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急性发热伴血小板减少综合征病毒感染康复后至10年的整体康复情况:一项横断面研究。

The holistic rehabilitation from acute severe fever with thrombocytopenia syndrome virus infection to 10 years after recovery: A cross-sectional study.

作者信息

Li Min, Wang Yalan, Qiao Peiwen, Guo Yaxin, Guo Peipei, Ma Tian, Dong Shaobo, Zhan Jianbo, Liu Jun, Wu Guizhen

机构信息

National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases (NITFID), National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention (China CDC), Beijing 102206, China.

NHC Key Laboratory of Biosafety, National Institute for Viral Disease Control and Prevention, China CDC, Beijing 102206, China.

出版信息

Biosaf Health. 2025 May 17;7(3):183-191. doi: 10.1016/j.bsheal.2025.05.007. eCollection 2025 Jun.

Abstract

Acute viral infections may lead to long-term adverse health effects. Investigating the hematological and biochemical profiles during recovery can provide valuable insights into the prognosis of severe fever with thrombocytopenia syndrome (SFTS) virus infection. Herein, we performed a cross-sectional analysis of 24 hematological parameters and 12 liver and kidney function-related indicators in 143 naturally infected SFTS patients from the acute phase to 10 years post-recovery. Statistical analyses were performed using the Chi-square test ( ), Fisher's exact test, or the ANOVA with Bonferroni correction to assess group differences. Most indicators gradually recovered over time during the recovery period. The decrease in platelet (PLT), white blood cell, neutrophil (NEU), and lymphocyte counts in the acute phase showed a gradual recovery trend from 1-8 months to 6-10 years post-recovery. PLT count levels positively correlated significantly with recovery duration ( = 0.0149). NEU % and thrombocytocrit continued to improve with the recovery time. In addition, some indicators, including platelet distribution width, mean platelet volume, and mean corpuscular hemoglobin concentration, continued to show abnormalities in a certain proportion (12.9 %-69.8 %) of individuals post-recovery. For liver and kidney function-related indicators, acute-phase elevations in aspartate aminotransferase and alanine aminotransferase resolved progressively. Direct bilirubin showed a gradual upward trend over time. Additionally, persistent reductions in total protein and albumin were observed in a subset of recovered individuals. These findings highlight the need for long-term monitoring of SFTS survivors and inform clinical management strategies.

摘要

急性病毒感染可能会导致长期的不良健康影响。研究恢复期间的血液学和生化指标可为发热伴血小板减少综合征(SFTS)病毒感染的预后提供有价值的见解。在此,我们对143例自然感染SFTS的患者从急性期到恢复后10年的24项血液学参数和12项肝肾功能相关指标进行了横断面分析。使用卡方检验()、Fisher精确检验或经Bonferroni校正的方差分析进行统计分析,以评估组间差异。在恢复期间,大多数指标随时间逐渐恢复。急性期血小板(PLT)、白细胞、中性粒细胞(NEU)和淋巴细胞计数的下降在恢复后1 - 8个月至6 - 10年呈现逐渐恢复的趋势。PLT计数水平与恢复持续时间呈显著正相关(=0.0149)。NEU%和血小板压积随恢复时间持续改善。此外,一些指标,包括血小板分布宽度、平均血小板体积和平均红细胞血红蛋白浓度,在恢复后的一定比例(12.9% - 69.8%)个体中仍持续显示异常。对于肝肾功能相关指标,急性期天冬氨酸氨基转移酶和丙氨酸氨基转移酶的升高逐渐消退。直接胆红素随时间呈逐渐上升趋势。此外,在一部分康复个体中观察到总蛋白和白蛋白持续降低。这些发现凸显了对SFTS幸存者进行长期监测的必要性,并为临床管理策略提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feb3/12276564/438360286991/gr1.jpg

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