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COVID-19患者严重程度与实验室特征关系的Meta分析

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目的 通过系统评价探讨COVID-19患者病情的严重程度与实验室特征的关系.方法 检索PubMed、Embase、Cochrane Library、中国知网、万方和维普数据库收集符合纳入标准的文献,质量评价采用QUADAS-2工具完成,数据荟萃分析采用Review Manager 5.3软件进行.结果 共纳入25项研究,涉及3741例研究对象(其中轻度/中度2520例,重度/危重1221例).相比轻度/中度患者,重度/危重患者的白细胞、中性粒细胞、谷丙转氨酶、谷草转氨酶、总胆红素、肌酐、C反应蛋白、乳酸脱氢酶、降钙素原、D-二聚体和纤维蛋白原显著升高.淋巴细胞、白蛋白、CD3+T、CD4+T和CD8+T显著降低.血小板、血红蛋白和CD4/CD8比值的变化无明显差异.结论 血常规、肝肾功能标志物、炎症/感染标志物、凝血功能等实验室特征与COVID-19患者病情严重程度密切相关.
A Meta-analysis of the relationship between the severity and laboratory characteristics of COVID-19 patients
Objective To explore the relationship between disease severity and laboratory characteristics of CO VID-19 patients through systematic review.Methods References met the inclusion criteria were retrieved from PubMed,Embase,Cochrane Library,CNKI,Wanfang Data and VIP databases.The quality evaluation was completed by QUADAS-2 tool,data meta-analysis was performed by Review Manager 5.3 software.Results A total of 25 studies were included,involving 3741 research subjects(2520 mild/moderate cases and 1221 severe/critical cases).Compared with mild/moderate patients,leukocytes,neutrophils,alanine aminotransferase,aspartate aminotransfer-ase,total bilirubin,creatinine,C-reactive protein,lactate dehydrogenase,procalcitonin,D-dimer and fibrinogen were significantly increased in severe/critical patients.Lymphocytes,albumin,CD3+T,CD4+T and CD8+T were significantly decreased.There were no significant difference in the change of platelet,hemoglobin and CD4/CD8 ratio.Conclusions Laboratory characteristics of blood routine examination,markers of liver and kidney function,markers of inflammation/infection and coagulation function are closely related to the severity of CO VID-19 patients.

COVID-19degree of severitylaboratory characteristicsMeta-analysis

李欢、方绕红、李海龙、张智雄、张世德

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云南省滇南中心医院/红河州第一人民医院医学检验科,云南 蒙自 661100

COVID-19 严重程度 实验室特征 Meta分析

2024

云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
年,卷(期):2024.45(2)
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