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氯沙坦能否降低高血压患者感染新型冠状病毒肺炎的严重程度?

Does Losartan reduce the severity of COVID-19 in hypertensive patients?

作者信息

Mirjalili Mohammadreza, Soodejani Moslem Taheri, Raadabadi Mehdi, Dehghani Ali, Salemi Fateme

机构信息

Internal Medicine Department, Medical College, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Center for Healthcare Data Modeling, Departments of biostatistics and Epidemiology, School of public health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

BMC Cardiovasc Disord. 2022 Mar 19;22(1):116. doi: 10.1186/s12872-022-02548-2.

Abstract

BACKGROUND

One of the global problems is to control the coronavirus epidemic, and the role of different medicines is still unknown to policymakers. This study was conducted to evaluate the effects of losartan on the mortality rate of COVID-19 in hypertensive patients.

METHODS

The research sample of analytical study included 1458 patients presenting to COVID-19 diagnostic centers in Yazd that were examined in the first six months of 2020. Data were analyzed using descriptive statistics as well as chi-square, Fisher's exact test, t test, and logistic regression.

RESULTS

Of 1458 subjects that were studied, 280 were hypertensive of whom 179 tested positive for SARS-CoV-2 PCR. The results showed a lower chance of death by more than 5 times in hypertensive patients who used losartan (P = 0.003). Moreover, regarding the effect of losartan on the prevention of COVID-19 in hypertensive patients, it was found that this medicine played a protective role although this relationship was not statistically significant (P = 0.86).

CONCLUSIONS

The results showed that losartan reduced the chance of mortality in hypertensive patients. It is recommended that the effect of losartan and other blood pressure medicines on COVID-19 patients be investigated in larger studies as well as laboratory investigations.

摘要

背景

全球问题之一是控制冠状病毒疫情,而不同药物的作用对于政策制定者来说仍不明确。本研究旨在评估氯沙坦对高血压患者新冠病毒病(COVID-19)死亡率的影响。

方法

分析性研究的样本包括2020年上半年在亚兹德的COVID-19诊断中心接受检查的1458例患者。使用描述性统计以及卡方检验、费舍尔精确检验、t检验和逻辑回归分析数据。

结果

在研究的1458名受试者中,280例为高血压患者,其中179例SARS-CoV-2聚合酶链反应(PCR)检测呈阳性。结果显示,使用氯沙坦的高血压患者死亡几率降低超过5倍(P = 0.003)。此外,关于氯沙坦对高血压患者预防COVID-19的作用,发现该药起到了保护作用,尽管这种关系在统计学上不显著(P = 0.86)。

结论

结果表明,氯沙坦降低了高血压患者的死亡几率。建议在更大规模的研究以及实验室研究中调查氯沙坦和其他降压药物对COVID-19患者的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d9c/8933985/54463cd83ea3/12872_2022_2548_Fig1_HTML.jpg

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