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2019冠状病毒病疫苗接种与胃肠道表现之间的关联:一项横断面研究。

Association Between COVID-19 Vaccination and Gastrointestinal Manifestations: A Cross-Sectional Study.

作者信息

Massad Mu'taz, Odeh Mohanad, Al-Ghsoon Shahed, El-Mousa Amr, Hindiyeh Haya, Hindiyeh Hala, Shahin Ali, Sanwar Jumana, Serhan Hashem Abu, Nashwan Abdulqadir J

机构信息

Department of Internal Medicine, Faculty of Medicine The Hashemite University Zarqa Jordan.

Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmaceutical Sciences The Hashemite University Zarqa Jordan.

出版信息

Health Sci Rep. 2025 Sep 14;8(9):e71231. doi: 10.1002/hsr2.71231. eCollection 2025 Sep.

Abstract

AIM

To investigate a possible association between COVID-19 vaccines and gastrointestinal manifestations.

METHODS

A cross-sectional study employing convenience sampling was used to collect data using an online survey developed by the research team in Amman, Jordan. The study was web-based and designed with Google Forms and was carried out between October 1, 2022, and February 1, 2023. Nine hundred eighty-seven responses were included, aged 18 and above and had taken the COVID-19 vaccine with their complete agreement to participate in the study, using the Chi-square test and binary logistic regression models with (95%) confidence interval performed using SPSS version 25.0 (IBM Corp, Armonk, NY, USA). Statistical significance was set at  < 0.05.

RESULTS

Participants were 987 individuals; nearly half were between 18 and 25 years old, 65% were female, and 75% had bachelor's degrees. Seventy percent received two doses, with 37.5% reporting side effects. Females reported significantly more side effects than males (41.3% vs. 30.5%,  = 0.001); those with previous COVID-19 infection reported higher side effects (41.6% vs. 34.7%,  = 0.028); and hospitalized individuals due to side effects had higher side effect rates (72.4% vs. 36.4%,  < 0.001). The second dose correlated with fewer side effects, with specific symptoms (indigestion, anorexia, flatulence, and abdominal pain) exhibiting significant differences ( < 0.05).

CONCLUSION

This study found a positive association between COVID-19 vaccines and gastrointestinal side effects, including significant heartburn, anorexia, and bloating.

摘要

目的

研究2019冠状病毒病(COVID-19)疫苗与胃肠道表现之间可能存在的关联。

方法

采用便利抽样的横断面研究,通过约旦安曼研究团队开发的在线调查问卷收集数据。该研究基于网络,使用谷歌表单设计,于2022年10月1日至2023年2月1日进行。纳入了987份回复,参与者年龄在18岁及以上,已完全同意接种COVID-19疫苗并参与本研究,使用卡方检验和二元逻辑回归模型,置信区间为95%,使用SPSS 25.0版(美国纽约州阿蒙克市IBM公司)进行分析。设定统计学显著性为<0.05。

结果

参与者共987人;近一半年龄在18至25岁之间,65%为女性,75%拥有学士学位。70%的人接种了两剂疫苗,37.5%的人报告有副作用。女性报告的副作用明显多于男性(41.3%对30.5%,P = 0.001);既往感染过COVID-19的人报告的副作用更高(41.6%对34.7%,P = 0.028);因副作用住院的人副作用发生率更高(72.4%对36.4%,P < 0.001)。第二剂疫苗与较少的副作用相关,特定症状(消化不良、食欲不振、肠胃胀气和腹痛)表现出显著差异(P < 0.05)。

结论

本研究发现COVID-19疫苗与胃肠道副作用之间存在正相关,包括严重烧心、食欲不振和腹胀。

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