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PCI围术期单次高负荷量阿托伐他汀对抗血小板药物的影响
引用本文:李馨,刘云宝,黄超联,苗立夫,李莉娜,孙晓艳. PCI围术期单次高负荷量阿托伐他汀对抗血小板药物的影响[J]. 中西医结合心脑血管病杂志, 2011, 9(8): 923-924
作者姓名:李馨  刘云宝  黄超联  苗立夫  李莉娜  孙晓艳
作者单位:北京华信医院,100016
摘    要:目的观察经皮冠状动脉介入(PCI)治疗前服用80 mg阿托伐他汀对围术期抗血小板药物疗效有无影响。方法入选行择期PCI的87例冠心病患者。随机分为两组,高剂量组予冠心病基础药物治疗,并在PCI前8 h内给予单次高负荷剂量(80 mg)阿托伐他汀;对照组仅予基础药物治疗。PCI术前24 h内均给予负荷剂量的阿司匹林(300 mg)及氯吡格雷(300 mg)。PCI后24 h测血栓弹力图,3 d后复查血栓弹力图。结果术后24 h、3 d时两组抗血小板药物对血小板抑制率比较无统计学意义(P>0.05)。结论对于稳定型心绞痛及心肌标志物水平正常的不稳定型心绞痛患者,介入术前给予单次80 mg阿托伐他汀不影响抗血小板药物的疗效。

关 键 词:冠心病  经皮冠状动脉成形术  羟甲基戊二酰辅酶A还原酶抑制剂  氯吡格雷

Influence of Single High Loading Dose of Atorvastatin on Antiplatelet Drugs during Perioperative Period of PCI
Li Xin,Liu Yunbao,Huang Chaolian,et alHeart Center,First Hospital of Tsinghua University. Influence of Single High Loading Dose of Atorvastatin on Antiplatelet Drugs during Perioperative Period of PCI[J]. Chinese Journal of Integrative Medicine on Cardio-/Cerebrovascular Disease, 2011, 9(8): 923-924
Authors:Li Xin  Liu Yunbao  Huang Chaolian  et alHeart Center  First Hospital of Tsinghua University
Affiliation:Li Xin,Liu Yunbao,Huang Chaolian,et alHeart Center,First Hospital of Tsinghua University(Beijing 100016)
Abstract:Objective To investigate the influence of single high loading dose of atorvastatin(80 mg) on antiplatelet drugs during perioperative period of percutaneous coronary intervention(PCI).Methods A total of 87 patients(pts) with coronary artery disease who underwent selective PCI was enrolled in this study and randomized into two groups:Control group treated with routine medication,and the atorvastatin group treated with single loading of 80 mg atorvastatin within 8 hours before PCI.All pts in two groups were gi...
Keywords:coronary artery disease  percutaneous coronary angioplasty  3-hydroxy-3-methylglutaryl coenzyme A  clopidogrel  
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