南坦格朗-印度尼西亚RSU的COVID-19和糖尿病:临床概况和治疗策略

Nur Hasanah, Nurwulan Adi Ismaya, Silvester Maximus Tulandi, Putri Indah Permatasari, Wafa Wafa, Amelia Nurul Hakim
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引用次数: 0

摘要

背景:糖尿病是COVID-19的危险因素之一。这导致糖尿病患者中COVID-19患者的发病率和严重程度更高。目的:本研究旨在确定坦格朗南市总医院对新冠肺炎合并糖尿病患者的治疗效果。材料和方法:本研究采用描述性设计,采用定量方法和回顾性数据收集。采用Total Sampling进行抽样,从234例患者中抽取127例患者。结果:新冠肺炎合并糖尿病患者的特征以男性为主(55.1%),年龄46 ~ 55岁(38.6%),高中学历(43.3%),私企职工类型(55.1%)。新冠肺炎合并糖尿病患者以咳嗽为主要症状(89.8%),住院时间7 ~ 14天(72.4%)。新冠肺炎合并糖尿病的治疗以抗生素阿奇霉素(26.0%)、抗病毒药物瑞德西韦(62.2%)、甲基强的松龙(73.2%)、乙酰半胱氨酸(85.0%)、维生素C(89.8%)为主,抗糖尿病组常用的是新维拉胰岛素(41.7%)。结论:实验室检查结果显示,COVID-19治疗方法可有效减少血液中病毒的数量,其特征是PCR值升高(p值<0.001),降低血糖水平(其特征是血糖水平降低(p值<0.001)),降低高凝血,其特征是d -二聚体值降低(p值<0.001);0.005)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COVID-19 and Diabetes Mellitus at RSU South Tangerang-Indonesia: Clinical Profile and Treatment Strategies
Background: Diabetes Mellitus is one of the risk factors for COVID-19. This causes the morbidity and severity of COVID-19 patients to be higher in patients with diabetes. Objectivity: This study aimed to determine the effectiveness of treatment therapy for COVID-19 patients with comorbid diabetes at the South Tangerang City General Hospital. Material and methods: This study used a descriptive design with a quantitative approach and retrospective data collection. Sampling was done by Total Sampling with a total sample of 127 patients from 234 patients. Result: The characteristics of COVID-19 patients with comorbid diabetes were dominated by the male gender (55.1%), with an age range of 46-55 years (38.6%), high school education (43.3%), and have a private employee type of work (55.1%). The symptoms of COVID-19 patients with comorbid diabetes were cough (89.8%), with a length of stay for patients 7–14 days (72.4%).Treatment for COVID-19 with comorbid diabetes was antibiotics azithromycin (26.0%), antiviral remdesivir (62.2%), methylprednisolone (73.2%), acetylcysteine (85.0%), vitamin C (89.8%), and the antidiabetic group that is often used is insulin novorapid (41.7%). Conclusion: The results of laboratory examinations showed that COVID-19 treatment therapy is effective in reducing the amount of virus in the blood, which is indicated by an increase in the PCR value (p-value <0.001), lowering blood sugar levels (which is characterized by a decrease in blood sugar levels when (p-value <0.001) ), and reduce hypercoagulation which is characterized by a reduction in the value of D-dimer (p-value < 0.005).
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