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低分子肝素联合阿司匹林在短暂性脑缺血治疗中的临床疗效分析
引用本文:王挺刚,胡玲玲,孔亮,桂树华. 低分子肝素联合阿司匹林在短暂性脑缺血治疗中的临床疗效分析[J]. 现代预防医学, 2011, 38(16): 3387-3389
作者姓名:王挺刚  胡玲玲  孔亮  桂树华
作者单位:江苏省无锡市第三人民医院神经内科,无锡,214041
摘    要:[目的]探讨低分子肝素联合阿司匹林治疗短暂性脑缺血发作(TIA)的临床疗效。[方法]选择70例TIA患者随机分为对照组和观察组,两组均给予静脉滴注复方丹参、维脑路通、VitE、低分子右旋糖酐,口服阿司匹林100mg,1次/d,观察组加用低分子肝素5000u于脐旁皮下注射,q12,14d为一疗程。比较两组治疗前后血小板计数h(PLT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原(Fg)的变化。[结果]观察组总体有效率为94.3%,明显高于对照组;观察组治疗后PLT、Fg明显降低(P﹤0.05),APTT、PT较治疗前延长(P﹤0.05),但仍未超过正常范围;对照组治疗后PLT、APTT、PT及与治疗前比较差异无统计学意义(P﹥0.05)。[结论]低分子肝素联合阿司匹林治疗TIA发作的疗效显著优于单用阿司匹林。

关 键 词:短暂性脑缺血发作  低分子肝素  阿司匹林

CLINICAL EFFECTS ANALYSIS OF ASPIRIN AND LOW MOLECULAR WEIGHT HEPARIN IN TREATMENT OF TRANSIENT IS CHEMIC ATTACK
WANG Ting-gang,HU Ling-ling,KONG Liang,et al.. CLINICAL EFFECTS ANALYSIS OF ASPIRIN AND LOW MOLECULAR WEIGHT HEPARIN IN TREATMENT OF TRANSIENT IS CHEMIC ATTACK[J]. Modern Preventive Medicine, 2011, 38(16): 3387-3389
Authors:WANG Ting-gang  HU Ling-ling  KONG Liang  et al.
Affiliation:WANG Ting-gang,HU Ling-ling,KONG Liang,et al.(Department of Neurology,the Third Hospital of Wuxi,Wuxi 214041,China)
Abstract:[Objective]To investigate the effects of low molecular weight heparin and aspirin in transient ischemic attack.[Methods]70 transient ischemic attack patients were divided into control group and observer group,both groups give static drops compound danshen,vascular brain leads,VitE,low molecular dextran,oral aspirin 100mg,1 times/d,the observation group add with low molecular heparin in 5 000 u beside the q12 subcutaneously scanning. The 14 days were as one period of treatment. The two platelet count(before ...
Keywords:Transient ischemic attack  Low molecular weight heparin  Aspirin  
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