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新冠病毒感染女性与男性患者严重程度的比较研究。

Comparative study of the severity of Covid-19 infection between female and male patients.

作者信息

Imzil Aboubekr, Mansoury Ouassim, Oulahbib Abdelmajid, Adarmouch Latifa, Serhane Hind

机构信息

Pneumology Department, Faculty of Medicine and Pharmacy of Agadir, Souss-Massa University Hospital, Ibn Zohr University, Agadir, Morocco.

Clinical Research Department, Mohammed VI University Hospital, Marrakesh, Morocco.

出版信息

Niger Med J. 2024 Apr 21;65(1):56-66. doi: 10.60787/nmj-v65i1-451. eCollection 2024 Jan-Feb.

Abstract

BACKGROUND

Different studies have identified the prognostic factors of COVID-19 infection. These studies have revealed that COVID-19 infection is more severe in males than in females. The aim of our study was to compare the severity of COVID-19 infection between males and females in terms of clinical, biological, radiological, and evolutionary aspects.

METHODOLOGY

This is a cross-sectional observational study conducted in patients hospitalized with COVID-19 infection over a 6-month period from 1 August 2021 to 1 February 2022.

RESULTS

The comparison of clinical, biological, radiological, and evolutionary severity factors of covid-19 infection between the two sexes revealed that this infection was more severe in males. Statistically significant differences were noted for the rate of high dimers (p =0.01) and for lung involvement greater than 25% on chest CT (Computed tomography) (p =0.008).

CONCLUSION

The severity of covid-19 infection in men is due to biological differences between men and women in the renin-angiotensin system, the immune system, genetics, and sex hormones. Further research into the pathophysiological mechanisms behind this finding is needed.

摘要

背景

不同的研究已经确定了新冠病毒感染的预后因素。这些研究表明,新冠病毒感染在男性中比在女性中更为严重。我们研究的目的是从临床、生物学、放射学和病程发展方面比较男性和女性新冠病毒感染的严重程度。

方法

这是一项横断面观察性研究,对2021年8月1日至2022年2月1日期间因新冠病毒感染住院的患者进行了为期6个月的研究。

结果

对两性新冠病毒感染的临床、生物学、放射学和病程发展严重程度因素进行比较后发现,这种感染在男性中更为严重。高D-二聚体比率(p = 0.01)以及胸部CT(计算机断层扫描)显示肺部受累超过25%(p = 0.008)存在统计学显著差异。

结论

男性新冠病毒感染的严重程度是由于男性和女性在肾素-血管紧张素系统、免疫系统、遗传学和性激素方面的生物学差异。需要对这一发现背后的病理生理机制进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d06/11238169/9c90e8211dc2/nmj-65-056-f2.jpg

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