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恢复期血浆疗法作为治疗新冠肺炎的传统方法:一项系统评价与荟萃分析研究

Convalescent plasma therapy as a conventional trick for treating COVID-19: a systematic review and meta-analysis study.

作者信息

Keikha M, Karbalaei M

机构信息

Department of Microbiology and Virology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

New Microbes New Infect. 2021 Jul;42:100901. doi: 10.1016/j.nmni.2021.100901. Epub 2021 May 18.

Abstract

Convalescent plasma therapy (CPT) is one of the well-known therapeutic protocols for treating infectious diseases that do not have special treatment or vaccine. Several documents confirm the clinical efficacy of this therapy for treating bacterial and viral infections. A comprehensive systematic search was conducted by August 2020 using global databases including PubMed, Scopus, Embase, Cochrane library, Google scholar, medRxiv and bioRxiv. The Joanna Briggs Institute critical appraisal checklist was used to evaluate the included studies. Using the Comprehensive Meta-Analysis software version 2.2 (Biostat, Englewood, NJ, USA), the pooled data analysis process was performed. A total of 15 eligible articles were enrolled in the current quantitative synthesis. The statistical analysis showed that clinical improvement in the group of patients who had received convalescent plasma was significantly increased compared with the control group (OR: 2.23; 1.12-4.45 with 95% CIs; value: 0.022; -value: 6.11; : 83.64; Eggers value: 0.064; Beggs value: 0.093). Furthermore, the rate of hospital discharge had increased in patients receiving CPT (OR: 2.92; 1.48-5.77 with 95% CIs; value: 0.002; -Value: 4.32; : 53.80; Eggers value: 0.32; Beggs value: 0.50). Because there is currently no fully effective antiviral drug against the virus and it will take time to confirm the effectiveness of new drugs, CPT can be used as an alternative treatment strategy to improve the severe clinical manifestations of COVID-19.

摘要

恢复期血浆疗法(CPT)是治疗没有特殊治疗方法或疫苗的传染病的著名治疗方案之一。几份文件证实了这种疗法在治疗细菌和病毒感染方面的临床疗效。截至2020年8月,使用包括PubMed、Scopus、Embase、Cochrane图书馆、谷歌学术、medRxiv和bioRxiv在内的全球数据库进行了全面的系统检索。使用乔安娜·布里格斯研究所的批判性评价清单来评估纳入的研究。使用综合荟萃分析软件2.2版(美国新泽西州恩格尔伍德的Biostat公司)进行汇总数据分析过程。共有15篇符合条件的文章纳入了当前的定量综合分析。统计分析表明,与对照组相比,接受恢复期血浆治疗的患者组临床改善显著增加(比值比:2.23;95%置信区间为1.12 - 4.45;P值:0.022;I²值:6.11;H统计量:83.64;Egger检验值:0.064;Beggs检验值:0.093)。此外,接受CPT治疗的患者出院率有所提高(比值比:2.92;95%置信区间为1.48 - 5.77;P值:0.002;I²值:4.32;H统计量:53.80;Egger检验值:0.32;Beggs检验值:0.50)。由于目前尚无针对该病毒的完全有效的抗病毒药物,且确认新药有效性需要时间,CPT可作为一种替代治疗策略来改善COVID - 19的严重临床表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3240/8192856/aea2da9f65d2/gr1.jpg

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