[关键词]
[摘要]
新型冠状病毒肺炎(COVID-19)在全球蔓延,引起世界各国高度关注。其传染性强、危害大,目前尚无确切有效的抗病毒药物。国家卫生健康委员会发布了《新型冠状病毒肺炎诊疗方案(试行第七版)》,其中首次提出了托珠单抗免疫治疗方案。检索国内外托珠单抗治疗免疫系统疾病的论文,分析托珠单抗用于治疗COVID-19重症和危重症的有效性,并从安全性角度出发,介绍诊疗方案的药物相互作用、特殊人群用药、不良反应及用药注意事项,可为COVID-19重型及危重型患者的治疗提供用药参考。
[Key word]
[Abstract]
Since December 2019, COVID-19 had spread many countries, attracting high attention from the world. Its infectivity is strong, harm is big, at present there is no definite effective antiviral drug. Recently, the national health commission released the latest "new coronavirus pneumonia diagnosis and treatment program (trial seventh edition)", which for the first time proposed immunotherapy program based on Tocilizumab (TCZ). In this paper, firstly, a review of articles on the treatment of immune system diseases with TCZ at home and abroad was conducted to analyze the effectiveness of TCZ in the treatment of severe and critical COVID-19. Then, from the safety point of view, the drug interactions, drug use in special population, adverse reactions and medication precautions were presented in detail, which can be used as a medication reference for the treatment of COVID-19 severe and critical patients.
[中图分类号]
[基金项目]
湖北省卫生健康委员会(WJ2019F170)