首页|阿兹夫定治疗老年新型冠状病毒感染患者的疗效与安全性分析

阿兹夫定治疗老年新型冠状病毒感染患者的疗效与安全性分析

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目的 分析阿兹夫定对新型冠状病毒感染(COVID-19)>60岁老年住院患者中的有效性、安全性以及影响临床结局的危险因素,为临床用药提供参考.方法 采用回顾性研究方法,选取因COVID-19住院且使用阿兹夫定片的108例患者为研究对象,根据患者临床结局分为有效组和生存组;根据患者有无使用中药饮片分为无中药饮片组和中药饮片组.连续变量采用Pearson相关性分析,分类变量采用Spearman相关性分析.结果 2组患者年龄、性别、体质量指数、吸烟史、基础病等差异无统计学意义(P>0.05)o 2组诊断分型、合并症、用药前病程、是否联用中药饮片差异具有统计学意义(P<0.05).缺血性脑血管病、贫血、低钠血症、低蛋白血症是影响COVID-19临床结局的危险因素.结论 阿兹夫定对于COVID-19轻、中型效果较好.联合使用中药饮片、早期用药对于患者病情改善具有显著作用,合并症影响治疗结局.
Efficacy and safety analysis of azithromycin in the treatment of COVID-19 in elderly patients
Objective To analyze the efficacy and safety of azvudine in the treatment of COVID-19,in elderly inpatients over 60 years old,as well as the risk factors affecting clinical outcomes,and to provide a refer-ence for clinical medication.Methods A retrospective study was conducted,selecting 108 patients who were hospitalized for COVID-19 and treated with azvudine tablets in Shanxi Provincial Integrated TCM and WM Hospi-tal.The patients were divided into an effective group and a death group based on their clinical outcomes;they were also divided into a non-traditional Chinese medicine decoction group and a traditional Chinese medicine decoction group based on whether they used traditional Chinese medicine decoctions.Pearson correlation analysis was used for continuous variables,and Spearman correlation analysis was used for categorical variables.Logistic regression analysis was employed for differential and correlation analysis to analyze indicators with significant dif-ferences.Results Although there was no statistically significant difference between the two groups in terms of age,gender,body mass index,smoking history,and underlying diseases(P>0.05),these factors still had a certain impact on the patient's condition clinically.Significant differences were observed between the two groups in terms of diagnostic classification,comorbidities,disease duration before medication,and whether traditional Chinese medicine decoctions were used in combination.Ischemic cerebrovascular disease,anemia,hyponatremia,and hypoproteinemia are risk factors that affect the clinical outcomes of COVID-19 infection.Conclusion Azvudine has shown to be effective in treating mild to moderate cases of COVID-19.Additionally,the combined use of traditional Chinese medicine decoctions has a significant effect on improving the patient conditions.

AzvudineCOVID-19Risk factorsMedication safety

王宏红、连妍超、杨立丽、孙亚娟、刘旺鹏

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山西省中西医结合医院药剂科,山西太原 030013

阿兹夫定 新型冠状病毒感染 危险因素 用药安全性

山西省卫生健康委员会科研课题

2023XG052

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(18)