小剂量阿司匹林联合复方丹参滴丸对2型糖尿病患者血液高凝状态的影响

目的 研究小剂量阿司匹林联合复方丹参滴丸分别对2型糖尿病(T2DM)患者和糖耐量减低(IGT)患者血液高凝状态的影响.方法 按1 999年WHO制订的糖尿病诊断标准,随机选择门诊IGT组患者63例,T2DM组患者68例.两组先同时服用复方丹参滴丸10粒/次,3次/d,连用2个月,停药7d;然后两组同时服用阿司匹林肠溶片100 mg/d,均餐后顿服,连用2个月,停药7d;两组再均继续服用阿司匹林肠溶片,在此基础上加服复方丹参滴丸10粒/次,3次/d,连服2个月.每次用药2个月后均监测血小板计数(PLT)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT),并计算两组抗凝达标有效率.结果 单用阿司匹林肠溶片治疗前后IGT组患者PT、APTT差异有统计学意义(P＜0.05),T2DM组PT、APTT差异无统计学意义;单用复方丹参滴丸治疗前后两组各项指标差异均无统计学意义(P＞0.05);联合用药后两组治疗前后PT、APTT差异有统计学意义(P＜0.05);单用阿司匹林肠溶片IGT组抗凝达标有效率71.4％,T2DM组抗凝达标有效率为23.8％;联合用药后IGT组抗凝达标有效率为100％,T2DM组抗凝达标有效率为86.7％,抗凝达标有效率在两组不同用药方式差异有统计学意义(P＜0.05).结论 联合应用阿司匹林肠溶片和复方丹参滴丸与单用阿司匹林肠溶片或单用复方丹参滴丸比较,在相同药物剂量下,联合用药效果叠加、不良反应减少,值得临床推广使用.

The effect of combinatory use of small dosage of aspirin with compound danshen dropping pills on type 2 diabetes patients' hypercoagulation blood

Objective To study the joint effect of small dosages of Aspirin and compound Danshen dropping pills on type 2 diabetes(T2DM) patients'and impaired glucose tolerance(IGT) patients' hypercoagulation blood.Methods The study followed diagnostic standards for T2DM by World Health Organization (WHO) in 1999,and randomly selected two groups of clinical patients:one had 63 patients with IGT and the other contained 68 patients with T2DM.Both groups took compound Danshen dropping pills with the total dosage of 10 pills each time,3 times per day,for continuum of 3 months.After that both groups stopped medication for 7 days,then began taking Aspirin after meal,with the dosage of 100 mg per day,for a continuum of 3 month.After that both groups stopped the medication for 7 days,then both group continued to take same dosage of ASA with addition of compound Danshen dropping pills of total amount of 10 pills per each time,3 times per day,for acontinuum of 3 months.Each medication period (ev ery 3 months) was monitored for platelet count (PET),prothrombin time (PT),kaolin partial thromboplastin time (APPT),The effective rate of anticoagulation for both groups were then calculated.Results The difference of PT、APTT between before and after taking single dosage of ASA for patients with impaired glucose tolerance (IGT) was statistically significant (P＜0.05),while patients with T2DM had no significant difference before and after taking same single dosage of ASA.Similarly, both groups with single dosage of compound Danshen dropping pills had no significant difference between before and after taking the medication.However,the difference of PT、APTT between before and after taking the combination of Aspirin and Danshen dropping pills of both groups were statistically significant (P＜0.05).IGT group with single dosage of ASA had an effective rate of 71.4％ for anti coagulation,while T2DM group with the same dosage reached 23.8％.The IGT group with combinatory dosage of ASA and Danshen dropping pills reached an effective rate of 100％ for anticoagulation,while T2DM group with the same dosage was 86.7％.The difference between those effective rates of anticoagulation was statistically significant in different medicine takeways of two groups (P＜0.05).Conclusion The combinatory use of small dosage of Aspirin with compound Danshen dropping pills had evident effect to improve IGT and hypercoagulation blood of T2DM patients who had good control of their blood glucose.