在印度尼西亚博罗拉的几家医院中,法匹拉韦作为抗病毒疗法治疗covid-19的有效性

Metrikana Novembrina, Ayu Anggara Ati
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摘要

2019年12月在中国爆发的2019冠状病毒病(COVID-19)已于2020年3月成为大流行。国内一项涉及320例新冠肺炎患者的法匹拉韦疗效临床研究表明,法匹拉韦治疗新冠肺炎安全有效。然而,在印度尼西亚,关于抗病毒药物的有效性和毒性的临床研究非常缺乏,需要进一步的研究。该研究的目的是分析favipiravir作为抗病毒疗法在印度尼西亚中爪哇省Blora区的几家医院治疗COVID-19的有效性。本研究将266份符合纳入标准的患者病历样本分为给予法匹拉韦的第1组和未给予法匹拉韦的第2组。然后使用连续性校正的卡方对数据进行分析,以评估给予抗病毒药物的患者和未给予抗病毒药物的患者的比例与结果的差异。结果显示,服用favipiravir的患者中,92.5%的患者预后有所改善,其中7.5%的患者死亡。80.5%未服用favipiravir的患者表现出好转,19.5%的患者死亡。经连续性校正的卡方分析显示,组间比例与结果有显著性差异(p< 0.05)。综合以上结果和讨论,认为favipiravir可作为抗病毒药物用于COVID-19的治疗。
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The effectively of favipiravir as antiviral therapy in the treatment of covid-19 in the several hospital in Blora, Indonesia
The outbreak of Corona virus Disease 2019 (COVID-19) in December 2019 in China, has become a pandemic in March 2020. A clinical study in China on the effectiveness of favipiravir involving 320 COVID-19 patients stated that favipiravir was safe and efficacious in the treatment of COVID-19. However, in Indonesia, the clinical studies on the effectiveness and the toxicity of the antiviral are so lacking that the further research will be needed. The objective of the study is to analize the effectiveness of favipiravir as an antiviral therapy in the treatment of COVID-19 in several hospital in the district of Blora, Central Java, Indonesia. In this study as many as 266 samples of the patient’s medical record which met the inclusion criteria were devided into group 1 which given favipiravir and group 2 which not given favipirafir. Data were then analized by using chi-square with continuity correction to evaluate the difference in proportion of those who were given the antiviral and those who were not, in relation to the outcome. The result showed that as many as 92.5% of the patient given favipiravir showed an improved outcome and 7.5% of those were reported dead. As many as 80.5% of those not given favipiravir showed an improved outcome and 19.5% of those were reported dead. Based on the chi square with continuity correction, it revealed that there was significant difference in the proportion among the groups in relation to the outcome (p<0,05). Based on the results and discussions, it is concluded that favipiravir is effective to be used as an antiviral drug in the treatment of COVID-19.
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