Interferon-α2b

干扰素 - α 2b
  • 文章类型: Journal Article
    目的:本研究旨在评估椎旁注射重组人干扰素-α2b与高压,DRG中的长期脉冲射频(PRF)缓解带状疱疹后神经痛(PHN)。
    方法:这项回顾性研究是对84例急性PHN患者进行的。参与者分为三组。H组:干扰素-α2b联合高电压长期PRF治疗;C组:高电压长期PRF治疗;I组:干扰素-α2b治疗。3组患者均在治疗过程中出现阵阵疼痛时口服盐酸吗啡速释片5mg。疼痛数字评分(NRS),在治疗之前和之后记录IL-6、Gal-3和PHN的发生率。
    结果:治疗后所有个体的疼痛强度均降低。与C组比较,H组NRS评分在治疗后4、8和12周时显著降低,PHN发生率明显较低。与之前的治疗相比,H组减少了加巴喷丁胶囊和盐酸吗啡速释片的推荐剂量。与C组相比,H组口服加巴喷丁胶囊和盐酸吗啡治疗后明显减少。三组患者均未出现严重不良反应。
    结论:在治疗急性PHN的背景下,干扰素-α2b的注射结合高电压,PRF的长期应用比PRF或单独注射干扰素-α2b更有效。
    This investigation aims to evaluate the effectiveness of the paravertebral injection of recombinant human interferon-α2b in conjunction with high-voltage, long-term, pulsed radiofrequency (PRF) in the dorsal root ganglion for the mitigation of postherpetic neuralgia (PHN).
    This retrospective study included 84 individuals with acute PHN. The participants were divided into 3 groups. Group H was treated with interferon-α2b combined with high-voltage long-term PRF. Group C was treated with a combination of high-voltage, long-term PRF and a paravertebral injection (without recombinant human interferon-α2b), and group I was treated with interferon-α2b only. All the patients in the 3 groups were orally administered a 5-mg morphine hydrochloride quick-release tablet when a burst of pain occurred during treatment. The numerical rating scale for pain score, the interleukin-6 and galectin-3 levels, and the incidence of PHN were documented before and after therapy.
    The pain intensity of all individuals decreased after therapy. Compared with group C, the numerical rating scale scores for group H were significantly reduced at 4, 8, and 12 weeks following therapy, and the PHN incidence was significantly lower. Compared with prior treatment, the recommended dosage of gabapentin capsules and immediate-release morphine hydrochloride tablets was reduced for group H. Compared with group C, the requirement for orally administrated gabapentin capsules and morphine hydrochloride tablets in group H was reduced significantly after treatment. No serious adverse reactions occurred in any of the 3 groups.
    Within the context of treatment of acute PHN, the injection of interferon-α2b in conjunction with high-voltage, long-term application of PRF is more effective than PRF or the injection of interferon-α2b alone.
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  • 文章类型: Journal Article
    当前2019年冠状病毒病(COVID-19)的爆发已在全球迅速蔓延。治疗期间,我们发现大多数患者的血红蛋白(Hb)下降.干扰素-α2b(IFN-α2b)是与Hb降低有关的主要可疑药物。因此,本研究旨在探讨IFN-α2b是否能诱导COVID-19重症患者Hb降低及其可能的机制。
    2月12日至24日,哈尔滨医科大学附属第一医院收治的50例COVID-19重症感染患者,2020年。人口统计,基线特征,临床资料,回顾性收集治疗方案。根据第14天IFN-α2b的使用减少,将患者分为两组。入院时的Hb水平,收集并分析第7天,第14天和第21天.主要终点是第21天的Hb水平。
    对IFN-停止组31例患者和非IFN-停止组19例患者进行了回顾。年龄,性别,合并症,临床症状,营养状况,疾病严重程度,并发症,和患者的其他因素进行比较,IFN停止组和非IFN停止组之间无差异.与入院时相比,所有患者的Hb水平在第7天显着降低(p<0.0001)。在IFN停止组中,Hb水平在IFN-α2b停止后7天增加(p=.0008),而在非IFN停止组的第14天和第21天之间没有发现差异(p=.3152)。
    在COVID-19重症患者的治疗中,IFN-α2b与Hb降低相关。临床医生应该意识到IFN-α2b治疗的患者Hb降低的高发生率。
    UNASSIGNED: The current outbreak of coronavirus disease 2019 (COVID-19) has rapidly spread throughout the world. During treatment, we found that the majority of patients had a decrease in hemoglobin (Hb). Interferon-α2b (IFN-α2b) was the primary suspected drug that was related to Hb reduction. Thus, the study aimed to investigate whether IFN-α2b could induce Hb reduction in severe patients with COVID-19 and its potential mechanism.
