Morphological compound and indicators of the blood clotting system in severe COVID-19 patients of middle aged and elderly during treatment of Tocilizumab and Thymalin.

The aim of the work was a comparative study of Tocilizumab and Thymalin effects on the morphological composition and indicators of the blood clotting system in COVID-19 of middle aged and elderly patients. Severe COVID-19 patients were divided into 3 groups: 1st - control (basic therapy), 2nd - basic therapy +Tocilizumab, 3rd - basic therapy +Thymalin. Hospital mortality in COVID-19 patients after standard therapy, Tocilizumab and Thymalin application was 40,9; 28,4 and 20,6% accordingly. The number of platelets increased by 1,5 times, the concentration of fibrinogen in blood decreased by 78% and activated partial thromboplastin time decreased by 9,3% in patients taking Tocilizumab. Under the influence of Tocilizumab, the platelet/white blood cell and platelet/lymphocyte ratios increased by 1,6 and 1,4 times, which may be a predictor of an unfavorable outcome of COVID-19. Thymalin increased the number of lymphocytes and monocytes by 2 times, the number of leukocytes - by 1,3 times, the number of platelets in the blood - by 1,5 times. Thymain decreased the platelet/lymphocyte and neutrophil/lymphocyte ratios by 1,4 times and 2 times. The use of Thymalin decreased the level of fibrinogen, lactate dehydrogenase and D-dimer in the blood by 1,2; 1,8 and 1,7 times, respectively. Thymalin, compared with Tocilizumab, meets the principles of pathogenic therapy for severe COVID-19 of middle aged and elderly patients to a greater extent, having a normalizing effect on the morphological composition and indicators of the blood clotting system.

Medienart:

Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Advances in gerontology = Uspekhi gerontologii - 35(2022), 3 vom: 21., Seite 368-374

Sprache:

Russisch

Beteiligte Personen:

Kuznik, B I [VerfasserIn]
Shapovalov, K G [VerfasserIn]
Smolyakov, Y N [VerfasserIn]
Lukyanov, S A [VerfasserIn]
Tereshkov, P P [VerfasserIn]
Kazantseva, L S [VerfasserIn]
Linkova, N S [VerfasserIn]

Themen:

79621-14-0
Antibodies, Monoclonal, Humanized
EC 1.1.-
Elderly
Hemostasis
I031V2H011
Immunogenesis
Journal Article
Lactate Dehydrogenases
Middle aged
Severe COVID-19
Thymalin
Thymus Hormones
Tocilizumab

Anmerkungen:

Date Completed 30.09.2022

Date Revised 07.12.2022

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346849667