首页|阿司匹林联合氯吡格雷治疗脑梗死的效果分析

阿司匹林联合氯吡格雷治疗脑梗死的效果分析

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目的 探究对于脑梗死患者采用阿司匹林联合氯吡格雷的临床效果.方法 选取2021年7月—2022年12月在靖江市人民医院接受治疗的76例脑梗死患者为研究对象,并将其按照随机数表法分为观察组以及参照组,每组38例,参照组给予阿司匹林治疗,观察组在阿司匹林治疗基础上联合氯吡格雷治疗,比较两组的血清炎性因子、血液流动学指标和氧化酶活性指标情况.结果 两组患者经过治疗之后,症状均有所改善,其中观察组C-反应蛋白、白介素-6、白介素-8水平分别为(4.53±0.97)mg/L、(5.22±1.98)pg/mL、(60.28±2.78)ng/mL,均明显优于参照组,差异有统计学意义(t=15.180、7.789、22.697,P均<0.05);同时血浆黏度、血小板聚集率、全血黏度分别为(1.12±0.02)mPa·s、(58.42±5.13)%、(3.01±0.56)mPa·s,均明显优于参照组,差异有统计学意义(t=22.695、7.239、4.484,P均<0.05);除此之外,观察组的超氧化物歧化酶、丙二醛、氧化氢酶指标分别为(74.56±2.95)kU/L、(3.24±1.11)nmol/mL、(26.28±5.71)IU/mL,均优于参照组,差异有统计学意义(t=18.287、3.131、5.746,P均<0.05).结论 阿司匹林联合氯吡格雷治疗脑梗死,能够显著改善患者血液流变学指标,降低血清炎性因子水平,促进氧化酶活性指标恢复到正常值,具有显著的临床疗效.
Effect of Aspirin Combined with Clopidogrel in the Treatment of Cerebral Infarction
Objective To explore the clinical effect of aspirin combined with clopidogrel in patients with cerebral in-farction.Methods A total of seventy-six patients with cerebral infarction who received treatment in Jingjiang People's Hospital from July 2021 to December 2022 were selected as the study objects,and were divided into observation group and reference group according to random number table method,with thirty-eight patients in each group.The ref-erence group was treated with aspirin,and the observation group was treated with clopidogrel on the basis of aspirin.Serum inflammatory factors,blood flow indexes and oxidase activity indexes were compared between the two groups.Results After treatment,symptoms improved in both groups.The levels of C-reactive protein,interleukin-6,interleu-kin-8 in the observation group were(4.53±0.97)mg/L,(5.22±1.98)pg/mL and(60.28±2.78)ng/mL,respectively,which were significantly better than those in the reference group,and the difference was statistically significant(t= 15.180,7.789,22.697,all P<0.05).The plasma viscosity,platelet aggregation rate and whole blood viscosity were(1.12±0.02)mPa·s,(58.42±5.13)%and(3.01±0.56)mPa·s,respectively,which were significantly better than those of the reference group,and the difference was statistically significant(t=22.695,7.239,4.484,all P<0.05).The indexes of superoxide dismutase,malondialdehyde and hydrooxidase in the observation group were(74.56±2.95)kU/L,(3.24±1.11)nmol/mL and(26.28±5.71)IU/mL,respectively,which were better than those in the reference group,and the dif-ferences were statistically significant(t=18.287,3.131,5.746,all P<0.05).Conclusion In the treatment of cerebral in-farction,aspirin combined with clopidogrel can significantly improve the hemorheology index of patients,reduce the level of serum inflammatory factors,and promote the oxidase activity index to return to normal value,which has a sig-nificant clinical effect.

AspirinClopidogrelCerebral infarctionSerum inflammatory factorsHematologyOxidase activity index

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靖江市人民医院神经内科,江苏靖江 214500

阿司匹林 氯吡格雷 脑梗死 血清炎性因子 血液流动学 氧化酶活性指标

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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