动脉pH值的变化不能解释COVID-19感染期间观察到的电离的减少
John Scott Frazer1, Robin Lucas-Evans1, Asghar Dayala1
1North West Anglia NHS Foundation Trust, Bretton Gate, Bretton, Peterborough, United Kingdom.
Advances in medical sciences
|February 16, 2024
概括
在COVID-19患者中,低电离 (iCa) 与呼吸道性不相关. 这项研究发现,在2019年冠状病毒病患者的血液pH值和iCa水平之间没有显著的关联.
科学领域:
- 医学科学 医学科学 医学科学
- 生物化学 生物化学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 低血是严重COVID-19结果的预测因素.
- 缺氧引起的呼吸道性可能会影响COVID-19患者的电离 (iCa) 水平.
研究的目的:
- 在COVID-19患者中调查呼吸道性和低iCa之间的关联.
- 为了确定血液气体参数 (pH,PaO2,PaCO2) 和iCa水平之间的相关性.
主要方法:
- 从2019年1月到2021年3月的动脉血液气体样本的回顾性分析.
- 与感染状态 (COVID-19,流感,没有感染) 匹配样本.
- 使用主要成分回归来分析pH,PaO2,PaCO2和iCa之间的相关性.
主要成果:
- 与没有感染的群体相比,COVID-19患者的iCa,PaO2,PaCO2显著降低,性pH值更高.
- 血液气体参数 (pH,PaCO2,PaO2) 解释了只有2.72%的iCa.
- 值增加1个单位与iCa减少0.141 mmol/L有关 (p < 0.0001).
结论:
- 在COVID-19患者中iCa度的降低与pH值乱无关.
- 流感感染显示了iCa的轻微,无意义的减少.
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