Department of Cardiology, Hubei No.3 People's Hospital of Jianghan University.
Department of Cardiovascular Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China.
Medicine (Baltimore). 2021 Jan 29;100(4):e24475. doi: 10.1097/MD.0000000000024475.
To evaluate the antiviral effect and safety of arbidol and Lianhuaqingwen Capsule (LH) in treating patients with Coronavirus disease 2019 (COVID-19).108 patients with COVID-19 were divided into 2 groups, including 40 patients in the arbidol group and 68 patients in the arbidol + LH group. Patients in the arbidol + LH group received 200 mg of arbidol and 1400 mg of LH per 8 hour, and the arbidol group was given 200 mg arbidol per 8 hour. Blood routine examination, blood biochemistry detection, SARS-CoV-2 nucleic acid detection, and chest CT scans were performed to evaluate the clinical effects between the 2 groups.No statistically significant differences were observed between the 2 groups in terms of preoperative characteristics including the baseline characteristics, laboratory indicators, and chest CT. On day 7 after admission, patients in the arbidol + LH group showed a higher level of Lymphocytes count, and a lower level of serum amyloid A and C-reactive protein levels (P < .05). Moreover, the median time from admission to the first negative result of the SARS-CoV-2 nucleic acid detection was shorter in the arbidol + LH group (P < .05). Analysis based on CT scan results showed a better extinction of lung inflammation in the arbidol + LH group. No apparent side effects were found in both groups. No patients were transferred to the intensive care unit (ICU) treatment.Arbidol combined with LH treatment may be more effective in improving the prognosis and accelerating the SARS-CoV-2 clearance in patients with COVID-19.
评价利巴韦林和连花清瘟胶囊(LH)治疗 2019 冠状病毒病(COVID-19)患者的抗病毒效果和安全性。将 108 例 COVID-19 患者分为 2 组,利巴韦林组 40 例,利巴韦林+LH 组 68 例。利巴韦林+LH 组患者每 8 小时接受利巴韦林 200mg 和 LH 1400mg,利巴韦林组患者每 8 小时接受利巴韦林 200mg。进行血常规检查、血生化检测、SARS-CoV-2 核酸检测和胸部 CT 扫描,以评估两组之间的临床效果。两组患者在术前特征(包括基线特征、实验室指标和胸部 CT)方面无统计学差异。入院后第 7 天,利巴韦林+LH 组患者的淋巴细胞计数水平更高,血清淀粉样蛋白 A 和 C 反应蛋白水平更低(P<0.05)。此外,利巴韦林+LH 组患者从入院到 SARS-CoV-2 核酸检测首次阴性的中位时间更短(P<0.05)。基于 CT 扫描结果的分析显示,利巴韦林+LH 组肺部炎症的消退情况更好。两组均未发现明显的副作用。无患者转至重症监护病房(ICU)治疗。利巴韦林联合 LH 治疗可能更有助于改善 COVID-19 患者的预后并加速 SARS-CoV-2 的清除。