实用医学杂志 ›› 2021, Vol. 37 ›› Issue (22): 2834-2839.doi: 10.3969/j.issn.1006⁃5725.2021.22.002

• 新型冠状病毒肺炎专栏 • 上一篇    下一篇

广州市新型冠状病毒Delta变异毒株感染患者与野生株感染患者的临床特征对比分析

游乐卿1 沈爱萍2 胡中伟1 詹远京1 雷鸣3    

  1. 广州医科大学附属市八医院1 消化内科,2 感染科,3 肾内科(广州 510060)

  • 出版日期:2021-11-25 发布日期:2021-11-25
  • 通讯作者: 詹远京 E⁃mail:592547531@qq.com

Clinical characteristics of patients infected with SARS ⁃CoV ⁃ 2 Delta VOC vs. wild ⁃ type strain in Guang⁃ zhou

YOU Leqing*,SHEN Aiping,HU Zhongwei,ZHAN Yuanjing,LEI Ming.   

  1. Department of Gastroenterology Guangzhou Eighth People′s Hospital Affiliated to Guangzhou Medical University,Guangzhou 510060,China 

  • Online:2021-11-25 Published:2021-11-25
  • Contact: ZHAN Yuanjing E⁃mail:592547531@qq.com

摘要:

目的 探讨广州市新型冠状病毒 Delta 变异毒株感染患者与野生株感染患者的临床及实验 室特征。方法 采用回顾性研究方法,收集 2021 5 21 日至 2021 6 14 日广州医科大学附属市八 医院确诊的 145 Delta 变异株感染者的临床资料,收集 2020 1 20 日至 2020 2 10 日期间,收治的 278 COVID⁃19 患者作为野生株组,比较两组患者流行病学特点、临床症状、实验室指标、胸部 CT 影像学 特征差异。结果 变异株感染者中,普通型居多,重型及危重型 13 例(11%),发病转重症时间方面,变异 株组要短于野生株组(P < 0.05)。咽部不适、嗅觉减退患者的比例变异株组要多于野生株组(均 P < 0.05)。变异株患者以淋巴细胞减少多见,下降人数要多于野生株组(P < 0.05)。变异株组患者 CT 首次阳 性时肺内病灶主要表现为磨玻璃影、间质性改变,与野生株组患者影像学特点比例差异无统计学意义(均 P > 0.05)。结论 Delta 变异毒株感染患者仍以普通型为主,重症率未见上升,但转重症时间缩短,合并多 器官损害的情况与野生株感染患者差异不大

关键词:

新型冠状病毒, Delta 变异毒株, 野生株, 临床特征

Abstract:

Objective To investigate the clinical characteristics and laboratory results of patients infected with the Delta variant of concern(VOC)vs a cohort of wild⁃type. Methods A total of 145 patients infected with Delta VOC in Guangzhou Eighth People′s Hospital Affiliated to Guangzhou Medical University from May to June 2021 were retrospectively analyzed as a contrast of 278 patients infected with wild ⁃type strain from January to February,2020. The differences of general demographics,clinical symptoms,laboratory examinations,lung CT imaging results were analyzed. Results In the Delta VOC group,common type was majority and 13 patients(11% were severe and critical types. In terms of time interval from early onset to severe manifestation,patients in the Delta VOC group were significantly shorter than that of the wild⁃type strain group(P ≤ 0.05). The incidences of pharyngodynia and anosmia in the Delta VOC group were significantly greater than those in the wild ⁃type strain group(P ≤ 0.05). The incidences of the lymphocyte count decline in the Delta VOC group were significantly greater than those in the wild⁃type strain group(P ≤ 0.05). The first time CT mainly showed that the ground glass opacity and interstitial inflammation change in the Delta VOC group showed no significant difference compared with the wild⁃type group(all P > 0.05). Conclusion Mild case was still the primary type for patients infected with Delta VOC,the rate of severe cases didn′t increase apparently,but the time interval from onset to severe manifestation was significantly lower than that of the wild⁃type strain group. There was little difference between the two groups on multiple organs or systems injury.

Key words:

SARS?COV?2, delta VOC, wild?type strain, clinical characteristics