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1. 西藏自治区人民政府驻成都办事处医院药剂科
2. 贵州省人民医院药剂科
3. 四川省医学科学院·四川省人民医院心身医学中心
4. 四川大学华西医院临床药学部
5. 四川大学华西药学院
6. 江苏省肿瘤医院疼痛科
7. 四川大学华西临床医学院
8. 联科美讯生物医药技术有限公司·用药助手toD事业部
纸质出版日期:2020,
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[1]李小丝,张家兴,周晓波,戴冰,朱家丽,李丹,杨甜,王绪国.治疗新型冠状病毒肺炎药物现有证据的文献分析[J].中国医院用药评价与分析,2020,20(03):262-267.
LI Xiaosi, ZHANG Jiaxing, ZHOU Xiaobo, et al. Literature Review of Existing Evidence for Corona Virus Disease-19[J]. 2020,20(3):262-267.
[1]李小丝,张家兴,周晓波,戴冰,朱家丽,李丹,杨甜,王绪国.治疗新型冠状病毒肺炎药物现有证据的文献分析[J].中国医院用药评价与分析,2020,20(03):262-267. DOI: 10.14009/j.issn.1672-2124.2020.03.002.
LI Xiaosi, ZHANG Jiaxing, ZHOU Xiaobo, et al. Literature Review of Existing Evidence for Corona Virus Disease-19[J]. 2020,20(3):262-267. DOI: 10.14009/j.issn.1672-2124.2020.03.002.
目的:对可能用于治疗新型冠状病毒肺炎(corona virus disease-19
COVID-19)的药物的现有证据进行文献检索与分析
为该病的治疗提供循证医学依据。方法:计算机检索Pub Med、Clinical Trial.gov和中国临床试验注册中心官方网站
查找有关治疗COVID-19的研究。由2名研究者根据纳入与排除标准独立进行文献筛选
最后按照研究药物类别进行分类总结和分析。结果:有2项个案报道提示
瑞德西韦、洛匹那韦/利托那韦及阿比朵尔可能用于COVID-19的治疗;但1项小样本回顾性队列研究结果提示
洛匹那韦/利托那韦及阿比朵尔的疗效尚不明确;体外研究结果提示
氯喹和达芦那韦具有抗严重急性呼吸综合征冠状病毒2型(severe acute respiratory syndrome coronavirus 2
SARS-Co V-2)的活性;利巴韦林和干扰素治疗COVID-19的依据主要来源于严重急性呼吸综合征冠状病毒(severe acute respiratory syndrome coronavirus
SARS-Co V)和中东呼吸综合征冠状病毒(Middle East respiratory syndrome coronavirus
MERS-Co V)治疗的间接证据。目前
已有多项评价上述药物治疗COVID-19的疗效及安全性的随机对照试验正在进行中。结论:虽然目前COVID-19的抗病毒治疗方法尚无高质量的循证医学证据支持
但是已有多项评价中医和西医治疗方案临床疗效的研究启动
将为COVID-19的治疗提供高质量的证据支持。
OBJECTIVE: To retrieve and analyze the available literature related to treatment for corona virus disease-19( COVID-19)
so as to provide reference of evidence-based medicine for future treatment. METHODS:Pub Med
Clinical Trial. gov and Chinese Clinical Trial Registry were retrieved to collect available literature related to treatment for COVID-19. Literature were screened by two reviewers independently in accordance with the inclusion and exclusion criteria. Classification and analysis were performed according to the research drug categories. RESULTS: Two case reports suggested that radixivir
lopinavir/ritonavir and abidol may be effective in the treatment of COVID-19; one retrospective cohort study found that the efficacy of arbidol and lopinavir/ritonavir was unclear; in vitro studies suggested that chloroquine and darunavir had anti-virus activity against severe acute respiratory syndrome coronavirus 2( SARS-CoV-2); the evidence of ribavirin and interferon in the treatment of COVID-19 was based primarily on circumstantial evidence of the treatment of severe acute respiratory syndrome coronavirus( SARS-Co V) and Middle East respiratory syndrome coronavirus( MERS-Co V). At present
multiple randomized controlled trials evaluating the efficacy and safety of the above drugs in the treatment of COVID-19 have been conducted. CONCLUSIONS: Although the current antiviral treatment of COVID-19 is not supported by high-quality evidence-based medicine
a number of studies have been launched to evaluate the clinical efficacy of traditional Chinese and western medicine treatment regimens
which will provide high-quality evidence for the treatment of COVID-19.
新型冠状病毒肺炎文献分析抗病毒治疗药物循证医学
Corona virus disease-19Literature reviewAntiviralsEvidence-based medicine
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