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中国重庆新冠疫情期间机场工作人员全血细胞计数参数的动态变化:一项回顾性纵向研究

Dynamic changes of complete blood cell count parameters among airport workers during the COVID-19 pandemic in Chongqing, China: A retrospective longitudinal study.

作者信息

Cao Baige, Li Yingchao, Xu Jinfang, Zhang Yinan, Wang Congrong

机构信息

Department of Endocrinology & Metabolism, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

Department of First Aid Center, Chongqing Jiangbei International Airport, Chongqing, China.

出版信息

Heliyon. 2024 Jun 8;10(12):e32734. doi: 10.1016/j.heliyon.2024.e32734. eCollection 2024 Jun 30.

Abstract

BACKGROUND AND AIMS

This study aimed to examine the dynamic changes in the complete blood counts of airport staff from 2019 to 2021 and assess the impact of the coronavirus disease 2019 (COVID-19) on their overall health status during the first pandemic wave.

MATERIALS AND METHODS

A total of 2144 airport staff members from Chongqing Jiangbei International Airport who underwent health examinations for three consecutive years from 2019 to 2021 were recruited for this study. Venous blood samples were collected for a complete blood cell count.

RESULTS

Changes were observed in blood routine parameters from airport staff over three consecutive years. After adjusting for age, body mass index, and systolic blood pressure, the red blood cell count decreased consecutively during the COVID-19 pandemic. Hemoglobin and basophil counts decreased significantly during COVID-19 year 1. Lymphocyte and platelet counts decreased, whereas the monocyte-to-lymphocyte ratio increased in COVID-19 year 2. However, the white blood cell count, neutrophil count, neutrophil-to-lymphocyte ratio, and eosinophil count did not change from 2019 to 2021.

CONCLUSION

This study showed changes in complete blood counts in frontline airport workers, especially men, during the COVID-19 pandemic. Therefore, paying more attention to the overall health conditions and immune function of airport staff engaged in intensive work is necessary.

摘要

背景与目的

本研究旨在调查2019年至2021年机场工作人员全血细胞计数的动态变化,并评估2019冠状病毒病(COVID-19)在疫情第一波期间对其整体健康状况的影响。

材料与方法

本研究招募了2019年至2021年连续三年在重庆江北国际机场接受健康检查的2144名机场工作人员。采集静脉血样进行全血细胞计数。

结果

连续三年观察到机场工作人员血常规参数的变化。在调整年龄、体重指数和收缩压后,COVID-19大流行期间红细胞计数持续下降。COVID-19第一年血红蛋白和嗜碱性粒细胞计数显著下降。COVID-19第二年淋巴细胞和血小板计数下降,而单核细胞与淋巴细胞比值增加。然而,2019年至2021年白细胞计数、中性粒细胞计数、中性粒细胞与淋巴细胞比值以及嗜酸性粒细胞计数未发生变化。

结论

本研究显示,在COVID-19大流行期间,一线机场工作人员,尤其是男性的全血细胞计数发生了变化。因此,有必要更加关注从事高强度工作的机场工作人员的整体健康状况和免疫功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e0f/11341334/9ddb31a5bc48/gr1.jpg

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