酸激酶同工酶异常。40.45%的患者肺部CT检查结果异常,其中86.49%的老年患者肺部CT检查结果异常,新冠康复门诊糖皮质激素使用率仅为5.98%,尽管所有人都易感染新冠病毒,但老年人更容易患肺炎,且糖皮质激素使用率相对不足。需要强调的是,在此期间中国医护人员应更加关注易患肺炎的老年患者。