在Omicron之后的甲状腺功能障碍:了解其在COVID-19严重性和死亡率中的作用
Qingfeng Zhang1, Zongyue Zhang1, Xu Liu1
1Department of Respiratory and Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan, China.
Frontiers in endocrinology
|July 31, 2024
概括
COVID-19的严重程度会影响甲状腺功能,增加甲状腺疾病综合征 (ESS) 和死亡率的风险. 虽然甲状腺功能障碍在康复后很少出现,但有些患者可能会出现持续性甲状腺功能障碍.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- SARS-CoV-2 感染可以影响甲状腺.
- 奥米克朗变种的流行引起了人们对甲状腺功能障碍的担忧.
- 在COVID-19期间和之后了解甲状腺功能至关重要.
研究的目的:
- 为了评估甲状腺功能障碍风险在Omicron变异激增期间.
- 为了将甲状腺功能与COVID-19结果相关联.
- 为了确定甲状腺功能障碍是否在COVID-19后恢复.
主要方法:
- 追溯队列研究的设计.
- 在Omicron变种流行期间包括COVID-19患者.
- 在不同患者群体中分析甲状腺功能.
主要成果:
- COVID-19的严重程度与TSH,FT3和FT4水平相反相关.
- 严重的COVID-19是肌甲状腺疾病综合征 (ESS) 的重要危险因素.
- ESS和降低甲状腺功能的指标与死亡率有关;更高的FT3/FT4显示出保护作用,特别是在女性中.
- 在康复后,甲状腺功能低下症在7.7%的个体中持续存在.
结论:
- COVID-19的严重程度与甲状腺功能障碍有关,特别是ESS.
- ESS是COVID-19死亡的一个危险因素.
- 甲状腺功能低下症可能在COVID-19康复后在一些患者中持续存在.
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