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重新审视地塞米松在新冠病毒疾病治疗中的剂量

Revisiting dexamethasone dosage in COVID-19 management.

作者信息

Varama Abhishet

机构信息

Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Krung Thep Maha Nakhon, Thailand.

出版信息

World J Virol. 2025 Mar 25;14(1):98359. doi: 10.5501/wjv.v14.i1.98359.

Abstract

The ongoing coronavirus disease 2019 (COVID-19) pandemic has necessitated rapid advancements in therapeutic strategies, with dexamethasone emerging as a key treatment for severe cases. This editorial discusses the systematic review conducted by Sethi , published in the . The review critically examines the efficacy and safety of varying dosages of dexamethasone in severe COVID-19 patients, providing a comprehensive meta-analysis that underscores the current clinical recommendations favoring a low-dose regimen. Despite these findings, the review highlights the potential benefits of tailored dosages for specific patient subgroups, suggesting a need for personalized treatment approaches. This editorial expands on the implications of these findings, advocating for the integration of evolving clinical data into treatment protocols and calling for further research into patient-specific responses to therapy. It emphasizes the importance of adaptability and precision in pandemic response, urging the medical community to consider both the robustness of existing evidence and the potential for innovative approaches to enhance patient outcomes in the face of global health challenges.

摘要

持续的2019冠状病毒病(COVID-19)大流行促使治疗策略迅速发展,地塞米松已成为重症病例的关键治疗药物。本社论讨论了塞蒂发表在[具体刊物名称未给出]上的系统评价。该评价批判性地审视了不同剂量地塞米松在重症COVID-19患者中的疗效和安全性,提供了一项全面的荟萃分析,强调了当前支持低剂量方案的临床建议。尽管有这些发现,但该评价强调了为特定患者亚组量身定制剂量的潜在益处,表明需要个性化的治疗方法。本社论阐述了这些发现的意义,主张将不断演变的临床数据纳入治疗方案,并呼吁进一步研究患者对治疗的特异性反应。它强调了在应对大流行时适应性和精准性的重要性,敦促医学界既要考虑现有证据的稳健性,也要考虑创新方法在面对全球健康挑战时改善患者预后的潜力。

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