乌司他丁治疗COVID-19疗效的回顾性研究

IF 2.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of General Medicine Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI:10.2147/IJGM.S486434
Peng Liu, Qi Wu, Mengjie Li
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引用次数: 0

摘要

目的:本回顾性研究旨在评价乌司他丁治疗COVID-19患者的疗效,并与常规治疗进行比较。患者和方法:选取2022年12月31日至2023年7月8日在我院呼吸肿瘤科住院的437例COVID-19患者。将患者分为观察组(n=62)和对照组(n=347),分别在标准治疗的基础上给予乌司他丁治疗。收集和分析临床资料、实验室结果和治疗结果。结果:观察组患者淋巴细胞计数较对照组明显改善。乌司他丁治疗7天及以上患者的临床改善率为92.1%,显著高于7天以下患者(62.5%)和标准治疗患者(71.0%)。两组总住院时间无显著差异,两组均未发生相关不良事件。结论:乌司他丁治疗可改善COVID-19重症患者淋巴细胞计数,且治疗时间≥7天,临床改良率显著提高。需要更大规模的随机对照试验来进一步探索乌司他丁在COVID-19治疗中的作用。
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Efficacy of Ulinastatin in the Treatment of COVID-19: A Retrospective Study.

Purpose: This retrospective study aimed to evaluate the efficacy of ulinastatin in the treatment of COVID-19 patients compared to conventional therapy.

Patients and methods: A total of 437 COVID-19 patients admitted to the Respiratory Oncology Department of our hospital between December 31, 2022, and July 8, 2023, were included in the study. Patients were classified into the observation group (n=62) receiving ulinastatin in addition to standard treatment and the control group (n=347) receiving standard treatment only. Clinical information, laboratory results, and treatment outcomes were collected and analyzed.

Results: The observation group showed an improvement in lymphocyte count compared to the control group. The clinical improvement rate in patients receiving ulinastatin for 7 days or longer was 92.1%, significantly higher than that of patients treated for less than 7 days (62.5%) and those receiving standard treatment (71.0%). No significant difference in total length of hospitalization was observed between the two groups, and no related adverse events occurred in either group.

Conclusion: Ulinastatin treatment improves lymphocyte counts in severe COVID-19 patients, and the clinical improvement rate is significantly higher with treatment duration of 7 days or longer. Larger-scale randomized controlled trials are warranted to further explore the role of ulinastatin in the management of COVID-19.

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来源期刊
International Journal of General Medicine
International Journal of General Medicine Medicine-General Medicine
自引率
0.00%
发文量
1113
审稿时长
16 weeks
期刊介绍: The International Journal of General Medicine is an international, peer-reviewed, open access journal that focuses on general and internal medicine, pathogenesis, epidemiology, diagnosis, monitoring and treatment protocols. The journal is characterized by the rapid reporting of reviews, original research and clinical studies across all disease areas. A key focus of the journal is the elucidation of disease processes and management protocols resulting in improved outcomes for the patient. Patient perspectives such as satisfaction, quality of life, health literacy and communication and their role in developing new healthcare programs and optimizing clinical outcomes are major areas of interest for the journal. As of 1st April 2019, the International Journal of General Medicine will no longer consider meta-analyses for publication.
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