首页|阿司匹林联合阿托伐他汀钙对脑梗死患者血清学指标及颈动脉粥样硬化斑块变化情况的影响

阿司匹林联合阿托伐他汀钙对脑梗死患者血清学指标及颈动脉粥样硬化斑块变化情况的影响

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目的 探究阿司匹林(aspirin,APC)联合阿托伐他汀钙对脑梗死(cerebral infarction,CI)患者的影响.方法 非随机选取聊城市眼科医院于2022年4月—2023年4月收治的98例CI患者为研究对象,根据治疗方法不同分为对照组(n=49,APC肠溶片治疗)和观察组(n=49,APC联合阿托伐他汀钙治疗),两组持续用药4周.对比两组血清学指标、颈动脉粥样硬化斑块变化情况、炎症反应、不良反应.结果 治疗后观察组血清同型半胱氨酸(9.39±1.41)μmol/L、神经元特异性烯醇化酶(19.66±2.15)IU/L、尿酸(231.06±10.44)μmol/L均低于对照组的(15.22±2.13)μmol/L、(25.59±2.91)IU/L、(314.84±12.88)μmol/L,差异有统计学意义(t=15.976、11.473、35.372,P均<0.05);治疗后观察组颈总动脉内膜中层厚度、斑块厚度、斑块面积均小于对照组,白介素-6、肿瘤坏死因子-α、C反应蛋白低于对照组,差异有统计学意义(P均<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 APC与阿托伐他汀钙联合治疗可改善CI患者的血清学指标与颈动脉粥样硬化斑块变化情况,减轻炎症反应,且不良反应较少.
Effect of Aspirin Combined with Atorvastatin Calcium on Serological In-dexes and Changes of Carotid Atherosclerotic Plaque in Patients with Ce-rebral Infarction
Objective To explore the effect of aspirin(APC)combined with atorvastatin calcium on patients with cere-bral infarction(CI).Methods A total of 98 CI patients admitted to Liaocheng Eye Hospital from April 2022 to April 2023 were selected as the study subjects,and were divided into control group(n=49,APC enteric-coated tablet treat-ment)and observation group(n=49,APC combined with atorvastatin calcium treatment)according to different treat-ment methods.The two groups were treated for 4 weeks continuously.Serological indexes,changes of carotid athero-sclerotic plaques,inflammatory reactions and adverse reactions were compared between the two groups.Results After treatment,serum homocysteine(9.39±1.41)μmol/L,neuron-specific enolase(19.66±2.15)IU/L and uric acid(231.06±10.44)μmol/L in observation group were lower than(15.22±2.13)μmol/L and(25.59±2.91)IU/L in control group,(314.84±12.88)μmol/L,the differences were statistically significant(t=15.976,11.473,35.372,all P<0.05).After treatment,the intima-media thickness,plaque thickness and plaque area of the common carotid artery in the ob-servation group were lower than those in the control group,and the interleukin-6,tumor necrosis factor-α and C-reactive protein were lower than those in the control group,the difference were statistically significant(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclu-sion APC combined with atorvastatin calcium can improve the serological indexes and the changes of carotid athero-sclerotic plaque in patients with CI,reduce the inflammatory response,with fewer adverse reactions.

CIAPCAtorvastatin calciumCarotid atherosclerotic plaqueInflammatory responseAdverse reaction

石翠华、王洪贞

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聊城市眼科医院药学部,山东 聊城 252000

聊城市高唐县琉璃寺镇卫生院药房,山东 聊城 252864

脑梗死 阿司匹林 阿托伐他汀钙 颈动脉粥样硬化斑块 炎症反应 不良反应

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(14)