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氯吡格雷治疗急性冠脉综合征的临床疗效及其对血小板P选择素和C反应蛋白的影响
引用本文:赵助飞,王飞.氯吡格雷治疗急性冠脉综合征的临床疗效及其对血小板P选择素和C反应蛋白的影响[J].中国药房,2011(36):3411-3413.
作者姓名:赵助飞  王飞
作者单位:浙江诸暨市第二人民医院内科;浙江诸暨市中医院急诊科;
摘    要:目的:观察氯吡格雷治疗急性冠脉综合征(ACS)的临床疗效,探讨其对血小板P选择素和C反应蛋白(CRP)的影响。方法:100例ACS患者随机分为治疗组和对照组。对照组采用阿司匹林常规治疗,治疗组采用氯吡格雷联合阿司匹林治疗,治疗6个月后评价临床疗效。治疗前、后测定2组血清血小板P选择素和CRP水平。结果:治疗组临床总有效率为94.0%,显著高于对照组(76.0%),2组比较有显著性差异(P<0.05);治疗后,治疗组血小板P选择素和CRP水平显著降低,与治疗前和对照组比较有显著性差异(P<0.05);血清P选择素与CRP水平呈显著正相关性(r=0.571,P=0.001)。结论:血小板P选择素和CRP在ACS发生和进展过程中发挥着重要的作用;氯吡格雷治疗ACS临床疗效好,可以抑制血小板活化和炎性反应达到抗血栓的目的。

关 键 词:氯吡格雷  血小板P选择素  C反应蛋白  急性冠脉综合征

Clinical Efficacy of Clopidogrel in the Treatment of Acute Coronary Syndrome and Effect of It on Serum Platelet P-selection and C-reactive Protein
ZHAO Zhu-fei WANG Fei.Clinical Efficacy of Clopidogrel in the Treatment of Acute Coronary Syndrome and Effect of It on Serum Platelet P-selection and C-reactive Protein[J].China Pharmacy,2011(36):3411-3413.
Authors:ZHAO Zhu-fei WANG Fei
Institution:ZHAO Zhu-fei(Dept.of Internal Medicine,Zhuji Municipal Second People's Hospital of Zhejiang Province,Zhuji 311811,China) WANG Fei(Dept.of Emergency,Zhuji Hospital of Traditional Chinese Medicine of Zhejiang Province,Zhuji 311800,China)
Abstract:OBJECTIVE:To observe the clinical efficacy of clopidogrel in the treatment of acute coronary syndrome(ACS),and to investigate the effects of it on serum platelet P-selection and C-reactive protein(CRP).METHODS:100 ACS patients were randomly divided into treatment group and control group.Control group was given conventional therapy of aspirin,and treatment group was given clopidogrel combined with conventional therapy of aspirin.The clinical efficacy was observed after treatment for 6 months.Before treatment...
Keywords:Clopidogrel  Platelet P-selection  C-reactive protein  Acute coronary syndrome  
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