COVID-19 Pneumonia
Conditions
Brief summary
The goal of this type of clinical trial is to learn about symptomatic patients with post-COVID-19 parenchymal lung abnormalities. The main questions it aims to answer are: the efficacy and safety of low-dose dexamethasone or traditional Chinese medicine in symptomatic patients with post-COVID-19 parenchymal lung abnormalities. Participants will be divided into three parallel groups:controlled group with conventional western medicine treatment including oxygen therapy, antibiotics, nebulization therapy, etc. dexamethasone group: dexamethasone 1.5mg/day for one week and 0.75mg/day for another week basing on conventional western medicine. Chinese medicine group: Strengthening spleen and tonifying lung decoction for 2 weeks basing on conventional western medicine.
Interventions
conventional western medicine treatment only
treat with Dexamethasone for 2 weeks
treat with strengthening spleen and tonifying lung decoction for 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical diagnosis of COVID-19 pneumonia; * 3 to 8 weeks after the onset of the first symptoms of COVID-19 infection; * Modified Medical Research Council (mMRC) score ⩾2 or hypoxemia; * Imaging severity assessment of pneumonia: CT severity scores (CTSS):≥5; * Signed the informed consent.
Exclusion criteria
* Participants still admitted to intensive care unit at the time of enrollment; * Known prior structural lung disease, including pulmonary fibrosis, severe COPD, severe bronchiectasis, and lung destruction; * Taking glucocorticoids or immunosuppressants because of other chronic diseases; * Contraindications of glucocorticoid; * Heart failure(NYHA III or IV); * Participants with renal replacement therapy; * Psychiatric disorders or cognitive impairments; * The expected survival time is less than six months due to diseases other than COVID-19 pneumonia.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lung CT scan | 1 month | compared with base,≥90% pneumonia obsorbed |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lung CT scan | 3 months | compared with base,≥50% pneumonia obsorbed |
Countries
China