首页|阿司匹林肠溶片联合他汀类药物治疗动脉粥样硬化脑血栓形成的临床疗效探讨

阿司匹林肠溶片联合他汀类药物治疗动脉粥样硬化脑血栓形成的临床疗效探讨

扫码查看
目的 研究阿司匹林肠溶片联合他汀类药物治疗动脉粥样硬化脑血栓形成的效果。方法 111例动脉粥样硬化脑血栓形成患者,按随机方法分为观察组(55 例)和对照组(56 例)。对照组选择阿司匹林肠溶片治疗,观察组在对照组的基础上联合阿托伐他汀进行治疗。比较两组患者治疗前后的凝血功能(凝血酶原时间、凝血酶时间、纤维蛋白原水平)以及颈动脉情况(颈动脉斑块面积、颈动脉内膜中层厚度)。结果 治疗后,观察组凝血酶原时间为(12。82±0。68)s、凝血酶时间为(17。21±1。47)s、纤维蛋白原为(2。50±0。40)g/L,优于对照组的(11。97±0。23)s、(15。28±1。26)s、(2。83±0。46)g/L,差异有统计学意义(P<0。05)。治疗后,观察组颈动脉斑块面积为(0。99±0。16)cm2、颈动脉内膜中层厚度为(0。83±0。13)mm,对照组颈动脉斑块面积为(1。25±0。20)cm2、颈动脉内膜中层厚度为(1。01±0。16)mm,观察组明显优于对照组,差异有统计学意义(P<0。05)。结论 阿司匹林肠溶片联合他汀类药物可实现对动脉粥样硬化脑血栓形成患者的治疗,帮助改善患者凝血指标和颈动脉有关指标,值得推荐。
Clinical efficacy of aspirin enteric-coated tablets combined with statins in the treatment of atherosclerotic cerebral thrombosis
Objective To study the effect of aspirin enteric-coated tablets combined with statins in the treatment of atherosclerotic cerebral thrombosis.Methods 111 patients with atherosclerotic cerebral thrombosis were randomly divided into an observation group(55 cases)and a control group(56 cases).The control group was treated with aspirin enteric-coated tablets,and the observation group was treated with atorvastatin on the basis of control group.The coagulation(prothrombin time,thrombin time,fibrinogen level)and carotid artery condition(carotid plaque area,carotid intima-media thickness)were compared between the two groups before and after treatment.Results After treatment,the observation group had prothrombin time of(12.82±0.68)s,thrombin time of(17.21±1.47)s,and fibrinogen of(2.50±0.40)g/L,which was better than(11.97±0.23)s,(15.28±1.26)s,(2.83±0.46)g/L in the control group.The difference was statistically significant(P<0.05).After treatment,the carotid plaque area and carotid intima-media thickness in the observation group were(0.99±0.16)cm2 and(0.83±0.13)mm,and those in the control group were(1.25±0.20)cm2 and(1.01±0.16)mm.The observation group was significantly better than the control group,and the difference was statistically significant(P<0.05).Conclusion Aspirin enteric-coated tablets combined with statins can realize the treatment of patients with atherosclerotic cerebral thrombosis,and help improve the coagulation indexes and carotide-related indexes of patients,which is worthy of recommendation.

AspirinStatinsAtherosclerosisCerebral thrombosisEfficacy

孙珍珍

展开 >

111000 辽宁省辽阳市中心医院

阿司匹林 他汀类药物 动脉粥样硬化 脑血栓形成 疗效

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(6)
  • 13