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三联抗血小板药物对非ST段抬高性急性冠脉综合征患者血清炎症因子及内皮功能的影响

朱传贵

实用临床医药杂志2013,Vol.17Issue(1):17-20,4.
实用临床医药杂志2013,Vol.17Issue(1):17-20,4.DOI:10.7619/jcmp.201301005

三联抗血小板药物对非ST段抬高性急性冠脉综合征患者血清炎症因子及内皮功能的影响

Effects of triple antiplatelet therapies on inflammatory factor and endothelium function in non-ST-elevation ACS

朱传贵1

作者信息

  • 1. 四川省达州市中心医院急诊科,四川达州,635000
  • 折叠

摘要

Abstract

Objective To provide more clinical evidences of triple antiplatelet drugs for the treatment of non-ST-segment elevation ACS, we explored the effects of short-term triple antiplatelet drugs to inflammatory factors and endothelial function in non-ST-segment elevation acute coronary syndrome (ACS) patients. Methods 82 non-ST-segment elevation ACS patients were divided into two groups randomly, the control group were administered dual anti platelet drugs, aspirin and clopidogrel. While the observation group were administered triple antiplatelet drugs, aspirin, clopi-dogrel and tirofiban. The changes of inflammatory factor (hsCRP 、IL-6) and the endothelium func-tion(ET-1, NO, PGI2) 48hrs after treatment were observed. Results Compared with the dual antiplatelet drugs therapy, the triple antiplatelet drugs decreased the inflammatory factor and improved the endothelium function more effectively. The main adverse effect of the antiplatelet therapy was ecchymosis in subcutaneous gingival bleeding. But the difference showed no statistical significance between the two groups. Conclusion As for the non-ST-segment elevation ACS patients, the method of triple antiplatelet drugs therapy has more effect in decreasing the inflammatory factor and improving the endothelium function. Thus it is worthy of wide clinical applications.

关键词

抗血小板聚集/非ST段抬高急性冠脉综合征/炎症因子/内皮功能

Key words

antiplatelet aggregation/ non-ST-elevation ACS/ inflammatory factor/ endothelium function

分类

医药卫生

引用本文复制引用

朱传贵..三联抗血小板药物对非ST段抬高性急性冠脉综合征患者血清炎症因子及内皮功能的影响[J].实用临床医药杂志,2013,17(1):17-20,4.

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