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[环孢素作为流感和急性呼吸道病毒感染治疗及紧急预防药物(多中心随机对照比较研究)]

[Cycloferon, as an agent in the therapy and urgent prophylaxis of influenza and acute respiratory tract viral infection (multicentre randomized controlled comparative study)].

作者信息

Sologub T V, Shul'diakov A A, Romantsov M G, Zhekalov A N, Petlenko S V, Erofeeva M K, Maksakova V L, Isakov V A, Zarubaev V V, Gatsan V V, Kovalenko A L

出版信息

Antibiot Khimioter. 2009;54(7-8):30-2, 34-6.

Abstract

Data on the study of the efficacy of the tablets of cycloferon, an early inductor of types 1 and 2 interferon, in the treatment of influenza and acute respiratory tract viral infections in adults are presented. The study enrolled 522 patients with moderate influenza of type A (H1N1) verified in 61% of the patients and type A (H3N2) verified in 7.5% of the cases. The patients were randomized with the envelope procedure. In the patients treated with cycloferon the intensity and period of the fever were stopped earlier and averaged from 1.8 to 3 days vs. 5 days in the reference group (symptomatic therapy). The improvement signs in the general state of the patients treated with cycloferon were noted on the 2nd day. The influenza complication as pneumonia was recorded in 2.2% of the patients treated with cycloferon, whereas in the patients under the symptomatic therapy the complications as bronchitis, pneumonia, angina were stated in 21.4% of the cases. For urgent prophylaxis of the influenza and respiratory tract viral infections (epidemiologic study) a group of 3717 subjects randomized with the table of random numbers was observed. 2080 patients were treated with cycloferon and 1637 patients were under the symptomatic therapy. The results were evaluated by the efficacy index and the protection estimate (T. A. Semenenko, 1991). The total efficacy index and the protection estimate in all the patients of the group were 4.9 and 79.8% respectively. The complicated forms of the disease were recorded in 1.5% of the patients treated with cycloferon and in 10.5 and 11.3% of the patients not treated with cycloferon.

摘要

本文呈现了关于环孢素片(1型和2型干扰素的早期诱导剂)治疗成人流感和急性呼吸道病毒感染疗效的研究数据。该研究纳入了522例中度流感患者,其中61%的患者确诊为甲型(H1N1)流感,7.5%的患者确诊为甲型(H3N2)流感。患者通过信封法进行随机分组。接受环孢素治疗的患者发热强度和持续时间更早停止,平均为1.8至3天,而对照组(对症治疗)为5天。接受环孢素治疗的患者在第2天就出现了总体状况改善的迹象。接受环孢素治疗的患者中2.2%出现了流感并发症如肺炎,而接受对症治疗的患者中21.4%出现了支气管炎、肺炎、心绞痛等并发症。为了进行流感和呼吸道病毒感染的紧急预防(流行病学研究),观察了一组通过随机数字表随机分组的3717名受试者。2080例患者接受环孢素治疗,1637例患者接受对症治疗。结果通过疗效指数和保护率进行评估(T.A.谢梅年科,1991年)。该组所有患者的总疗效指数和保护率分别为4.9和79.8%。接受环孢素治疗的患者中1.5%出现了疾病的复杂形式,未接受环孢素治疗的患者中这一比例为10.5%和11.3%。

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