葡萄糖皮质类药物治疗在COVID-19后肺部干扰中的有效性
Jan Mizera1, Samuel Genzor2,3, Milan Sova1,4
1Department of Respiratory Medicine and Tuberculosis, Faculty of Medicine and Dentistry Palacky University Olomouc, University Hospital Olomouc, Olomouc, Czech Republic.
Pneumonia (Nathan Qld.)
|February 4, 2024
概括
皮质类固醇 (CS) 治疗改善了COVID-19幸存者的肺功能,并减少了持续呼吸道症状的放射性变化. 这表明CS可能会对经过COVID后肺部问题的选定患者有好处.
科学领域:
- 肺部病理学 肺部病理学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 持续的COVID-19后呼吸道症状与肺损伤和纤维化风险有关.
- 对于这些COVID后肺部变化的皮质类固醇 (CS) 疗效存在有限的数据.
研究的目的:
- 评估CS治疗对COVID后呼吸综合征患者的影响.
主要方法:
- 对2729名COVID-19幸存者的前性观察研究.
- 包括肺功能测试,胸部X射线和临床检查.
- 根据国家指导方针决定CS治疗或警觉等待 (WW).
主要成果:
- 131名患者接受了CS治疗,显示出更严重的初始损伤.
- CS组在肺体积和DLCO方面表现出明显更好的改善.
- 与对照组相比,在CS组中发现了更好的放射性和主观结果.
结论:
- 皮质类固醇治疗导致更好的肺功能,放射学和症状改善,而不是警等待.
- 葡萄糖皮质激素治疗可能有利于选择患有持续性呼吸不全,肺部变化和COVID-19后DLCO降低的患者.
相关概念视频
COPD: Management Using Bronchodilators and Corticosteroids
207
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
207
Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids
251
Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
251
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
120
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
120
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
COPD: Pathogenesis and Clinical Features
274
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
274
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K


