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利巴韦林在管理 COVID-19 感染中的有益作用。

Beneficial effect of Arbidol in the management of COVID-19 infection.

机构信息

Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Department of Pathology, Wuhan Jinyintan Hospital, Wuhan 430023, Hubei, China.

出版信息

Aging (Albany NY). 2021 Apr 3;13(7):9253-9264. doi: 10.18632/aging.202867.

Abstract

This study analyzed the effect of Arbidol, a broad-spectrum antiviral compound, on the outcomes of COVID-19 patients. Records of 252 COVID-19 patients were retrospectively analyzed from February 13 to February 29, 2020 in 4 inpatient wards in the Cancer Center, Union Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China. The rate of clinical improvement was significantly greater among patients treated with Arbidol than among those who did not receive Arbidol (86.8% vs. 54.2%). In moderately and severely ill patients, the clinical improvement rates in the Arbidol group were 95.6% and 81.7%, respectively, which was significantly higher than in the no-Arbidol group (66.6% and 53.8%). Among critically ill patients, however, there was no significant difference. The levels of hypersensitive C-reactive protein, lactate dehydrogenase, D-dimer, IL-6, and IL-10 were increased in non-improved patients but declined during treatment in the improved patients. This suggests these mediators are associated with the disease severity and could potentially serve as prognostic markers. Moreover, our data demonstrate that Arbidol is effective in the treatment of COVID-19 patients and may serve as a cost-effective antiviral treatment strategy for patients with moderate to severe COVID-19 symptoms.

摘要

本研究分析了广谱抗病毒化合物利巴韦林对 COVID-19 患者结局的影响。2020 年 2 月 13 日至 29 日,回顾性分析了中国华中科技大学同济医学院附属协和医院癌症中心 4 个住院病房的 252 例 COVID-19 患者的记录。与未接受利巴韦林治疗的患者相比,接受利巴韦林治疗的患者临床改善率显著更高(86.8% vs. 54.2%)。在中度和重度疾病患者中,利巴韦林组的临床改善率分别为 95.6%和 81.7%,显著高于未用利巴韦林组(66.6%和 53.8%)。然而,在危重症患者中,差异无统计学意义。在未改善的患者中,超敏 C 反应蛋白、乳酸脱氢酶、D-二聚体、IL-6 和 IL-10 的水平升高,但在改善的患者中,这些水平在治疗过程中下降。这表明这些介质与疾病严重程度相关,可能可作为预后标志物。此外,我们的数据表明利巴韦林对 COVID-19 患者有效,可能是治疗中重度 COVID-19 症状患者的一种具有成本效益的抗病毒治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d27b/8064174/cdd12d0c22b1/aging-13-202867-g001.jpg

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