首页|冠心宁片对冠心病血瘀证氯吡格雷抵抗的调节作用分析

冠心宁片对冠心病血瘀证氯吡格雷抵抗的调节作用分析

Regulatory Effect of Guanxinning Tablets on Clopidogrel Resistance in Patients with Blood Stasis Syndrome

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目的 分析冠心宁片对冠心病重度血瘀证患者经皮冠状动脉介入术(PCI)后氯吡格雷抵抗的调节作用.方法 选取某医院2022年7月-2023年7月收治的冠心病重度血瘀证经皮冠状动脉介入术后伴氯吡格雷抵抗的患者,分为对照组(n=47)与观察组(n=47).对照组给予阿司匹林+氯吡格雷治疗,观察组给予阿司匹林+氯吡格雷+冠心宁片治疗.观察并记录两组患者的治疗效果、血液流变学指标、血小板抑制率、残余血小板纤维蛋白凝块强度及不良反应发生情况,并进行统计学分析.结果 观察组治疗总有效率显著高于对照组(χ2=4.374,P<0.05).治疗后,观察组全血黏度相比对照组显著降低(P<0.05).治疗后,观察组血小板抑制率显著高于对照组,而残余血小板纤维蛋白凝块强度显著低于对照组(P<0.05).观察组不良反应总发生率低于对照组(χ2=3.887,P<0.05).结论 冠心宁片治疗冠心病重度血瘀证患者经皮冠状动脉介入术后氯吡格雷抵抗效果肯定,临床症状改善明显,有效调节氯吡格雷抵抗,值得临床推广.
Objective To analyze the regulatory effect of Guanxinning tablets on clopidogrel resist-ance in patients with severe blood stasis syndrome of coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 94 patients with severe blood stasis syndrome of coronary heart disease who underwent PCI with clopidogrel resistance and were admitted to our hospital between July 2022 and July 2023 were randomly divided into a control group(n=47)and an observation group(n=47)using a random number table method.The control group received aspirin combined with clopidogrel while the observation group was additionally given Guanxinning tablets.The therapeutic effect,hemorheological indicators,platelet inhibition rate,residual platelet fibrin clot strength and adverse reactions in the two groups before and after treatment were observed.Results The effective rate of the observation group was significantly higher than that of the control group(χ2=4.374,P<0.05).After treatment,the observation group showed a significant decrease in whole blood viscosity with high shear and low shear compared to the control group(P<0.05).After treatment,the platelet inhibition rate in the observation group was signifi-cantly higher than in the control group,while the residual platelet fibrin clot strength was significantly lower(P<0.05).The total incidence of adverse reactions in the observation group was lower than in the control group(χ2=3.887,P<0.05).Conclusion Guanxinning tablets can have a positive effect on clopi-dogrel resistance in patients with severe blood stasis syndrome of coronary heart disease after PCI,improve clinical symptoms significantly,and effectively regulate clopidogrel resistance.

Guanxinning tabletscoronary heart diseaseclopidogrel resistanceblood stasis syndrome

向会、陆萍、郑巍、王翔

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313000 浙江湖州,陆军第72集团军医院

冠心宁片 冠心病 氯吡格雷抵抗 血瘀证

浙江省医学会临床医学科研专项资金项目

2022ZYC-A184

2024

解放军药学学报
中国人民解放军总后勤部卫生部 药品仪器检验所

解放军药学学报

影响因子:0.529
ISSN:1008-9926
年,卷(期):2024.37(3)