    UNASSIGNED: A total of 50 patients who were admitted to the First Affiliated Hospital of Harbin Medical University with severe COVID-19 infection were enrolled from February 12th to 24th, 2020. The demographics, baseline characteristics, clinical data, and therapeutic regimen were collected retrospectively. The patients were divided into two groups according to the declined use of IFN-α2b on day 14. The Hb levels on admission, day 7, day14, and day 21 were collected and analyzed. The primary endpoint was the level of Hb on day 21.
    UNASSIGNED: A total of 31 patients in the IFN-stop group and 19 patients in the non-IFN-stop group were reviewed. The age, gender, comorbidities, clinical symptoms, nutritional status, disease severity, complications, and other factors of the patients were compared, no difference was found between the IFN-stop group and the non-IFN-stop group. The Hb levels of all patients significantly decreased on day 7 compared with that on admission (p < .0001). In the IFN-stop group, the Hb level was increased in 7 days after IFN-α2b was stopped (p = .0008), whereas no difference was found between day 14 and day 21 in the non-IFN-stop group (p = .3152).
    UNASSIGNED: IFN-α2b was associated with Hb reduction in the treatment of severe patients of COVID-19. Clinicians should be aware of the high incidence of Hb reduction for patients treated by IFN-α2b.
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  • 文章类型: Journal Article
    UNASSIGNED: Interferon (IFN)-α2b in Peyronie\'s disease (PD).
    UNASSIGNED: This study aims to evaluate clinical efficacy of the IFN-α2b in both subjective and objective manner for the treatment of PD and compared with previously used intralesional verapamil in terms of cost-benefit analysis.
    UNASSIGNED: Prospective study.
    UNASSIGNED: A prospective study conducted from January 2013 to July 2016 in the Department of Urology, Government Medical College, Kota, Rajasthan, India. We included patients with identifiable Peyronie\'s plaque with or without pain, curvature ranging between 30 and 90 degrees. We excluded patients with a calcified plaque and the ventral location of the plaque, any infective foci over the penis, erectile dysfunction due to other etiologies and patients who had received previous intralesional therapy. Patients were evaluated by clinical history, physical examination including plaque location, size, consistency, and penile curvature. Patients received intralesional IFN-α2b in a dose of 3 × 106 IU. Patients completed the visual analogue pain (VAS) score for pain, and International Index of Erectile Function-5 (IIEF-5) questionnaire at first visit as well as at follow-up of 1 month and 3 months.
    UNASSIGNED: Comparisons were performed using the paired Student\'s t-test and Chi-square tests as appropriate. Patient\'s objective and subjective clinical characteristics were described as a means (standard deviation).
    UNASSIGNED: We included 86 patients in this study. Patients had a mean age of 48.6 years, mean plaque volume 256 mm3, and disease duration of 15.2 years. After 1 month of treatment, there was a significant change in plaque volume 256-60.8 mm3; P < 0.01) and penile curvature 34.8-24.6°; P < 0.01). The patients reported significant improvement in pain score VAS and IIEF-5.
    UNASSIGNED: IFN-α2b, as minimal invasive (intralesional) options for the treatment of PD, demonstrated significant improvement in plaque volume, penile curvature with minimal complications. Patients subjectively reported significant improvement in pain on erection and sexual activities. IFN-α2b and verapamil had an almost similar clinical outcome, but verapamil at much lower cost.
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