首页|藏药治疗新型冠状病毒感染开放、随机、平行、对照临床疗效初探

藏药治疗新型冠状病毒感染开放、随机、平行、对照临床疗效初探

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目的 观察藏药治疗新型冠状病毒感染核酸转阴率和改善临床症状的初步临床疗效.方法 研究分初步观察和进一步确证两个阶段.初步观察阶段总样本量为1000例,按照随机、开放、平行、对照原则,通过随机数字表随机分为4组治疗方案,最终剔除连花清瘟胶囊和金嗓子等联合用药的患者后,共738例患者完成疗效评价;其观察主要指标为核酸阳性指标转阴时间周期,次要指标为核酸CT值的变化和临床症状改善情况.进一步确证阶段,总样本量为631例,按照随机、开放、平行、对照原则,通过随机数字表分为2组治疗方案,最终剔除依从性较差或者临床资料不全的患者后,共603例患者完成疗效评价,其观察主要指标为核酸阳性指标转阴时间周期,次要指标为核酸CT值的变化次要指标为核酸CT值的变化和临床症状改善情况..结果 初步观察阶段的四组治疗方案的核酸转阴时间中位数分别为6天、7天、6天、7天.7天内的核酸转阴率分别为64.32%、67.98%、64.21%、68.11%,组间无统计学意义(P>0.05);四组藏药均能明显改善临床症状,但组间无统计学意义(P>0.05).进一步确证阶段的2个治疗方案核酸转阴时间中位数均为3天.7天内的核酸转阴率分别为75.84%和82.95%,第二组治疗方案在7天内的累计核酸转阴率显著高于第一组治疗方案(P<0.05).结论 藏药治疗新型冠状病毒感染可以缩短核算转阴时间,减少无症状和轻症患者的转重率,临床疗效显著,不良反应少,值得推广使用.
Apreliminary study on the Open,Randomized,Parallel and Controlled clinical effi-cacy of Tibetan medicine in the Treatment of novel coronavirus infection
Objective To observe the preliminary clinical efficacy of Tibetan medicine in the treatment of nucleic ac-id conversion rate and improvement of clinical symptoms of novel coronavirus infection.Methods This study is di-vided into two phases,namely preliminary observation and further confirmation.The total sample size in the prelimi-nary observation stage was 1,000 cases.According to the principles of randomization,openness,parallelism,and con-trol,the patients were randomly divided into 4 groups of treatment regimens through a random number table,and fi-nally 738 patients completed the efficacy evaluation after a group of patients who took the combination of Lianhua Qingwen Capsule and Golden Throat was exclueded.The main indicators of observation were the time period of neg-ative conversion of nucleic acid positive indicators,and the secondary indicators were the changes in nucleic acid CT values and the improvement of clinical symptoms.In the further confirmation stage,the total sample size was 631 cases,which were divided into two groups of treatment regimens according to the principles of randomization,open-ness,parallelism,and control.In the end after eliminating the patients with poor compliance or incomplete clinical da-ta,a total of 603 patients completed the efficacy evaluation,with the main indicators of observation that were the time period of the positive nucleic acid index turning negative,and the secondary indicators that were the change in the nu-cleic acid CT value and the improvement of clinical symptoms.Results The median nucleic acid conversion time of the four groups in the initial observation stage was 6 days,7 days,6 days,and 7 days respectively.The rates of nucle-ic acid conversion within 7 days were 64.32%,67.98%,64.21%,and 68.11%respectively,with no statistical signifi-cance between groups(P>0.05).Tibetan medicine could significantly improve clinical symptoms of the four groups,but there was no statistical significance between the groups(P>0.05).The median time to negative nucleic acid con-version of the two treatment regimens in the further confirmation stage was 3 days.The nucleic acid conversion rate within 7 days were 75.84%and 82.95%respectively.The cumulative nucleic acid conversion rate within 7 days of the second group was significantly higher than that of the first group(P<0.05).Conclusion The treatment of novel coronavirus infection with Tibetan medicine can shorten the time for nucleic acid conversion to negative,reduce the rate of severe conversion in asymptomatic and mild patients,and has significant clinical efficacy and few adverse re-actions,which is worthy of popularization.

Novel coronavirus infectionTibetan medicineClinical research

米玛卓嘎、索朗、银巴、白玛、普穷次仁、扎西桑珠、旦增央金、完么黄庆、吉美旺久、当毛措、罗藏加措

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西藏自治区藏医院,拉萨 850000

新型冠状病毒感染 藏药 临床研究

国家中医药局年新型冠状病毒感染肺炎中医药应急专项(第九批)(2022)西藏卫生健康委藏医药管理局局级科研课题(2023)

2022ZYLCYJ09-1JJKT2023002

2024

西藏科技
西藏科技信息研究所

西藏科技

影响因子:0.202
ISSN:1004-3403
年,卷(期):2024.46(1)
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