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1、阿司匹林聯(lián)合氯毗格雷治療急性腦梗死的臨床效果黨衛(wèi)軍蔣建華宋昌軍李娟陜西省森工醫(yī)院神經(jīng)內(nèi)科摘要:R的探討急性腦梗死治療屮應(yīng)用阿司匹林聯(lián)合氯毗格雷的臨床效果。方法將我院收治的120例急性腦梗死患者隨機分成試驗組與對照組,每組60例。試驗組患者給予阿司匹林聯(lián)合氯毗格雷治療;對照組單服拜阿司匹林。比較兩組患者的缺血事件再發(fā)率,治療前、后的NIHSS評分與Barthel指數(shù)、hs_CRP水平及血小板聚集率。結(jié)果試驗組治療后缺血事件再發(fā)率明顯低于對照組,差異具有統(tǒng)計學意義(P〈0.05);治療后,兩組患者的NIUSS評分與Bar
2、thel指數(shù)均優(yōu)于治療前,且試驗組上述指標評分明顯優(yōu)于對照組(P<0.05);治療后,兩組患者的血漿hs-CRP水平和血小板聚集率均優(yōu)于治療前,且試驗組明顯優(yōu)于對照組(P<0.05)。結(jié)論阿司匹林聯(lián)合氯毗格雷的治療效果與安全性高于單服阿司匹林,具有臨床推廣價值。關(guān)鍵詞:急性腦梗死;阿司匹林;氯毗格雷;作者簡介:黨衛(wèi)軍(1979-),男,漢族,陜西商洛人,主治醫(yī)師。研究方向:祌經(jīng)內(nèi)科疾病的診斷與治療。Clinicaleffectofaspirincombinedwithclopidogrelinthetreatment
3、ofacutecerebralinfarctionDANGWei-junJIANGJian-huaSONGChang-junLIJuanDepartmentofNeurology,ShaanxiSengongHospital;Abstract:ObjectiveToevaluatetheclinicalefficacyofaspirincombinedwithclopidogrelinthetreatmentofacutecerebralinfarction.MethodsOnehundredandtwentyacu
4、tecerebralinfarctionpatientsadmittedinourhospitalwereran-domlydividedintocontrolgroupandexperimentalgroup,with30casesineachgroup.Theexperimentalgroupreceivedaspirincombinedwithclopidogrel,andthecontrolgroupreceivedaspirin.Theischemiceventrecurrencerate,NIHSSsco
5、re,Barthe1index,hs-CRPlevelandplateletaggregationratebeforeandaftertreatmentwerecomparedbetweenthetwogroups.ResultsTheischemiceventrecurrencerateoftheexperimentalgroupwerelowerthanthatofthecontrolgroup(P〈0.05)?Aftertreatment,theNIHSSscoresandBarthelindexeswereb
6、etterthanthosebeforetreatment,andthoseindexesscoresaboveoftheexperimentalgroupwerebetterthanthecontrolgroup(P<0.05).Aftertreatment,thehs"CRPlevelsandplateletaggregationrateswerebetterthanthosebeforetreatment,andthoseoftheexperimentalgroupwerebetterthanthecontro
7、lgroup(P<0.05).ConclusionTheefficacyandsafetyofaspirincombinedwithclopidogrelinthetreatmentofacutecerebralinfarctionarehigherthanaspirinalone,whichshouldbewidelyusedinclinic.Keyword:acutecerebralinfarction;aspirin;clopidogrel;近些年,我國急性腦梗死發(fā)病率呈現(xiàn)上升趨勢,具有較高的致殘率與死亡率,同
8、時并發(fā)失語、肢體偏癱及癡呆等癥狀,嚴重影響患者生活質(zhì)量與生命健康m。同時,急性腦梗死病發(fā)后復發(fā)率較高,梗死后進展性卒中更高。因此,強化急性期治療有著較高的現(xiàn)實意義。臨床缺血性腦卒中急性期,但使用抗血小板藥物僅可稍降低再發(fā)腦卒屮風險概率。本研宂以我院收治的120例急性腦梗死患者為對象,分析阿司匹林聯(lián)合氯毗格雷的臨床效果,現(xiàn)將研宄結(jié)果報道如下。1資