首页|氯吡格雷对急性心肌梗死合并心力衰竭患者血清炎性因子及超声心动图指标的影响

氯吡格雷对急性心肌梗死合并心力衰竭患者血清炎性因子及超声心动图指标的影响

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目的 研究分析氯吡格雷对急性心肌梗死合并心力衰竭患者血清炎性因子及超声心动图指标的影响.方法 选取九江解放军第171医院于2014年7月~2016年8月收治的60例急性心肌梗死合并心力衰竭患者作为本次研究过程中的研究对象,随机分为对照组和实验组,各30例.对照组患者采用利尿剂以及硝酸甘油和阿司匹林等常规治疗,实验组患者在对照组的基础上进行氯吡格雷治疗.治疗6个月后,比较分析实验组与对照组患者的治疗效果以及相关临床指标及超声心动图变化情况.结果 经过6个月对应的治疗后,与治疗前相比,实验组与对照组患者的C-反应蛋白、血管细胞黏分子-1、6min步行实验、白细胞介素-6以及心率、左室射血分数、左室短轴缩短率等治疗均有所改善,差异具有统计学意义(P<0.05),左心室舒张末期内径变化无统计学差异.实验组患者的C-反应蛋白、血管细胞黏分子-1、6min步行实验、白细胞介素-6以及心率指标均显著优于对照组患者,差异具有统计学意义(P<0.05).结论 氯吡格雷在急性心肌梗死合并心力衰竭中的应用能够在很大程度上改善患者炎性反应情况,结合彩色多普勒超声心动图检查能客观反映用药后对患者的左心室射血分数、左室短轴缩短率以及心率等心功能指标都有改善,具有进一步临床推广和应用的意义.
Effect of clopidogrel on serum inflammatory factors and echocardiography in patients with acute myocardial infarction complicated with heart failure
Objective To study the effect of clopidogrel on serum inflammatory factors and echocardiography in patients with acute myocardial infarction complicated with heart failure.Methods60 cases of patients admitted in our hospital from July 2014 to August 2016 were selected as the research object in this study.They were randomly divided into the control group and the experimental group, each group had a total of 30 cases.Patients in the control group were treated with diuretics, nitroglycerin and aspirin, while the experimental group received clopidogrel on the basis of the control group.After treatment in June, comparative analysis of the experimental group and the control group of patients with treatment effect and related clinical indicators.ResultsAfter treatment, 6months after the corresponding, compared with before treatment, the experimental group and the control group of patients with C-reactive protein and vascular cell adhesion molecule 1, 6min mediated leukocyte walking experiment, Su-6 and the heart rate of treatment were improved, with statistical difference (P<0.05), left ventricular end diastolic there was no significant difference between the change in diameter.In the control group, C-reactive protein, vascular cell adhesion molecule 1, 6min walking test, interleukin-6 and heart rate were significantly better than those in the control group, with statistical difference (P<0.05).ConclusionThe application of clopidogrel in acute myocardial infarction complicated with heart failure in the can to a great extent on the inflammatory response in patients, improve the patient's left ventricular ejection fraction and heart rate, with the further promotion and application in clinical significance.

clopidogrelacute myocardial infarctionheart failureinflammatory factorechocardiographic index

兰英、方石虎

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九江解放军第171医院 彩超室,江西 九江 332000

九江解放军第171医院 心内科,江西 九江 332000

氯吡格雷 急性心肌梗死 心力衰竭 炎性因子 超声心动图指标

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
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