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COVID-19 患者使用皮质类固醇治疗的利弊。

Pros and cons of corticosteroid therapy for COVID-19 patients.

机构信息

Laboratory of Pulmonary Investigation, Carlos Chagas Filho Biophysics Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Department of Anesthesia and Intensive Care, Ospedale Policlinico San Martino, IRCCS for Oncology and Neuroscience, Genoa, Italy.

出版信息

Respir Physiol Neurobiol. 2020 Sep;280:103492. doi: 10.1016/j.resp.2020.103492. Epub 2020 Jul 10.

DOI:10.1016/j.resp.2020.103492
PMID:32659271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7351052/
Abstract

In December 2019, an outbreak of severe pneumonia was reported in Wuhan, China. Later described as COVID-19 (coronavirus disease 2019), this infection caused by a virus from the Coronaviridae family (SARS-CoV-2) has spread globally. Effective therapies for this new disease are urgently needed. In this short communication, we will evaluate the use of corticosteroids as an adjunctive pharmacological therapy in the management of COVID-19 and describe its pros and cons in light of the latest available evidence.

摘要

2019 年 12 月,中国武汉报告了一起严重肺炎疫情。这种由冠状病毒科(SARS-CoV-2)病毒引起的感染后来被描述为 COVID-19(2019 年冠状病毒病),已在全球范围内传播。迫切需要针对这种新疾病的有效疗法。在本短讯中,我们将评估皮质类固醇作为 COVID-19 管理辅助药物治疗的用途,并根据最新可用证据说明其优缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2a/7351052/fb7c0a9f567b/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2a/7351052/fb7c0a9f567b/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2a/7351052/fb7c0a9f567b/gr1_lrg.jpg

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本文引用的文献

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Signal Transduct Target Ther. 2020 Apr 28;5(1):57. doi: 10.1038/s41392-020-0158-2.
2
Infectious Diseases Society of America Guidelines on the Treatment and Management of Patients with COVID-19.美国传染病学会关于2019冠状病毒病患者治疗与管理的指南
Clin Infect Dis. 2020 Apr 27. doi: 10.1093/cid/ciaa478.
3
Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19).
急性新冠病毒感染期间使用皮质类固醇治疗对肺功能测试结果的长期影响。
J Thorac Dis. 2024 Aug 31;16(8):4994-5004. doi: 10.21037/jtd-24-503. Epub 2024 Aug 19.
4
High-Dose or Low-Dose Corticosteroids - Which Regimen is More Effective in Patients with Moderate to Severe COVID-19? A Retrospective Study.高剂量或低剂量皮质类固醇——哪种方案对中重度新冠肺炎患者更有效?一项回顾性研究。
Maedica (Bucur). 2024 Jun;19(2):330-334. doi: 10.26574/maedica.2024.19.2.330.
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The role of methylprednisolone in severe COVID-19 patients: a meta-analysis.甲泼尼龙在重症新型冠状病毒肺炎患者中的作用:一项荟萃分析。
Front Med (Lausanne). 2024 Aug 9;11:1428581. doi: 10.3389/fmed.2024.1428581. eCollection 2024.
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