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替格瑞洛联合阿司匹林对老年冠心病不稳定型心绞痛患者的影响

李云亮 戴正东 库顺丽

中国医学创新2025,Vol.22Issue(34):45-49,5.
中国医学创新2025,Vol.22Issue(34):45-49,5.DOI:10.3969/j.issn.1674-4985.2025.34.011

替格瑞洛联合阿司匹林对老年冠心病不稳定型心绞痛患者的影响

Effect of Ticagrelor Combined with Aspirin on Elderly Patients with Unstable Angina Pectoris of Coronary Heart Disease

李云亮 1戴正东 1库顺丽1

作者信息

  • 1. 麻城市人民医院心内科 湖北 麻城 438300
  • 折叠

摘要

Abstract

Objective:To analyze the application effect of Ticagrelor combined with Aspirin in elderly patients with unstable angina pectoris of coronary heart disease(CHD).Method:A total of 86 elderly patients with unstable angina pectoris of CHD who were admitted to the Department of Cardiology of Macheng People's Hospital from January to December 2023 were selected as the research subjects.The patients were divided into the observation group and the control group by the envelope method,with 43 cases in each group.The control group was treated with Aspirin+Clopidogrel,while the observation group was treated with Aspirin+Ticagrelor.The clinical efficacy,symptom-related indicators,cardiac function levels,inflammatory factor levels and quality of life of the two groups were compared.Result:The clinical total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,compared with before treatment,the duration of angina pectoris in both groups was shorter,the frequency of angina pectoris attacks was lower,and which in the observation group were superior to the control group(P<0.05).After treatment,compared with before treatment,the left ventricular ejection fraction(LVEF),stroke volume(SV),and cardiac output(CO)in both groups increased,while IL-6 and TNF-α decreased,moreover,compared with the control group,the above indicators in the observation group were better(P<0.05).After treatment,compared with before treatment,the Seattle angina questionnaire(SAQ)scores of both groups increased,and compared with the control group,those of the observation group were higher(P<0.05).Conclusion:The combined treatment of Ticagrelor and Aspirin for elderly patients with unstable angina pectoris of CHD can effectively improve the therapeutic effect,reduce the severity of angina pectoris,and enhance cardiac function and quality of life.

关键词

替格瑞洛/阿司匹林/老年/冠心病心绞痛/生存质量

Key words

Ticagrelor/Aspirin/Elderly/Angina pectoris of coronary heart disease/Quality of life

引用本文复制引用

李云亮,戴正东,库顺丽..替格瑞洛联合阿司匹林对老年冠心病不稳定型心绞痛患者的影响[J].中国医学创新,2025,22(34):45-49,5.

中国医学创新

1674-4985

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