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氯吡格雷治疗急性非ST段抬高心肌梗死的近期预后观察
引用本文:陆俊杰. 氯吡格雷治疗急性非ST段抬高心肌梗死的近期预后观察[J]. 化工之友, 2010, 0(12)
作者姓名:陆俊杰
作者单位:江苏省宜兴市人民医院;
摘    要:目的探讨急性非ST段抬高心肌梗死(NSTEMI)患者使用不同剂量氯吡格雷治疗的疗效及近期预后。方法所有临床确定为NSTEMI患者随机分为治疗组(n=80)和对照组(n=78),治疗组用常规治疗加首次负荷剂量氯吡格雷300mg口服,随后2周每天150mg,之后每天口服75mg,对照组用常规治疗加氯吡格雷每天口服75mg,比较2组的疗效及近期预后。结果治疗组死亡、再梗死、中风、再发心绞痛、需要血运重建等联合终点事件治疗组与对照组分别为22.5%与41%,2组比较有显著性差异(P<0.05);2组发生出血并发症比较无统计学意义(P>0.05)。结论给予负荷剂量且短期较大剂量使用氯吡格雷治疗NSTEMI具有更好的疗效且安全,能改善NSTEMI患者的近期预后。

关 键 词:急性非ST段抬高心肌梗死  药物疗法  预后  氯吡格雷  

Short Term Prognosis of Clopidogrel Treatment in Patients with Non-ST Segment Elevation Myocardiol Infarction
LU Junjie Yixing people Hospital,Jiangsu ,China. Short Term Prognosis of Clopidogrel Treatment in Patients with Non-ST Segment Elevation Myocardiol Infarction[J]. Friend of Chemical Industry, 2010, 0(12)
Authors:LU Junjie Yixing people Hospital  Jiangsu   China
Affiliation:LU Junjie Yixing people Hospital,Jiangsu 214200,China
Abstract:Objective To compare the short-term efficiency and prognosis of diffrent dose clopidogrel.Methods The 158 patients with Non-ST segment elevation myocardiol infarction were divided into 2 groups,group A:a total number of 80 hospitalized patients with NSTEMI received 300 mg clopidogrel pretreatment,following 150mg a day in 2 weeks,then,75mg a day regularly.Group B:78 patients with the same disease conditions who only received clopidogrel with the routine dose(75mg a day regularly) .compare the short-term effi...
Keywords:NSTEMI  DRUG therapy  Prognosis  Clopidogrel  
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