首页|氯吡格雷联合血脂康在预防患者TIA后发生脑梗死的作用研究

氯吡格雷联合血脂康在预防患者TIA后发生脑梗死的作用研究

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目的 观察氯吡格雷联合血脂康在预防短暂性脑缺血发作(TIA)后发生脑梗死的作用.方法 前瞻性入组商洛市中心医院2014年1月~2014年12月确诊的TIA患者116例,采用隐匿数字随机法分为2组,入院后均给予常规治疗,与此同时对照组58例给予75 mg氯吡格雷,1次/d;观察组58例在对照组基础上给予0.6g血脂康胶囊,2次/天疗程均为6个月,治疗前、疗程结束时采集血样检查患者血脂指标、凝血酶原时间(PT)、血小板计数(PLT)、活化部分凝血酶原时间(APTT),超声检查颈动脉内-中膜厚度(IMT)、粥样硬化斑块面积;随访12个月,记录2组TIA后12个月内IMT、脑梗死等脑血管事件发生情况.结果 治疗后观察组TG、TC、LDL-C明显低于对照组,HDL-C明显高于对照组(P<0.05).MT和斑块面积明显低于对照组(P<0.05).TIA后12个月,2组治疗前后肝肾功能、血常规均无明显变化,无1例皮肤黏膜、颅内及内脏出血病例.结论 氯吡格雷联合血脂康可有效降脂.
Study on the role of copidogrel in preventing celebral infarction after TIA
Objective To observe the effect of Clopidogrel combined with Xuezhikang on preventing cerebral infarction after transient ischemic attack (TIA). Methods 116 TIA patients in the Shangluo central hospital from January 2014 to December 2014 were randomly divided into two groups, all patients were given routine treatment, while 58 cases in the control group were given Clopidogrel 75mg, 1/d; 58 cases in the observation group were given 0.6 g Xuezhikang capsul based on the control group, twice one day; the course of treatment was 6 months. Before treatment and at the end of the course examination, blood samples were collected to test blood lipid, prothrombin time (PT), platelet count (PLT), activated partial thromboplastin time (APTT), ultrasound examination of carotid artery intima-media thickness (IMT), and the area of atherosclerotic plaque; after 12 months of follow-up, IMT and cerebral infarction and other cerebral vascular events of two groups were recorded in the 12 months after TIA. Results After treatment, the TG, TC and LDL-C in the observation group were significantly lower than that in the control group, and the HDL-C was significantly higher than that in the control group (P<0.05). MT and plaque area were significantly lower than those in the control group (P<0.05). 12 months after TIA, there were no obvious changes in liver and kidney function and blood routine in the two groups before and after treatment. There were no cases of skin, mucous membrane, intracranial or visceral hemorrhage. Conclusion Clopidogrel combined with Xuezhikang could effectively lower blood lipid.

clopidogreltransient ischemic attackcerebrovascular eventsprevention

孙晓莉、唐灵芝、秦敏、武岳

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商洛市中心医院 神经内科,陕西 商洛 726000

氯吡格雷 血脂康 短暂性脑缺血发作 预防作用

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(11)
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