Rezvani Habibabadi Mehran, Saghaei Mahmoud, Ghahramani Ali, Habibzadeh Siahroadkolaee Mohammadreza, Fattahpour Shirin, Hashemi Sayed Mostafa
Department of Anesthesiology, Isfahan University of Medical Sciences, Isfahan, Iran.
School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Med Acupunct. 2024 Dec 17;36(6):343-349. doi: 10.1089/acu.2023.0095. eCollection 2024 Dec.
Integrating traditional Chinese medicine with Western medicine has been extensively studied in managing respiratory disease. Therefore, in this study, we aimed to examine interferon point alteration (IPA) and its association with disease severity in patients with COVID-19.
This cross-sectional study was conducted on patients hospitalized due to COVID-19 with lung involvement. The control group consisted of patients hospitalized with a diagnosis other than COVID-19. The prevalence of IPA was compared between patients with and without COVID-19. Clinical and laboratory findings were compared in patients with and without IPA.
A total of 126 participants, with a mean (SD) age of 57.2 (16.4) years, were included in this study. 54.8% of participants were men. There was a significant difference between patients with and without COVID-19 regarding the frequency of IPA ( = 0.045). No significant differences were observed between variables in patients with and without IPA ( ≥ 0.05). The only variable that could significantly predict the IPA in COVID-19 patients was the severity score of lung involvement in HRCT (OR: 5.32, 95% CI: 1.08-26.05, = 0.039). IPA showed a sensitivity and specificity of 80.9% and 34.9% in identifying COVID-19 patients, respectively.
Our study found a significant association between IPAs and the severity of lung involvement in hospitalized COVID-19 patients and a significant association of COVID-19 with IPAs.
中西医结合治疗呼吸系统疾病已得到广泛研究。因此,在本研究中,我们旨在探讨新冠病毒病(COVID-19)患者的干扰素点改变(IPA)及其与疾病严重程度的关系。
本横断面研究针对因COVID-19合并肺部受累而住院的患者开展。对照组由诊断为非COVID-19的住院患者组成。比较了COVID-19患者与非COVID-19患者中IPA的患病率。对有或无IPA的患者的临床和实验室检查结果进行了比较。
本研究共纳入126名参与者,平均(标准差)年龄为57.2(16.4)岁。54.8%的参与者为男性。COVID-19患者与非COVID-19患者在IPA频率方面存在显著差异(P = 0.045)。有或无IPA的患者在各变量间未观察到显著差异(P≥0.05)。在COVID-19患者中,唯一能显著预测IPA的变量是HRCT中肺部受累的严重程度评分(比值比:5.32,95%置信区间:1.08 - 26.05,P = 0.039)。IPA在识别COVID-19患者时的敏感性和特异性分别为80.9%和34.9%。
我们的研究发现,住院COVID-19患者的IPA与肺部受累严重程度之间存在显著关联,且COVID-19与IPA之间存在显著关联。