肝脏 ›› 2020, Vol. 25 ›› Issue (9): 986-989.

• 其他肝病 • 上一篇    下一篇

新型冠状病毒肺炎患者血氧饱和度与肝功能异常的相关性

任建峰, 张玉萍, 邵静, 张其胜, 高得勇, 王晓今   

  1. 200081 同济大学附属上海市第四人民医院(任建峰,张玉萍,邵静,张其胜);上海市松江区中心医院暨上海交通大学医学院附属松江医院(筹)(高得勇);海军军医大学第九〇五医院感染科(王晓今)
  • 出版日期:2020-09-30 发布日期:2020-10-22
  • 通讯作者: 高得勇,Email:gaodeyong1970@163.com;王晓今,Email:drwxj85@126.com
  • 作者简介:共同第一作者:张玉萍
  • 基金资助:
    上海市卫生和计划生育委员会面上基金(201740211)

Correlation between blood oxygen saturation and abnormal liver function in patients with new coronavirus pneumonia

REN Jian-feng, ZHANG Yu-ping, SHAO Jing, ZHANG Qi-sheng, GAO De-yong, WANG Xiao-jin   

  1. Shanghai Fourth People's Hospital Affiliated to Tongji University, Shanghai 200081, China
  • Online:2020-09-30 Published:2020-10-22
  • Contact: GAO De-yong, Email: gaodeyong1970@163.com;WANG Xiao-jin,Email:drwxj85@126.com

摘要: 目的 分析COVID-19新型冠状病毒肺炎患者血氧饱和度与肝功能异常及临床治疗的相关性。方法 观察74例确诊的COVID-19新冠肺炎住院患者比较轻型/普通型(46例)和重型/危重型(28例)患者肝功能异常的发生率,以及治疗前后血氧饱和度和肝功能生化指标的变化,分析患者血氧饱和度与肝功能等生化指标变化的相关性。结果 轻型/普通型和重型/危重型患者在氧饱和度(96.52±1.68 VS 87.61±2.99)、ALT(39.69±25.35 VS 57.25±37.89)、AST(29.28±15.38 VS 43.57±19.31)、LDH(218.56±72.85 VS 262.07±80.05)等指标中存在明显差异(P<0.05);在肝功能异常患者中,治疗后血氧饱和度恢复正常,两组患者肝功能均有不同程度恢复,轻型/普通型患者ALT(66.82±21.65 VS 42.47±18.46)、AST(61.00±17.66 VS 36.83±16.30)及LDH(309.46±58.92 VS 218.38±45.12),和重型/危重型ALT(93.54±21.06 VS 49.54±19.75)、AST(57.93±14.22 VS 33.80±11.28)及LDH(329.79±54.78 VS 257.50±90.59)均明显好转,存在统计学差异(P<0.05);肝功能指标与氧饱和度的相关性分析中,ALT、AST、r-GT及LDH和氧饱和度存在负相关性(P<0.05)。结论 新冠肺炎患者低血氧饱和度和肝功能异常密切相关,血氧饱和度的恢复有利于改善肝功能。

关键词: COVID-19新型冠状病毒肺炎, 氧饱和度, 肝功能

Abstract: Objective To analyze the correlation between blood oxygen saturation and liver function abnormalities and clinical treatment in patients with COVID-19 novel coronavirus pneumonia. Methods Observe the incidence of abnormal liver function in 74 patients with confirmed COVID-19 new coronary pneumonia compared with mild/normal (46 cases) and severe/critical (28 cases) patients, as well as blood oxygen saturation and liver function biochemical indicators before and after treatment. Analyze the correlation between blood oxygen saturation and changes in biochemical indicators of liver function in patients as well. Results There were significant differences in oxygen saturation(96.52±1.68 VS 87.61±2.99), ALT(39.69±25.35 VS 57.25±37.89)、AST(61.00±17.66 VS 36.83±16.30)、LDH(61.00±17.66 VS 36.83±16.30) between mild/moderate and severe/critical patients (P<0.05);In the patients with abnormal liver function, blood oxygen saturation returned to normal after treatment, and liver function was restored to different degrees in both groups. ALT(66.82±21.65 VS 42.47±18.46)、AST (61.00±17.66 VS 36.83±16.30)、LDH(309.46±58.92 VS 218.38±45.12)of mild/normal patients, and ALT (93.54±21.06 VS 49.54±19.75), AST (57.93±14.22 VS 33.80±11.28)、LDH (329.79±54.78 VS 257.50±90.59) of severe/critical patients were significantly improved (P<0.05);In the correlation analysis with oxygen saturation, ALT, AST, r-GT and LDH were negatively correlated with oxygen saturation (P<0.05). Conclusion Low blood oxygen saturation in patients with new coronary pneumonia is closely related to abnormal liver function, and the restoration of blood oxygen saturation is helpful to improving liver function.

Key words: COVID-19 new coronavirus pneumonia, Oxygen saturation, Liver function