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秋水仙碱、干扰素β、静脉注射免疫球蛋白、托珠单抗和皮质类固醇对COVID-19患者生存的影响:基于所有现有已发表临床试验的叙述性综述。

Effects of colchicine, interferon β, IVIG, tocilizumab and corticosteroids on COVID-19 patient survival from all presently available published clinical trials: A narrative review.

作者信息

Bahrampour Juybari Kobra, Shamsi Meymandi Manzume, Bashiri Hamideh

机构信息

Immunogenetics Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Caspian J Intern Med. 2025 Mar 11;16(2):198-214. doi: 10.22088/cjim.16.2.198. eCollection 2025.

DOI:10.22088/cjim.16.2.198
PMID:40575740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12188899/
Abstract

One of the deadliest diseases in the world, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of the ongoing global pandemic known as COVID-19. COVID-19 symptoms range from undetectable to deadly, hyper-inflammatory response and the overproduction of pro-inflammatory cytokines or hypercytokinemia are key factors in the pathophysiology of severe COVID-19. However, no specific and effective treatment was available, anti-inflammatory drugs have been vastly used for treating patients. The goal of this narrative literature review (2020-2022) was to elucidate the connection between anti-inflammatory medications and COVID-19 outcomes, such as safety and survival rate. Overall, these studies are consistent in presenting that anti-inflammatory drug can be advised to target the host immune response in patients and have been beneficial in reducing the mortality rate. This is revealed in current recommendations from prominent global public health authorities, which support anti-inflammatory drug use for a decrease of cytokine storm during COVID-19.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)是世界上最致命的疾病之一,是当前被称为COVID-19的全球大流行的病因。COVID-19的症状从难以察觉到致命不等,过度炎症反应和促炎细胞因子的过度产生或高细胞因子血症是重症COVID-19病理生理学的关键因素。然而,由于没有可用的特异性有效治疗方法,抗炎药物已被广泛用于治疗患者。这篇叙述性文献综述(2020 - 2022年)的目的是阐明抗炎药物与COVID-19结局之间的联系,如安全性和生存率。总体而言,这些研究一致表明,抗炎药物可用于针对患者的宿主免疫反应,并有助于降低死亡率。这在全球主要公共卫生当局的当前建议中得到了体现,这些建议支持在COVID-19期间使用抗炎药物来减少细胞因子风暴。

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本文引用的文献

1
Clinical Course and Outcomes of COVID-19 Infection in Patients Treated with Rituximab: A Tertiary Care Center Experience.接受利妥昔单抗治疗的COVID-19感染患者的临床病程及结局:一家三级医疗中心的经验
Open Access Rheumatol. 2023 Aug 28;15:145-159. doi: 10.2147/OARRR.S424316. eCollection 2023.
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Rituximab is associated with worse COVID-19 outcomes in patients with rheumatoid arthritis: A retrospective, nationally sampled cohort study from the U.S. National COVID Cohort Collaborative (N3C).利妥昔单抗与类风湿关节炎患者 COVID-19 结局更差相关:来自美国国家 COVID 队列协作(N3C)的回顾性、全国抽样队列研究。
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The effects of COVID-19 infection on the mortality of patients receiving rituximab therapy.COVID-19 感染对接受利妥昔单抗治疗患者死亡率的影响。
Ir J Med Sci. 2023 Aug;192(4):1959-1973. doi: 10.1007/s11845-022-03193-6. Epub 2022 Oct 19.
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Corticosteroids showed more efficacy in treating hospitalized patients with COVID-19 than standard care but the effect is minimal: A systematic review and meta-analysis.皮质类固醇在治疗 COVID-19 住院患者方面比标准治疗更有效,但效果很小:系统评价和荟萃分析。
Front Public Health. 2022 Jul 22;10:847695. doi: 10.3389/fpubh.2022.847695. eCollection 2022.
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Outcomes of COVID-19 in Inflammatory Rheumatic Diseases: A Retrospective Cohort Study.炎症性风湿疾病中新冠病毒病的结局:一项回顾性队列研究
Cureus. 2022 Jun 26;14(6):e26343. doi: 10.7759/cureus.26343. eCollection 2022 Jun.
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