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氯吡咯雷抗血小板作用与CYP2C19基因多态性关系的探讨
引用本文:徐晓薇,杜凤和,陈步星. 氯吡咯雷抗血小板作用与CYP2C19基因多态性关系的探讨[J]. 中国病案, 2011, 12(12): 36-37
作者姓名:徐晓薇  杜凤和  陈步星
作者单位:首都医科大学附属北京天坛医院心内科,北京市,100050
摘    要:目的探讨CYP2C19基因多态性与氯吡咯雷对血小板抑制率之间的关系。方法选取某院诊断为急性冠脉综合征患者76例,均口服氯吡格雷,利用血栓弹力图方法测定氯吡咯雷对血小板的抑制率,利用基因芯片试剂盒原理测定CYP2C19基因型。本试验共检测六种基因亚型。结果我国人群以CYP2C19*1*1,CYP2C19*1*2基因亚型为主。比较六种CYP2C19基因亚型患者氯吡咯雷对血小板的抑制率。结果无统计学差异,P〉0.05。结论 CYP2C19基因型与氯吡咯雷对血小板抑制率无明显关系,所以,对于ACS患者无论CYP2C19基因型如何均应按指南推荐剂量使用氯吡咯雷。

关 键 词:氯吡咯雷  血小板抑制率  CYP2C19基因型

Discussion on the Relationship of Clopidogrel Antiplatelet and CYP2C19 Genetic Polymorphism
Xu xiaowei,Du Fenghe,Chen Buxing. Discussion on the Relationship of Clopidogrel Antiplatelet and CYP2C19 Genetic Polymorphism[J]. Chinese Medical Record, 2011, 12(12): 36-37
Authors:Xu xiaowei  Du Fenghe  Chen Buxing
Affiliation:Xu xiaowei,Du Fenghe,Chen Buxing,Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing 100050,China
Abstract:Objective to discuss the relationship of CYP2C19 genetic polymorphism and the inhibition of clopidogrel antiplatelet.Methods We selected 76 ACS patients who took clopidogrel,using thrombelastogram to test the inhibition rate of clopidogrel to platelet;we apply the principles of gene chip kit to test CYP2C19 gene type.In this test,there are six gene sub-type are tested which turns out that people are mainly CYP2C19*1*1 and CYP2C19*1*2 gene sub-type in our country.The inhibition rate of clopidogrel to platele...
Keywords:Clopidogrel  Rate of platelet  CYP2C19 gene type  
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