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氯吡格雷对不稳定型心绞痛患者血小板活化功能的影响及疗效观察

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摘要 目的探讨氯吡格雷对不稳定型心绞痛患者血小板活化功能的影响及疗效观察。方法选择68例不稳定型心绞痛患者,随机分为治疗者和对照组。两组患者均按照不稳定型心绞痛治疗方案进行治疗,治疗组在此检查上加用氯吡格雷75mg,每天1次,连用4周。结果治疗4周后,两组患者血浆血小板膜糖蛋白CD62p和CD63水平均较治疗前明显下降(P<0.05或P<0.01),且治疗组下降的幅度较对照组更明显(P<0.05)。治疗1周内,治疗组有效控制心绞痛发作明显优于对照组(χ2=6.48,P<0.05);4周内心脏事件发生情况,治疗组发生率稍低于对照组,但比较无明显的统计学差异(P<0.05),治疗期间无明显的不良反应。结论氯吡格雷治疗不稳定型心绞痛疗效肯定,不良反应少,作用机制与抑制血小板活化,减少血小板的黏附和聚集作用有关。
作者 许春萌 凌杰
出处 《海峡药学》 2012年第3期131-133,共3页 Strait Pharmaceutical Journal
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