
Analysis of application value of auxiliary diagnostic technology for COVID-19 pneumonia in the community population
LI Lei, YAO Caicha, ZHANG Pei, ZHANG Yihua
Shanghai Medical & Pharmaceutical Journal ›› 2024, Vol. 45 ›› Issue (20) : 40-43.
Analysis of application value of auxiliary diagnostic technology for COVID-19 pneumonia in the community population
Objective: To explore the application value of routine auxiliary diagnosis technology for COVID-19 pneumonia in the community population after the pandemic was fully lifted. Methods: The data of positive for viral nucleic acid or antigen positive in three hundred and thirty cases of COVID-19-infected persons in the fever checkpoints from December 12, 2022 to January 20, 2023 were analyzed, among them males were 123 cases, females were 207 cases, and the average age was 14~95 years old. The abnormal characteristics of chest X-ray inspection(CXR) and blood routine indicators were analyzed. Results: CXR examination showed that 146 cases were consistent with the signs of viral pneumonia, and the positive rate was 44.2%. The mild pneumonia was 69.17%, and moderate pneumonia 30.82%. There was no significant difference in the incidence rate in COVID-19 pneumonia at the different ages(P>0.05). There were differences in the risks of incidence of COVID-19 pneumonia in the peripheral blood lymphocytes decrease, normal, and increase three groups(P<0.05). Elevated proportion of C-reactive protein was higher in the pneumonia group than that in the un-pneumonia group and the difference was significantly different(P<0.05). Conclusion: Peripheral blood lymphocyte count can be used as biological indicators for early prediction, classification, and evaluation of disease outcomes; elevated C-reactive protein to reactive pathological changes was the important indicator to assess the course and severity of the illness; changes in peripheral blood leukocyte index can effectively raise the sensitivity of diagnosis of mixed infection types. Chest digital radiographic imaging technology can meet the basic medical clinical requirement. Conventional auxiliary diagnostic technology has certain clinical application value in screening and diagnosis of COVID-19 pneumonia.
COVID-19 pneumonia / chest radiograph / digital radiographic imaging technology / laboratory examination {{custom_keyword}} /
表1 按发生肺炎年龄分组比较 [n(%)] |
年龄/岁 | 无肺炎组(N=184) | 肺炎组(N=146) | χ2值 | P值 |
---|---|---|---|---|
≤12 | 16(8.70) | 12(8.29) | 0.238 | >0.05 |
12~29 | 22(11.95) | 16(10.98) | 0.079 | >0.05 |
30~49 | 45(24.57) | 35(24.33) | 0.010 | >0.05 |
50~69 | 89(48.40) | 74(50.79) | 0.174 | >0.05 |
≥70 | 12(6.52) | 9(6.19) | 0.017 | >0.05 |
表2 新冠肺炎的实验室血常规观察指标 [n(%)] |
指标 | 无肺炎组 | 肺炎组 | Z/χ2值 | P值 | |
---|---|---|---|---|---|
淋巴细胞 | 减少 | 3(1.63) | 13(8.90) | ||
正常 | 166(90.22) | 127(86.99) | 3.036 | 0.002 | |
升高 | 15(8.15) | 6(4.11) | |||
白细胞 | 减少 | 3(1.63) | 3(2.05) | ||
正常 | 167(90.76) | 126(86.31) | 0.777 | >0.05 | |
升高 | 14(7.61) | 17(11.64) | |||
C反应蛋白 | 正常 | 152(82.61) | 51(34.93) | 78.613 | <0.001 |
升高 | 32(19.39) | 95(65.07) |
[1] |
赵岳, 刘文斌, 李子帅, 等. 刺突蛋白、血管紧张素转换酶2和蛋白酶在新型冠状病毒感染中的协同作用[J]. 上海预防医学, 2021, 33(3): 237-242.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[2] |
叶莹, 范威, 王文华, 等. 新型冠状病毒肺炎聚集性疫情中无症状感染者与确诊患者的流行差异[J]. 中国感染控制杂志, 2020, 19(6): 492-497.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[3] |
国家卫生健康委员会. 《新型冠状病毒感染诊疗方案(试行第十版)》调整要点《新型冠状病毒感染诊疗方案(试行第十版)》解读[J]. 中国医药, 2023, 18(2): 167.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[4] |
彭丹萍, 邢翔宇, 汪杨, 等. 新型冠状病毒奥密克戎变异株的流行病学和临床特点[J]. 中国病毒病杂志, 2022, 12(5): 385-389.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[5] |
丁敬美, 韩磊, 王琳, 等. 200例新冠肺炎住院患者转归影响因素分析[J]. 解放军医院管理杂志, 2020, 27(6): 511-515.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[6] |
张金荣, 闵翼, 刘义安, 等. 116例奥密克戎新型冠状病毒感染轻型、普通型患者中医证候、病机特点分析[J]. 中国中医急症, 2023, 32(2): 217-220; 225.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[7] |
吴俣, 刘珏, 刘民, 等. 新型冠状病毒Omicron变异株亚型BA.4与BA.5的流行病学特征及防控研究[J]. 中国全科医学, 2022, 25(30): 3721-3725.
