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帕罗韦德对感染新型冠状病毒奥密克戎变异株老年患者的疗效:一项非随机临床试验的结果

The efficacy of paxlovid in elderly patients infected with SARS-CoV-2 omicron variants: Results of a non-randomized clinical trial.

作者信息

Zhong Weijie, Jiang Xiufeng, Yang Xiaosheng, Feng Tiantong, Duan Zhixin, Wang Wei, Sun Zhaoliang, Chen Lingyan, Nie Xin, Zhu Chuanlong, Zhang Wenchuan, Li Yi

机构信息

Department of Neurosurgery, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Department of Infectious Disease, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Front Med (Lausanne). 2022 Sep 6;9:980002. doi: 10.3389/fmed.2022.980002. eCollection 2022.

Abstract

OBJECTIVE

To evaluate the efficacy of Paxlovid in treating Chinese elder patients infected with SARS-CoV-2 omicron variants.

MATERIALS AND METHODS

We performed a non-randomized, controlled trial in Shanghai, China. Participants infected with SARS-CoV-2 omicron variants were enrolled. All patients were divided into the Paxlovid group or the control group according to the Chinese guideline (version 9). The nucleic acid shedding time was the primary endpoint.

RESULTS

According to the inclusion criteria, 142 patients infected with omicron variants were enrolled, 36 patients who did not receive paxlovid were assigned to the control group, and 106 were in the Paxlovid group. The baseline characteristics were similar in either group. No significant difference in BMI, age, time from onset to patient enrollment, the severity on first admission, vaccination status, comorbidity, first symptoms, and laboratory results were recorded. Compared to the control group, participants in the Paxlovid group had a shorter viral shedding time [11.11 (2.67) vs. 9.32 (2.78), = 0.001].

CONCLUSION

In Chinese elder patients infected with the variant of SARS-CoV-2 omicron, our data suggest that Paxlovid can significantly reduce the nucleic acid shedding time.

摘要

目的

评估帕罗韦德治疗感染新型冠状病毒奥密克戎变异株的中国老年患者的疗效。

材料与方法

我们在中国上海进行了一项非随机对照试验。纳入感染新型冠状病毒奥密克戎变异株的参与者。所有患者根据中国指南(第9版)分为帕罗韦德组或对照组。核酸转阴时间为主要终点。

结果

根据纳入标准,纳入142例感染奥密克戎变异株的患者,36例未接受帕罗韦德治疗的患者被分配到对照组,106例在帕罗韦德组。两组的基线特征相似。记录的体重指数、年龄、发病至入组时间、首次入院时的严重程度、疫苗接种状况、合并症、首发症状和实验室检查结果均无显著差异。与对照组相比,帕罗韦德组的参与者病毒转阴时间更短[11.11(2.67)天对9.32(2.78)天,P = 0.001]。

结论

在感染新型冠状病毒奥密克戎变异株的中国老年患者中,我们的数据表明帕罗韦德可显著缩短核酸转阴时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d73/9485497/7ddd0e9d6645/fmed-09-980002-g001.jpg

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