73例疫苗突破型COVID-19感染者及其个体化顺势疗法治疗观察

Gyandas Wadhwani, Aditi Chadha
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摘要

背景:自启动疫苗推广以来,已有COVID-19突破性感染报告。虽然传统疗法是公认的治疗模式,但人们对顺势疗法等替代疗法所起的作用却知之甚少。本研究的目的是确定疫苗突破covid-19感染的临床症状特征,并评估在这些突破病例中个体化顺势疗法治疗的效果。方法:回顾性分析使用顺势疗法药物治疗并确认突破感染标准的患者的资料:在完成两种授权COVID-19疫苗推荐剂量后≥14天感染阳性。采用IBM SPSS Statistics 21.0进行数据分析,p值小于0.05定义为显著性。使用WHO临床进展量表和与日常生活影响相关的结果评分作为结果测量。结果:共报告疫苗突破感染73例。数据集中报告的中位恢复时间为9±2天。5例患者退出,68例(93.15%)患者对顺势疗法治疗反应积极,55例(75.34%)患者血清学指标/鼻拭子/ HRCT胸部恢复正常。其中轻度29例(39.72%),中度26例(35.61%),重度17例(23.28%),危重1例(1.36%)。给这73名患者开了10种顺势疗法。大多数患者的ORIDL评分为4分。最多患者报告的WHO临床进展评分为3分。统计分析显示,研究组对顺势疗法治疗有显著的反应。结论:疫苗突破病例发生在一小部分接种者中。尽管研究对象数量有限,顺势疗法在目前的设置中显示出一些有希望的结果。在中度和重度病例中,反应率最高,这表明在当前大流行中考虑替代医学的重要性。可以鼓励进一步的探索性研究和比较临床试验。
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Observations on 73 Vaccine breakthrough COVID-19 infected patients and its individualized homeopathic treatment
Background: Since the initiation of vaccine rollout, breakthrough COVID-19 infections have been reported. While conventional therapy is the accepted mode of treatment, there has been little recognition of the role played by the alternative therapies like homeopathy. The purposes of this study were to identify the clinico-symptomatic profile of the vaccine breakthrough covid-19 infections and to assess the response of individualized homoeopathic treatment in these breakthrough cases. Methods: A retrospective data analysis of patients treated with homoeopathic medicines who confirmed the breakthrough infection criteria: positive infection ≥14 days after completion of both the recommended doses of an authorized COVID-19 vaccine was conducted. IBM SPSS Statistics 21.0 was used for data analysis with a p-value below 0.05 defined as significant. WHO Clinical Progression Scale and Outcome in Relation to Impact on Daily Living score were used as outcome measures. Results: In total 73 cases were reported to be vaccine breakthrough infections. The median recovery time reported in the data set was 9 ± 2 days. While 5 patients dropped out, 68 (93.15%) patients responded positively to homeopathic treatment, and 55 (75.34%) recovered completely with normalized serological markers/ nasal swabs/ HRCT Chest. About 29 (39.72%) of these presented with mild clinical manifestations, 26 (35.61%) moderate, 17 (23.28%) severe and 1 (1.36%) was critical. 10 homeopathic remedies were prescribed to these 73 patients. Majority of the patients attained an ORIDL score of 4. Maximum patients reported a WHO clinical Progression score of 3. Statistical analysis showed a significant response to homeopathic treatment in the study group. Conclusion: Vaccine breakthrough cases occur in a fraction of vaccinated people. Despite the limited number of study subjects, homoeopathy showed some promising results in the present setup. The response rate was highest in the moderate and severe cases which suggest the importance of consideration of alternative medicine in the current pandemic. Further exploratory research studies and comparative clinical trials may be encouraged.
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