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无症状 COVID-19 个体接受标准护理时,预先确定的顺势疗法药物的疗效比较:一项开放标签、随机、对照探索性试验。

Comparative Effectiveness of Pre-Identified Homeopathic Medicines in Asymptomatic COVID-19 Individuals Receiving Standard Care-An Open-Label, Randomized, Controlled Exploratory Trial.

机构信息

Department of Clinical Research, Central Council for Research in Homoeopathy (CCRH), New Delhi, India.

Department of Pathology, Government Homeopathic Medical College and Hospital (GHMC), Bhopal, Madhya Pradesh, India.

出版信息

Homeopathy. 2022 Nov;111(4):252-260. doi: 10.1055/s-0042-1745754. Epub 2022 Aug 2.

DOI:10.1055/s-0042-1745754
PMID:35917822
Abstract

BACKGROUND

Asymptomatic COVID-19 subjects can transmit the infection for as many as 14 days and are regarded as a significant factor in the rapid spread of the COVID-19 pandemic. This exploratory study aimed to determine any additional benefits of selected homeopathic medicines compared with placebo in asymptomatic COVID-19 individuals receiving standard care.

METHODS

This open-label, randomized, placebo-controlled, exploratory trial was undertaken at a COVID Care Centre (CCC) in Madhya Pradesh, India. Patients ( = 200, 18-65 years, both sexes) having a positive RT-PCR and asymptomatic during admission were enrolled. They were randomly assigned to one of four groups (each  = 50): 30C (), 1M (.), 30C and placebo (.). All the patients were given standard care. The primary outcome was the number of patients becoming RT-PCR negative for SARS-CoV-2 at days 5, 10 and 15.

RESULTS

In total, 200 asymptomatic COVID-19 patients were enrolled. One hundred and seventy-seven patients became RT-PCR negative by day 15; 88%, 80%, 98% and 88% from and respectively. A Chi-square test of association for the total patients who became RT-PCR negative for SARS-Cov-2 in each group showed a marginal statistical significance (Chi-square: 8.1,  = 0.04). A two-proportion -test comparing each pre-identified homeopathic medicine with placebo showed marginal statistical significance ( = 0.05) for only. Median time in days to RT-PCR negative (Kaplan Meier analysis) was 10 days in each of the groups.

CONCLUSION

There was some evidence that, compared with . or , was associated with an increased number of patients who became RT-PCR negative for COVID-19 by day 15. The possible effect exerted needs to be investigated in additional research.

摘要

背景

无症状的 COVID-19 患者可传播感染长达 14 天,被认为是 COVID-19 大流行迅速传播的一个重要因素。本探索性研究旨在确定与标准护理的无症状 COVID-19 个体相比,选择的顺势疗法药物是否有任何额外益处。

方法

这项开放标签、随机、安慰剂对照的探索性试验在印度中央邦的一个 COVID 护理中心 (CCC) 进行。招募了入院时 RT-PCR 阳性且无症状的( = 200,18-65 岁,男女不限)患者。他们被随机分配到四组中的一组(每组 = 50): 30C (), 1M (.), 30C 和安慰剂 (.). 所有患者均接受标准护理。主要结局是第 5、10 和 15 天 SARS-CoV-2 转为 RT-PCR 阴性的患者人数。

结果

共有 200 名无症状 COVID-19 患者入组。177 名患者在第 15 天转为 RT-PCR 阴性;分别有 88%、80%、98%和 88%来自 和 。对每个组中 SARS-Cov-2 转为 RT-PCR 阴性的总患者进行卡方检验关联显示具有边缘统计学意义(卡方:8.1,  = 0.04)。两比例 -检验比较每个预先确定的顺势疗法药物与安慰剂显示仅 具有边缘统计学意义( = 0.05)。RT-PCR 转为阴性的中位数天数(Kaplan-Meier 分析)在每个组中均为 10 天。

结论

与 或 相比, 与第 15 天 COVID-19 转为 RT-PCR 阴性的患者数量增加有关,这方面的可能效果需要在进一步的研究中进行调查。

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