没有控制的糖尿病可预测COVID-19后纤维化
Parul Mrigpuri1, Nitin Goel2, Sonam Spalgais2
1Assistant Professor, Department of Pulmonary Medicine; Corresponding Author.
The Journal of the Association of Physicians of India
|July 14, 2023
概括
失控的糖尿病 (DM) 增加了2019年新冠病毒 (COVID-19) 后严重疾病和肺纤维化风险. 医生应密切监测DM患者的这些并发症.
科学领域:
- 肺部病理学 肺部病理学
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
背景情况:
- 冠状病毒2019 (COVID-19) 后的并发症可以影响多个器官.
- 后COVID-19肺纤维化是一个严重的长期后果.
- 对于COVID-19后肺纤维化疾病的危险因素尚不清楚.
研究的目的:
- 评估COVID-19后糖尿病患者的临床和放射性特征.
- 为了确定糖尿病控制和COVID-19结果之间的潜在联系.
主要方法:
- 50名患有DM的患者参加了COVID-19后呼吸护理中心的观测横截面研究.
- 评估残留的临床症状,通过胸部计算机断层扫描 (CT) 的放射性变化,以及糖化血红蛋白 (HbA1c) 水平.
主要成果:
- 74%的患者患有不受控制的DM.
- 无法控制的DM与严重COVID-19 (OR 7.30) 和CT (OR 3.38) 上的肺纤维化更高的可能性有关.
- 大多数患者是45-60岁的男性.
结论:
- 失控的糖尿病是COVID-19后肺纤维化发展的重要危险因素.
- 建议在COVID-19后管理糖尿病患者时提高警.
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