Central laboratory, Shenzhen Samii Medical Center, Shenzhen, Guangdong Province, 518118, China.
Department of neurology, Shenzhen Samii Medical Center, Shenzhen, Guangdong Province, 518118, China.
Int J Med Sci. 2021 Jan 1;18(3):646-651. doi: 10.7150/ijms.52664. eCollection 2021.
A significant proportion of discharged COVID-19 patients still have some symptoms. Traditional Chinese medicine (TCM) has played an important role in the treatment of COVID-19, but whether it is helpful for discharged patients is still unknown. The aim of this study was to retrospectively analyze the impacts of TCM treatment on the convalescents of COVID-19. A total of 372 COVID-19 convalescents from February 21 to May 3 in Shenzhen, China were retrospectively analyzed, 291 of them accepted clinically examined at least once and 191 convalescents accepted TCM. After retrospective analysis of the clinical data of convalescents accepted TCM treatment or not, we found that the white blood cell count, as well as serum interleukin-6 and procalcitonin decreased in TCM group. Serum γ-glutamyl transpeptidase was significantly decreased, while prealbumin and albumin increased in TCM group. Red blood cell, hemoglobin, and platelet count increased in TCM group. The mechanisms of TCM treatment might be the overall regulations, including balanced immune response, improved hematopoiesis and coagulation systems, enhanced functions of liver and heart, increased nutrient intake and lipid metabolism. This study suggested that TCM treatment would be beneficial for discharged COVID-19 patients. However, long-term medical observation and further study with randomized trial should be done to confirm this result. Besides, the potential molecular mechanisms of TCM treatment should be further revealed.
相当比例的新冠肺炎出院患者仍存在一些症状。中医药在新冠肺炎的治疗中发挥了重要作用,但对于出院患者是否有效仍不清楚。本研究旨在回顾性分析中医药治疗对新冠肺炎出院患者的影响。
回顾性分析了 2020 年 2 月 21 日至 5 月 3 日在中国深圳的 372 名新冠肺炎出院患者,其中 291 名至少接受过一次临床检查,191 名接受了中医药治疗。
对接受中医药治疗和未接受中医药治疗的出院患者的临床资料进行回顾性分析后发现,中医药组白细胞计数、血清白细胞介素 6 和降钙素原降低,γ-谷氨酰转肽酶明显降低,前白蛋白和白蛋白升高,红细胞、血红蛋白和血小板计数升高。中医药治疗的作用机制可能是整体调节,包括平衡免疫反应、改善造血和凝血系统、增强肝心功能、增加营养摄入和脂质代谢。
本研究表明,中医药治疗对新冠肺炎出院患者有益。然而,需要进行长期的医学观察和进一步的随机临床试验研究来证实这一结果。此外,还应进一步揭示中医药治疗的潜在分子机制。