53例冠状病毒病-2019的药物治疗分析

Q4 Health Professions 药学服务与研究 Pub Date : 2020-12-31 DOI:10.5428/PCAR20200606
Changpin Zhang, Tong-Zeng Li, Xia Wang, Yanping Tian, Xiaohong Zhu
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引用次数: 1

摘要

目的:探讨新型冠状病毒病(COVID-19)患者安全有效的治疗策略。方法:收集新型冠状病毒病(COVID-19)患者的临床资料及治疗策略,并进行回顾性分析。53例新冠肺炎患者主要临床表现为发热(75.5%)和咳嗽(41.5%),其中普通型42例;重症6例,危重型5例,危重型患者多为有基础疾病的老年人,入院时血清淋巴细胞计数下降,危重型患者住院期间c反应蛋白明显升高,危重型和危重型患者均出现肝损伤。治疗方面,普通型30例患者均采用中药单独治疗。8例患者采用中药联合洛匹那韦/利托那韦(LPV/r)治疗,2例患者采用中药联合其他药物治疗,2例患者单独使用干扰素治疗。1例重症患者采用LPV/r联合糖皮质激素治疗,其余5例重症患者采用中药治疗。其中甲泼尼龙-丁酸钠联合治疗2例,干扰素联合治疗1例,危重患者的治疗较为复杂,包括抗病毒、利尿、强心治疗、营养支持等。结论:中药有利于COVID-19患者的康复。LPV/r或糖皮质激素联合治疗的明确益处未被明确观察到©2020医药保健与研究出版社版权所有
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Analysis of drug therapy of 53 patients with Corona Virus Disease-2019
Objective:To explore safe and effective treatment strategies for the patients with Corona Virus Disease-2019 (COVID-19) Methods: The clinical data and treatment strategies of COVID-19 patients were collected and retrospectively analyzed Results: Major clinical manifestations of the patients with COVID-19 were fever (75 5%) and cough (41 5%) Of the 53 COVID-19 patients, 42 were of common type, 6 were of severe type and 5 were of critical type Most of the critical type patients were the elderly with basic diseases Serum lymphocyte count decreased when they were admitted into hospital During hospitalization,C-reactive protein significantly increased in critical type patients Liver injury was observed in severe type and critical type patients With regard to treatment, 30 patients in the common type were treated with traditional Chinese medicine alone, 8 patients were treated with traditional Chinese medicine combined with lopinavir/ritonavir(LPV/r), 2 patients were given traditional Chinese medicine combined with other drugs, and still another 2 patients were given interferon alone One severe type patient was treated with LPV/r combined with glucocorticoids, traditional Chinese medicine was given to other 5 severe type patients, including 2 patients with methylprednisolone sodium succinate combined treatment and one patient with interferon combined treatment The treatment of the critically ill patients was relatively complex, including antiviral, diuretic, cardiotonic treatment, as well as nutritional support Conclusion;Traditional Chinese medicine was beneficial to the recovery of COVID-19 patients However, definite benefits of combined treatment with LPV/r or glucocorticoids were not clearly observed © 2020 Publishing House of Pharmaceutical Care and Research All rights reserved
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药学服务与研究
药学服务与研究 Health Professions-Pharmacy
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