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哈萨克斯坦的新冠后综合征与2型糖尿病:临床表现及疫苗疗效

Post-COVID syndrome and type 2 diabetes mellitus in Kazakhstan: clinical manifestations and vaccine efficacy.

作者信息

Altynbekova Saule, Abylaiuly Zhangentkhan, Bolshakova Svetlana, Davlyatshin Timur, Aimakhanova Aizat

机构信息

Department of Endocrinology, Asfendiyarov Kazakh National Medical University, Almaty, Republic of Kazakhstan.

Omicron 3D Clinical and Diagnostic Laboratory, Almaty, Republic of Kazakhstan.

出版信息

Ann Pediatr Endocrinol Metab. 2024 Oct;29(5):325-336. doi: 10.6065/apem.2346228.114. Epub 2024 Oct 31.

Abstract

PURPOSE

In this article, we report the results of a survey investigating post-coronavirus disease 2019 (COVID-19) syndrome in patients with type 2 diabetes mellitus and the impacts of vaccination on long-term manifestations. From February 2022 to April 2023, a survey of patients with type 2 diabetes and people without diabetes who were treated for a coronavirus infection was conducted in Kazakhstan.

METHODS

Participants were invited via social media to voluntarily participate in this study. A total of 417 surveys were included in this study, comprising 212 patients with type 2 diabetes and 205 without diabetes. We compared persistent complaints after recovery in patients with and without diabetes mellitus (DM), as well as vaccination status.

RESULTS

The results of this study on self-reported symptoms of prolonged COVID show that more than half of those infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Kazakhstan have at least one persistent symptom after recovery. Based on the list of prolonged COVID-19 symptoms reported by patients with type 2 DM (T2DM), exertional dyspnoea, fatigue, respiratory discomfort, headaches, and sleep disturbances are among the most common ongoing conditions, and in many cases last more than 3 months after COVID-19.

CONCLUSION

Patients with T2DM experience more severe and prolonged symptoms than those without diabetes. Additionally, vaccination lowers COVID-19 hospitalization risk and decreases the need for adjusting hypoglycemic therapy, such as insulin treatment, after recovering from SARS-CoV-2 infection.

摘要

目的

在本文中,我们报告了一项调查2型糖尿病患者感染2019冠状病毒病(COVID-19)后综合征以及疫苗接种对长期症状影响的研究结果。2022年2月至2023年4月,在哈萨克斯坦对2型糖尿病患者和因冠状病毒感染接受治疗的非糖尿病患者进行了一项调查。

方法

通过社交媒体邀请参与者自愿参与本研究。本研究共纳入417份调查问卷,其中包括212例2型糖尿病患者和205例非糖尿病患者。我们比较了糖尿病患者和非糖尿病患者康复后持续存在的症状以及疫苗接种情况。

结果

这项关于自我报告的长期COVID症状的研究结果表明,哈萨克斯坦感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的患者中,超过一半在康复后至少有一种持续症状。根据2型糖尿病(T2DM)患者报告的长期COVID-19症状清单,运动性呼吸困难、疲劳、呼吸不适、头痛和睡眠障碍是最常见的持续症状,在许多情况下,这些症状在COVID-19感染后持续超过3个月。

结论

T2DM患者比非糖尿病患者经历更严重、持续时间更长的症状。此外,接种疫苗可降低COVID-19住院风险,并减少从SARS-CoV-2感染康复后调整降糖治疗(如胰岛素治疗)的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0389/11541094/ab607c98000b/apem-2346228-114f1.jpg

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