中国药物警戒 ›› 2020, Vol. 17 ›› Issue (3): 129-135.
DOI: 10.19803/j.1672-8629.2020.03.01

• 专家论坛 • 上一篇    下一篇

新型冠状病毒肺炎抗病毒治疗现状及前景

田地, 王琳, 葛子若, 崔舒萍, 陈志海*   

  1. 首都医科大学附属北京地坛医院感染性疾病诊疗中心、新发突发传染病研究北京市重点实验室、感染病科国家临床重点专科,北京100015
  • 收稿日期:2020-03-17 修回日期:2020-03-17 出版日期:2020-03-15 发布日期:2020-03-17
  • 通讯作者: *陈志海,男,硕士,主任医师,教授·博导,新发突发传染病诊治。E-mail:chenzhihai0001@126.com
  • 作者简介:田地,女,硕士,主治医师,感染性疾病。陈志海,主任医师,教授,医学硕士,博士生导师,首都医科大学附属北京地坛医院感染中心副主任,国家卫健委传染病标准专业委员会委员,中华预防医学会感染性疾病防控分会常务委员,中华医学会北京分会感染专业委员会副主任委员。致力各种急性传染病临床诊治研究30年,现场参与了2019年内蒙古鼠疫疫情的处置。牵头制定卫生行业标准1项,参与制定标准多项,参加10余个国家级指南或诊疗方案的制定。擅长各种急性传染病的诊断与治疗。为新型冠状病毒肺炎国家专家组、市级专家组成员,并领导新型冠状病毒肺炎病房一线工作。
  • 基金资助:
    国家科技重大专项(2018ZX09711003-014-003):抗新型布尼亚病毒和狂犬病毒药物的临床研究; 新发突发传染病研究北京市重点实验室(09050703560908); 北京市医院管理局重点医学专业发展计划-新发突发传染病(ZYLX201602)

Present Situation and Prospect of Antiviral Treatments for COVID-19

TIAN Di, WANG Lin, GE Ziruo, CUI Shuping, CHEN Zhihai*   

  1. Department of Infectious Diseases, the National Clinical Key Department of Infectious Diseases, Beijing Key Laboratory Emerging Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
  • Received:2020-03-17 Revised:2020-03-17 Online:2020-03-15 Published:2020-03-17

摘要: 2019年12月以来,湖北省武汉市陆续出现不明原因肺炎病例,2020年1月一种新型冠状病毒(2019-nCoV)被分离出来。随着新型冠状病毒肺炎(COVID-19)疫情蔓延,重症、危重症及死亡病例逐渐增多。我国《新型冠状病毒肺炎诊疗方案》中提出可试用洛匹那韦/利托那韦口服联合α-干扰素雾化、利巴韦林、磷酸氯喹、阿比多尔抗病毒,康复者血浆治疗重型及危重型患者。近日美国报道1例新型冠状病毒感染肺炎患者使用瑞德西韦治疗后得到明显改善。法匹拉韦也被认为有潜在疗效。抗病毒治疗是重症、危重症救治的关键。本文就新型冠状病毒肺炎抗病毒治疗可选药物现状及前景进行综述。

关键词: 新型冠状病毒肺炎, 抗病毒治疗

Abstract: In December 2019, a series of pneumonia cases of unknown cause emerged in Wuhan, Hubei Province. In January 2020, a new type of coronavirus (2019-nCoV) was isolated. With the outbreak of COVID-19, the number of severe, critical and death cases is increasing gradually. In the diagnosis and treatment program of our country, the oral administration of lopinavir/ritonavir and the atomization of α-interferon were used, and ribavirin, chloroquine phosphate and abidol can also be used for antiviral treatment.The plasma of convalescent patients can be used for the treatment of severe and critical patients. Recently, a United States report that the first case of 2019-nCoV infection confirmed patient have been significantly improved after treatment with remdesivir. Fabiravir is also considered to have potential efficacy. Antiviral treatment is the key to the treatment of severe and critical diseases. In this paper, the present situation and prospect of selective antiviral treatments for COVID-19 is reviewed.

Key words: COVID-19, antiviral treatments

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