首页|氯吡格雷与阿司匹林联合使用对急性脑梗死的治疗效果分析

氯吡格雷与阿司匹林联合使用对急性脑梗死的治疗效果分析

Effect analysis of clopidogrel combined with aspirin in the treatment of acute cerebral infarction

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目的 探讨急性脑梗死(ACI)使用阿司匹林联合氯吡格雷治疗的效果.方法 研究抽取病例样本共60例,样本抽取年限为2021年1月~2022年2月,均确诊为ACI疾病,分组方法为双盲法,最终分为甲组、乙组,各纳入30例.甲组使用阿司匹林治疗,乙组在前组用药基础上联合氯吡格雷治疗.对比两组炎性因子、凝血指标、疗效及不良反应发生情况,以评定效果.结果 两组C反应蛋白(CRP)、肿瘤坏死因子(TNF)-α比较,乙组治疗后均低于甲组,差异有统计学意义(P < 0.05).两组活化部分凝血活酶时间(APTT)、血浆凝血酶原时间(PT)比较,乙组均高于甲组,差异有统计学意义(P < 0.05).两组不良反应总发生率比较,乙组(6.67%)低于甲组(20.00%),差异有统计学意义(P < 0.05).两组治疗总有效率比较,乙组(96.67%)高于甲组(76.67%),差异有统计学意义(P < 0.05).结论 ACI患者使用阿司匹林联合氯吡格雷治疗的效果确切,可改善凝血功能,减轻机体炎症水平,且不良反应少,疗效可靠、安全.
Objective To investigate the effect of aspirin combined with clopidogrel in the treatment of acute cerebral infarction (ACI). Methods A total of 60 case samples were selected from January 2021 to February 2022, all of which were diagnosed as ACI disease. The classification method was double-blind, and they were divided into group A and Group B for comparison, with 30 cases in each group. Group A was treated with aspirin and group B was treated with clopidogrel. Inflammatory factors, coagulation indexes, curative effect and occurrence of adverse reactions were compared between the two groups to evaluate the effect. Results Statistics showed that C-reactive protein (CRP) and tumor necrosis factor (TNF) -α were lower in group B than in group A after treatment, and the difference was statistically significant (P<0.05). Activated partial thrombin time (APTT) and plasma prothrombin time (PT) were compared between the two groups, and group B was longer than group A, the difference was statistically significant (P<0.05). The total incidence of adverse reactions in group B (6.67%) was lower than that in group A (20.00%), and the difference was statistically significant (P<0.05). The total effective rate in group B (96.67%) was higher than that in group A (76.67%), and the difference was statistically significant (P<0.05). Conclusion The effect of aspirin combined with clopidogrel in the treatment of ACI patients is accurate, which can improve the coagulation function and reduce the level of inflammation in the body, and has fewer adverse reactions. The efficacy is reliable and safe.

acute cerebral infarctionaspirinclopidogreleffect of treatment

樊艳丽、Yao Shi-wei

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合阳县医院,陕西 渭南 714000

Zhenping County Hospital, Ankang city, Shaanxi Province, Ankang 725600, China

急性脑梗死 阿司匹林 氯吡格雷 治疗效果

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(1)
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