全球新型冠状病毒肺炎疫情仍处于大流行状态,Omicron仍是全球优势株,约占全球基因序列的99%。全球多个地区正在经历第7波疫情,主要由Omicron变异株亚型BA.4和BA.5引起,目前对于Omicron变异株亚型BA.4和BA.5的流行病学特征尚不明确,给各国家和/或地区的疫情防控带来很大挑战。本文就Omicron变异株亚型BA.4和BA.5的发现与流行现状、潜伏期、传播力、临床症状、病死率、疫苗对其保护效果等方面的研究进展进行综述,以期为科学防控Omicron变异株亚型BA.4和BA.5所致疫情提供参考。
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[8] |
陈彦昕, 陈泳诗, 谢健鸿, 等. 炎症因子风暴在新型冠状病毒肺炎中的作用[J]. 广东医科大学学报, 2021, 39(5): 651-654.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[9] |
陈实, 吴娟娟, 李志明, 等. 新型冠状病毒肺炎109例临床分析[J]. 中华传染病杂志, 2020, 38(3): 145-149.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[10] |
舒意, 钟林泽, 曹力波, 等. CT定量分析在新冠状病毒肺炎诊断中的价值[J]. CT理论与应用研究, 2021, 30(2): 225-233.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[11] |
朱雯, 周海, 帅小青, 等. 2022年上海市某区定点医院151例新型冠状病毒肺炎病例临床特征分析[J]. 上海预防医学, 2022, 34(12): 1180-1187.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[12] |
李宏军. 新型冠状病毒肺炎影像学辅助诊断指南[J]. 中国医学影像技术, 2020, 36(3): 321-331.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[13] |
黄梦婷, 杨守红, 刘瑞雪, 等. 新型冠状病毒奥密克戎变异株感染老年患者的临床特征分析[J]. 检验医学与临床, 2024, 21(7): 912-917.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[14] |
张劢, 王妍, 卢娜, 等. 老年新型冠状病毒肺炎患者重症的危险因素[J]. 中国老年学杂志, 2023, 43(18): 4388-4391.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[15] |
白欢, 沈玲, 袁旭, 等. 新型冠状病毒肺炎患者早期外周血实验室检查结果分析[J]. 现代检验医学杂志, 2020, 35(5): 93-98.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[16] |
赵晶, 贾丽丽, 李文刚. 新冠病毒肺炎与外周血白细胞检测的相关性研究[J]. 甘肃科技, 2021, 37(17): 129-131.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[17] |
刘巧, 刘珏, 刘民. 无症状感染者对COVID-19流行的影响及其防控措施研究[J]. 中国全科医学, 2021, 24(8): 917-922.
新型冠状病毒肺炎(COVID-19)已在全球流行近一年,对世界人口健康造成巨大打击。许多国家为切断病毒传播途径,采取关闭学校和工作场所、强制公众保持社交距离等措施。在逐步恢复正常的工作和生活秩序过程中,无症状感染者对COVID-19流行的影响无疑是一个重要挑战。本文针对无症状感染者在人群中的比例、无症状感染者在传播中的作用以及限制无症状感染者造成的病毒传播等方面的研究进展进行综述。
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[18] |
池立红, 宋新宇, 王晓玉, 等. 244例新型冠状病毒肺炎患者的死亡危险因素分析[J]. 吉林医药学院学报, 2021, 42(6): 405-408.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[19] |
陈甜, 蒋宗焰, 许炜, 等. 76例新型冠状病毒肺炎患者的临床及CT影像特征分析[J]. 暨南大学学报(自然科学与医学版), 2020, 41(2): 157-162.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[20] |
苏敏艳, 王紫红, 高山, 等. 分级诊疗制度下居民选择就诊医疗机构的影响因素研究[J]. 中国农村卫生事业管理, 2021, 41(12): 854-858.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[21] |
邱世香, 魏剑林, 胡鸿, 等. 新型冠状病毒肺炎的CT检查与核酸检测对比[J]. 西部医学, 2020, 32(5): 638-642; 646.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
[22] |
杨舒一, 单飞, 张志勇, 等. 上海早期输入性新冠肺炎患者临床和影像学特征分析[J]. 上海医药, 2020, 41(S1): 57.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
{{custom_ref.label}} |
{{custom_citation.content}}
{{custom_citation.annotation}}
|
/
〈 |
|
〉 |