News 1+1丨The epidemic situation in Jilin Province, after the social face is cleared

  On April 14th, Changchun City achieved a social zero, and then Jilin Province held a press conference to announce the province's social zero.

After 45 days, the epidemic situation in Jilin Province was finally brought under control. News 1+1 invited Kang Yan, an expert from the National Health and Medical Commission to Jilin Medical Treatment Team and President of West China Tianfu Hospital of Sichuan University, to jointly pay attention to: the epidemic situation in Jilin Province, social aspects After clearing...

In the Jilin Province epidemic, asymptomatic infections turned to be less diagnosed and almost all of them turned to mild symptoms

Kang Yan, an expert from the National Health and Health Commission's medical treatment team in Jilin and director of West China Tianfu Hospital of Sichuan University:

About 0.4% of asymptomatic infected people may eventually develop symptoms. at 0.3% to 0.5%.

The first step in the diagnosis of asymptomatic infections is to switch to mild type, but a small proportion of them should be normal type, enter normal type and then turn to severe type. In fact, there are almost no severe cases in our treated patients, so they are asymptomatic If the patients are diagnosed, most of them should be said that almost all of them are still mild.

There are relatively few patients with moderate and severe cases in Jilin epidemic, with an average age of 77 years old

Kang Yan, an expert from the National Health and Health Commission's medical treatment team in Jilin and president of West China Tianfu Hospital of Sichuan University:

The overall proportion of severe patients admitted to Jilin City is relatively small, and the characteristics are very distinct: old age, no vaccination, these two factors determine the patient Easier to turn into critically ill.

The average age of our severe and critical patients is 77 years old, and three-quarters, about 70% of the patients, have not received a single shot, so this is the problem we found in the characteristics of the severe and critical patients. At the same time, about 40% of the patients in the middle have high blood pressure, and about 20% to 30% of the patients have diabetes. These elderly people often accompany this basic disease.

The time for asymptomatic infected people in Jilin to turn negative and leave the cabin is generally 10 to 14 days

Kang Yan, an expert from the National Health and Health Commission's medical treatment team in Jilin and president of West China Tianfu Hospital of Sichuan University:

The standard for leaving the cabin is still in accordance with the national plan, which was revised in the ninth edition of the "New Coronary Virus Pneumonia Diagnosis and Treatment Plan" issued by the National Health and Health Commission. The standard is that two consecutive nucleic acid O genes and N genes are greater than 35, and the interval is 24 hours. If this standard is met, the requirements for leaving the cabin can be met. The basic time should also be 10 to 14 days.

Asymptomatic infections do not require special treatment

Kang Yan, an expert from the National Health and Health Commission's medical treatment team in Jilin and president of West China Tianfu Hospital of Sichuan University:

The ninth edition of the "New Coronary Virus Pneumonia Diagnosis and Treatment Plan" issued by the National Health and Health Commission is to focus on asymptomatic and mild patients. cabin for rescue.

Generally speaking, there is no need for special treatment in the Fangcang. They may be given some traditional Chinese medicine, and it is more to let them return to a normal state of life as much as possible.

In layman's terms, it is to let them eat well, sleep well, rest well, and maintain a happy mood, then their self-resistance against the virus will be guaranteed and stabilized, so basically the light and asymptomatic patients in the square cabin. This is how it is treated.

What is the clinical effect of neutralizing antibody drugs?

Kang Yan, an expert from the National Health and Health Commission's medical treatment team in Jilin and president of West China Tianfu Hospital of Sichuan University:

We also used it in this epidemic situation in Jilin Province, and transferred a batch of neutralizing antibodies from the National Health and Health Commission. The neutralizing antibodies are in front It is used more in the treatment of the new crown, the reason is that for patients who are older, more severe, or in the process of changing from ordinary to severe, we find that his disease is relatively fast. If the antibody is relatively low, such a patient can see a rapid increase in autoantibodies after using neutralizing antibodies, and then he can also see his negative conversion and a relatively rapid decrease in viral load after the antibody increases.

Therefore, the clinical effect of neutralizing antibodies for these patients is still good.

