首页|急性缺血性脑卒中患者双抗治疗中采取药物相关基因检测的临床意义

急性缺血性脑卒中患者双抗治疗中采取药物相关基因检测的临床意义

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目的:探究急性缺血性脑卒中(AIS)患者双抗(阿司匹林+氯吡格雷)治疗中采取药物相关基因检测的临床意义.方法:选取 2021 年 4 月—2023 年 4 月本院收治的AIS患者 100 例,随机分为对照组和观察组,每组 50 例.对照组选择目前AIS指南中推荐的用药方法进行治疗,观察组通过基因多态性检测后推荐的药物予以治疗.比较两组治疗效果及用药安全性,并记录两组患者随访 3 个月、6 个月内的复发情况.结果:观察组治疗有效率为 92.00%,高于对照组的 76.00%(P<0.05).观察组用药期间全身出血性事件总发生率为8.00%,低于对照组的24.00%(P<0.05).观察组随访3个月、6 个月内复发率分别为 0 和 2.00%,低于对照组的 12.00%和 16.00%(P<0.05).结论:通过药物相关基因检测指导AIS患者双抗治疗个体化用药,可有效提升抗血小板聚集治疗效果,降低复发率,安全系数较高.
Clinical Significance of Drug-related Gene Detection in Patients with Acute Ischemic Stroke Treated with Double-antibody Therapy
Objective:To explore the clinical significance of drug-related gene detection in dual antiplatelet therapy(aspirin+clopidogrel)in patients with acute ischemic stroke(AIS).Methods:A total of 100 AIS patients admitted to our hospital from April 2021 to April 2023 were randomly divided into control group and observation group,with 50 patients in each group.The control group selected the medication recommended method in the current AIS guidelines for treatment,and the observation group was treated with the recommended drug after genetic polymorphism testing.The treatment effect and medication safety of the two groups were evaluated,and the recurrence within 3 months and 6 months of follow-up was recorded.Results:The effective rate of treatment in the observation group was 92.00%,which was higher than 76.00%in the control group(P<0.05).The overall incidence of systemic hemorrhagic events during medication in the observation group was 8.00%,which was lower than 24.00%in the control group(P<0.05).The recurrence rates in the observation group were 0 and 2.00%,respectively,which were lower than 12.00%and 16.00%in the control group(P<0.05).Conclusion:Through drug-related gene detection to guide the individualized medication of double-antibody therapy in AIS patients,it can effectively improve the effect of anti-platelet aggregation therapy,reduce the recurrence rate,and have a high safety factor.

Acute ischemic strokeGenetic polymorphismsAspirinClopidogrel

徐新平、林晓霖、罗毅峰、吴来强

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东山县医院神经内科,福建 漳州 363400

急性缺血性脑卒中 基因多态性 阿司匹林 氯吡格雷

福建省卫生健康委员会科技计划项目

22YQ009

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(6)
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