首页|新型冠状病毒Omicron变异株感染患者血清肌酸激酶和乳酸脱氢酶水平与年龄的相关性

新型冠状病毒Omicron变异株感染患者血清肌酸激酶和乳酸脱氢酶水平与年龄的相关性

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目的 探讨新型冠状病毒肺炎(COVID-19)Omicron变异株感染患者血清肌酸激酶和乳酸脱氢酶与年龄的相关性。方法 选取2022年10月16 日-12月31日联勤保障部队第九八八医院确诊的226例COVID-19 O-micron变异株感染患者为感染组,以同期住院同科室有感染征象但未感染Omicron变异株的新冠核酸阴性患者247例为对照组,分别收集两组患者的临床资料和实验室检测指标。对两组患者从性别、年龄分布等临床特点及实验室指标肌酸激酶(CK)和乳酸脱氢酶(LDH)进行分析。结果 两组患者性别构成和年龄分布比较差异均无统计学意义;与对照组比较,感染组总人群的肌酸激酶CK水平及异常增高比例均升高(P<0。05),其中CK水平升高以老年人(≥60岁)、刚成年(16岁~)以及幼儿(1岁~)最为显著(P<0。05),LDH水平增高及异常增高比例以幼儿(1岁~)最为显著(P<0。05)。结论 COVID-19 Omicron感染患者的肌酸激酶CK升高以成年患者为主,而在婴儿中LDH升高更为常见,上述结果可为针对性制定治疗方案提供参考。
Association of serum CK and LDH with age of patients with COVID-19 Omicron variant infection
OBJECTIVE To investigate the correlation of serum creatine kinase and lactate dehydrogenase with age inpatients with pneumonia infected by Omicron variant of novel coronavirus infection 2019(COVID-19).METHODS A total of 226 patients with COVID-19 Omicron variant infection diagnosed in No.988 Hospital of the joint Logistics Support Force of PLA from Oct.16 to Dec.31,2022 were selected as the infection group,and 247 new crown nucleic acid-negative patients hospitalized in the same department during the same period with infec-tious phases but not infected with COVID-19 Omicron variant were selected as the control group,and the clinical data and laboratory tests were collected from both group.Clinical characteristics such as gender,age distribution,and laboratory indicators of CK and LDH were analyzed in both groups.RESULTS There was no statistically sig-nificant difference in the gender composition and age distribution of the patients in the two groups.Compared with the control group,level and abnormal increase of serum CK were elevated in the total population of the infected group(P<0.05),with the elevated CK level being most significant in the elderly(≥60),young adults(16 year-s-)and young children(1 year-)(P<0.05),and the elevated LDH level and abnormal increase being most sig-nificant in young children(1 year-)(P<0.05).CONCLUSION Elevated CK in COVID-19 Omicron variant-infec-ted patients was predominantly found in the elderly and young adult and young children patients,whereas elevated LDH was more common in young children,which might provide references for the development of a targeted ther-apeutic regimen.

Coronavirus disease 2019Omicron variantCreatine kinaseLactate dehydrogenaseThe elderlyYoung children

买三月、路丽苹、刘萱、董钦才、刘海楠、曹诚

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中国人民解放军联勤保障部队第九八八医院检验科,河南郑州 450042

中国人民解放军军事科学院军事医学研究院生物工程研究所,北京 100850

COVID-19 Omicron变异株 肌酸激酶 乳酸脱氢酶 老年 幼儿

国家自然科学基金资助项目军队生物安全研究专项基金资助项目

8210186519SWAQ16

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(3)
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