脂质综合治疗Covid-19相关社区获得性肺炎的有效性

Yu. Novychenko, O. Khukhlina, S. Kovalenko, I. Dudka
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摘要

目标。Тo研究Lipin-Biolik疗法作为肺部内科基础治疗的补充疗法对COVID-19相关中度肺炎临床病程的有效性。材料和方法。对2020-2021年期间在切尔诺夫茨地区临床医院肺病科治疗的94例住院患者的病历进行了检查。患者分为两组:66例与COVID-19相关的中度病毒性细菌性肺炎患者(主要组)。他们的治疗包括抗生素、抗凝血剂和静脉注射Lipin溶液。对照组包括28例肺炎患者,仅接受抗生素和抗凝剂治疗。两组患者治疗后病情均有改善,但主组比对照组快(4-5):呼吸短促减轻,血液中d -二聚体降低,血压、体温恢复正常,О2饱和度改善。治疗3周后的胸部x线显示,主组患者肺部浸润面积减少较快,纤维组织形成稳定。文章中提出的结果证实了Lipin(天然磷脂酰胆碱的脂质体形式)在肺科医生的实际工作中治疗病毒性肺炎的高效果,目的是降低肺组织纤维化形成的风险,血栓形成的风险,并作为表面活性剂保护治疗。
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Effectiveness of lipin administration in a comprehensive treatment of community-acquired pneumonia associated with Covid-19
Objective. Тo investigate the effectiveness of Lipin-Biolik therapy on a clinical course of moderate pneumonia associated with COVID-19 as a supplement to the basic therapy at the Department of Pulmonology. Materials and methods. 94 case histories of institutional patients who were treated at the Department of Pulmonology, Chernivtsi Regional Clinical Hospital during 2020-2021 were examined. The patients were divided into two groups: 66 individuals with viral-bacterial pneumonia of a moderate severity associated with COVID-19 (the main group). Their treatment included antibiotics, anticoagulants and intravenous injection of Lipin solution. The control group included 28 patients suffering from pneumonia who received antibiotics and anticoagulants only.Results. Condition of patients after treatment improved in both groups, but in the main group, it was faster than in control one (4-5 faster): shortness of breath decreased, D-dimer in the blood reduced, high blood pressure and the temperature came to normal values, О2 saturation improved. Moreover, by the chest X-ray findings carried out three weeks after treatment, the patients from the main group presented a faster decrease of infiltration areas in the lungs and formation of stable fibrous changes, respectively.Conclusions. The results presented in the article confirm a high effect of Lipin (liposomal forms of natural phosphatidylcholine) for the treatment of viral pneumonias in practical work of a pulmonologist with the aim to reduce the risk of fibrosis formation in the lung tissue, the risk of clot formation and as surfactant-protective therapy.
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