抗雄激素作为COVID-19的治疗方法:系统性审查
Massimiliano Cani1,2, Samantha Epistolio3, Giulia Dazio3
1Oncology Institute of Southern Switzerland (IOSI), Ente Ospedaliero Cantonale (EOC), 6500 Bellinzona, Switzerland.
抗雄激素似乎不能防止严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2) 感染或COVID-19的严重程度. 它们的使用不建议用于预防或治疗COVID-19的结果.
科学领域:
- 病毒学 病毒学
- 传染性疾病 传染性疾病
- 药理学 药理学 是一个学科.
背景情况:
- 由SARS-CoV-2引起的COVID-19大流行在2019年出现,需要快速开发抗病毒治疗方法.
- 研究了抗雄激素在调节SARS-CoV-2感染中的潜在作用.
- 现有研究中的显著异质性促使进行了全面的文献审查.
研究的目的:
- 系统地审查当前关于抗雄激素对抗COVID-19的潜在保护作用的文献.
- 为了调查抗雄激素与COVID-19结果的干扰.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 在PUBMED和Medline数据库中进行了搜索.
- 包括2020年3月至2023年8月的原始英语文章,不包括体外/临床前研究.
主要成果:
- 从1755个记录中,共选出31项研究.
- 大多数选择的研究包括追溯临床数据和随机临床试验.
- 这些研究涵盖了COVID-19流行病的最初浪潮.
结论:
- 抗雄激素没有显示出对SARS-CoV-2感染的保护作用.
- 有证据表明,抗雄激素不能降低COVID-19的严重程度.
- 目前的研究结果不支持对COVID-19的抗雄激素的临床使用.
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