How is the recovery of the patients out of the cabin?

Kang Yan, an expert from the National Health and Health Commission's medical treatment team in Jilin and president of West China Tianfu Hospital of Sichuan University:

There is a big change in the ninth edition of the "New Coronary Virus Pneumonia Diagnosis and Treatment Plan" issued by the National Health and Health Commission, that is, our nucleic acid The standard of discharge is set to be greater than 35, which is greater than 40 compared with the negative result of our general nucleic acid test, which is a certain change.

Therefore, after discharge from the hospital, whether the CT value of the nucleic acid of these patients has decreased, or whether there is a return to positive in popular terms, we are also concerned about it.

In general, there are not many cases that are really confirmed to be less than 30. Some of them are between our 30 and 35. The CT value during this period should be very weak, or not infectious. .

In this plan, the patient is also required to reach two 35s. After discharge from the hospital, there is a one-week health monitoring time. Therefore, after a week of monitoring, the nucleic acid will be reviewed, and if the evaluation is based on his CT value, I think it can still be well controlled. Groups of people, if the CT value continues to be above 35, then he can go to work and live normally.

If it is between 30 and 35, then we can extend his health monitoring time.

If it is lower than 30, then this may have a certain risk of contagion, then we will take him back to the designated hospital, but this number is very small, in my impression there should be only a few cases.

Are the severe and critical cases caused by Omicron curable?

Kang Yan, an expert from the National Health Commission's medical treatment team in Jilin and president of West China Tianfu Hospital of Sichuan University:

In terms of severe cases, the severity of pneumonia caused by the mutant strain of Omicron seems to be less severe, but the number of underlying diseases it merges has increased. , the aggravation of the underlying disease should be similar to some previous strains.

So this time, in the treatment of severe and critical diseases, we are actually focusing more on fighting the underlying diseases of the new crown patients.

How effective is Pfizer's small molecule drug treatment?

Kang Yan, an expert from the National Health and Medical Commission's medical treatment team in Jilin and president of West China Tianfu Hospital of Sichuan University:

Pfizer's small molecule drugs are mainly used to prevent virus replication, so in the process of use, it will be found that it can quickly reduce the virus load, and also In clinical practice, it may be shown that the CT value of the patient will rise faster, which means that the time for negative conversion will be shortened, which is probably the effect observed clinically.

According to our preliminary statistics, the drug is about a 5-day course of treatment, and the average time to turn negative after use is about 3.5 days after taking the drug. In time, it will probably turn negative, and with the rapid turn negative and the rapid decline in viral load, it is understandable that the viral attack on the organ function of severe patients should be less.

In general, the clinical intuitive reflection shows that this drug still has a certain effect, but look at the last statistical usage data.

New crown designated hospitals should meet the treatment needs of new crown patients with other diseases

Kang Yan, an expert from the National Health Commission's medical treatment team in Jilin and president of West China Tianfu Hospital of Sichuan University:

Although the Central Hospital is the largest designated treatment hospital, we still retain this hospital to continue dialysis for patients who need regular dialysis for the new crown The treatment is very good to ensure that this batch of patients with new crown infection with poor renal function can maintain the treatment.

Then, after such a connection has received more than 4,500 cases in our central hospital, many of them have underlying diseases that need to be dealt with. For example, three of them have third-degree atrioventricular block, and they need to be given urgently. They installed pacemakers, and there were two pregnant women who were about to have babies, so they had three cesarean sections, including some abdominal operations that needed to be done urgently, and even some orthopedic patients. , because we know that an orthopedic patient may not be in immediate danger to his life, but after discussing with the orthopedic doctor of the central hospital, we feel that early surgery will greatly improve his subsequent quality of life.

Therefore, in this hospital that has the conditions to perform such an operation, although he is still a new crown patient, we still performed such an operation on him.

So the revelation is that in the follow-up, when we adopt centralized and designated treatment for new crown patients, the designated designated hospital should have stronger comprehensive capabilities, so that it can effectively or timely solve the needs of new crown patients. The basic disease of medical treatment, then the treatment of his basic disease will not be affected by the new crown.