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氯吡格雷联合阿司匹林对老年短暂性脑缺血发作的临床疗效分析

赵刚峡 王水平

中国实用神经疾病杂志2017,Vol.20Issue(20):38-41,4.
中国实用神经疾病杂志2017,Vol.20Issue(20):38-41,4.DOI:10.3969/j.issn.1673-5110.2017.20.009

氯吡格雷联合阿司匹林对老年短暂性脑缺血发作的临床疗效分析

The combination of clopidogrel and aspirin on elderly patients with transient ischemic attack

赵刚峡 1王水平1

作者信息

  • 1. 三门峡市中医院急诊科 ,河南 三门峡 472000
  • 折叠

摘要

Abstract

Objective To analyze the clopidogrel and aspirin combination therapy in elderly patients with transient ischemic attack ,and its effect on the platelet function and coagulation function.Methods 116 cases of elderly transient ischemic attack were randomly divided into control group (n=58 ,treated with aspirin) and the experimental group (n=58 ,received clopidogrel + aspi-rin combination therapy) ,the clinical curative effect of the two groups were compared.Results The nerve function defect score (NIHSS) in the experimental group was lower than that in the control group at 24 h ,7 d ,14 d after the therapy (P<0.05).The total efficiency of the experimental group (94.83% ) was higher than the control group (77.59% ).The platelet function (CD63 , CD62p) and blood coagulation index (APTT ,PT ,FIB) were significantly improved in the experimental group than that in the con-trol group (P<0.05).Conclusion Clopidogrel and aspirin combination therapy has significant clinical effect in elderly patients with transient ischemic attack ,it can improve neurological function ,platelet function and blood coagulation function and prognosis of the patients.

关键词

短暂性脑缺血发作/氯吡格雷/阿司匹林/血小板及凝血功能/老年患者

Key words

Transient ischemic attack/Clopidogrel/Aspirin/Platelet and coagulation function/Elderly patients

分类

医药卫生

引用本文复制引用

赵刚峡,王水平..氯吡格雷联合阿司匹林对老年短暂性脑缺血发作的临床疗效分析[J].中国实用神经疾病杂志,2017,20(20):38-41,4.

中国实用神经疾病杂志

1673-5110

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