首页|期刊导航|中外医学研究|阿司匹林辅助治疗下肢动脉硬化闭塞症的效果

阿司匹林辅助治疗下肢动脉硬化闭塞症的效果OA

Effect of Aspirin in the Adjuvant Treatment of Lower Extremity Arteriosclerosis Obliterans

中文摘要英文摘要

目的:探讨阿司匹林辅助治疗下肢动脉硬化闭塞症的效果.方法:选择 2022 年 1 月—2023 年 10 月杭州市第三人民医院收治的 150 例下肢动脉硬化闭塞症患者作为研究对象,以随机数表法将其分为对照组与研究组,各 75 例.对照组应用前列地尔治疗,研究组在对照组基础上应用阿司匹林辅助治疗.比较两组血小板功能、血流动力学、行走距离及不良反应.结果:治疗后,两组出血时间(BT)、足背动脉血流量、最大行走距离、无痛行走距离较治疗前升高,且研究组高于对照组,两组血小板聚集率(PAR)、可溶性P选择素(sCD62P)、血浆黏度、全血黏度、足背动脉峰值流速较治疗前降低,且研究组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:阿司匹林辅助治疗下肢动脉硬化闭塞症可显著改善血小板功能,具有很好的临床疗效,且不增加不良反应风险.

Objective:To explore the effect of Aspirin in the adjuvant treatment of lower extremity arteriosclerosis obliterans.Method:A total of 150 patients with lower extremity arteriosclerosis obliterans who admitted to Hangzhou Third People's Hospital from January 2022 to October 2023 were selected as the research objects,they were divided into the control group and the study group by random number table method,with 75 cases in each group.The control group was treated with Alprostadil,and the study group was treated with Aspirin on the basis of the control group.The platelet function,hemodynamics,walking distance and adverse reactions were compared between two groups.Result:After treatment,the bleeding time(BT),dorsalis pedis artery blood flow,maximum walking distance and painless walking distance in two groups were higher than those before treatment,and those in the study group were higher than those in the control group,the platelet aggregation rate(PAR),soluble P-selectin(sCD62P),plasma viscosity,whole blood viscosity and peak flow velocity of dorsalis pedis artery in two groups were lower than those before treatment,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05);there was no significant difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion:Aspirin in the adjuvant treatment of lower extremity arteriosclerosis obliterans can significantly improve platelet function,has good clinical efficacy,and does not increase the risk of adverse reactions.

刘世程;陈世伟;孟路阳

杭州市第三人民医院 浙江 杭州 310009

下肢动脉硬化闭塞症阿司匹林前列地尔血小板功能血流动力学

Lower extremity arteriosclerosis obliteransAspirinAlprostadilPlatelet functionHemodynamics

《中外医学研究》 2024 (023)

19-22 / 4

杭州市生物医药和健康产业发展扶持科技专项项目(2021WJCY154)

10.14033/j.cnki.cfmr.2024.23.005

评论