Clinical research of discontinuity Clopidogrel combined with Aspirin in the treatment of cerebral arterial thrombosis
HUANG Jun-shi CHEN Xiu-juan HE Jing-wei
Department of Internal Medicine-Neurology,the Sixth Hospital Affiliated to Guangzhou Medical University People′s Hospital of Qingyuan City in Guangdong Province,Qingyuan 511518,China
Abstract:Objective To explore the effect of discontinuity Clopidogrel combined with Aspirin in the treatment of cerebral arterial thrombosis.Methods 98 cases of cerebral arterial thrombosis in our hospital from February 2016 to February 2017 were selected and divided into the control group(48 cases)and the observation group(50 cases)according to different treatment methods.The control group was treated with Aspirin,and the observation group was treated with discontinuity Clopidogrel combined with Aspirin.The level of blood lipid before treatment and after treatment,clinical effects,the incidence rate of adverse reaction,the recurrence rate of the two groups were compared.Results There was no significant difference in the level of TC,TG,HDL-C,LDL-C between the two groups before treatment(P>0.05).There was no significant difference in the level of TC,TG,HDL-C,LDL-C of the control group between before treatment and after treatmen(P>0.05).The level of TC,TG,LDL-C of the observation group after treatment was lower than that before treatment and the control group after treatment,the level of HDL-C in the observation group after treatment was higher than that before treatment and the control group after treatment,with significant difference (P<0.05).The clinical total effective rate of the observation group was higher than that in the control group,the incidence rate of adverse reactions and the recurrence rate of the observation group was lower than that of the control group,with significant difference (P<0.05).Conclusion The treatment cerebral arterial thrombosis patients by discontinuity Clopidogrel combined with aspirin,blood lipid improve well,curative effect is obviously,prognosis is good,which is worthy of clinical promotion and application.
黄俊士 ;陈秀娟 ;何静薇. 间断性氯吡格雷联合阿司匹林治疗缺血性脑卒中的临床研究[J]. 中国当代医药, 2017, 24(27): 46-48.
HUANG Jun-shi;CHEN Xiu-juan; HE Jing-wei. Clinical research of discontinuity Clopidogrel combined with Aspirin in the treatment of cerebral arterial thrombosis. 中国当代医药, 2017, 24(27): 46-48.
Pulgarin-Rivera JD,Younes C,Vargas M,et al.Evaluation of a first return stroke model considering the lightning channel tortuosity[J].Elec Power Syst Res,2014,113(8):25-29.
Morgan JA,Brewer RJ,Nemeh HW,et al.Stroke while on longterm left ventricular assist device support:incidence,outcome,and predictors[J].ASAIO J,2014,60(3):284-289.
Ferri CP,Schoenborn C,Kalra L,et al.Prevalence of stroke and related burden among older people living in Latin America,India and China[J].J Neurol Neurosurg Psychiatry,2011,82(10):1074-1082.
Kernan WN,Ovbiagele B,Black HR,et al.Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack:a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J].Stroke,2014,45(7):2160-2236.
[13]
杨成,钱捷,唐迅,等.阿司匹林单独或与氯吡格雷联合用药治疗缺血性脑卒中及短暂性脑缺血发作疗效和不良反应的 Meta 分析[J].中华流行病学杂志,2015,36(12):1430-1435.
[14]
Hong KS.Dual antiplatelet therapy after noncardioembolic ischemic stroke or transient ischemic attack:pros and cons[J].J Clin Neurol,2014,10(3):189-196.