氯吡格雷联合肠溶阿司匹林治疗进展性脑梗死的疗效观察

    To observe the curative effect of clopidogrel combined with aspirin in the treatment of progressive cerebral infarction

    • 摘要: 目的:探讨氯吡格雷联合肠溶阿司匹林治疗进展性脑梗死的临床疗效。方法:将130例进展性脑梗死患者随机分为2组:对照组(62例)单一使用肠溶阿司匹林进行治疗;治疗组(68例)使用氯吡格雷联合肠溶阿司匹林进行治疗。在治疗14、28 d后,比较2组的治疗有效率,并对2组患者进行神经功能缺损评分以及凝血功能等检查。结果:治疗组总有效率为92.6%,高于对照组的77.4%(P<0.05);治疗组治疗后14 d和28 d的神经功能缺损评分均较对照组改善(P<0.05和P<0.01);2组治疗前后血小板、凝血功能等差异均无统计学意义(P>0.05);2组在治疗期间均无不良反应。结论:氯吡格雷联合肠溶阿司匹林治疗进展性脑梗死较单一使用肠溶阿司匹林的疗效显著,可明显改善患者的神经功能缺损状态,且无不良反应。

       

      Abstract: Objective: To explore the clinical curative effect of clopidogrel combined with aspirin in the treatment of progressive cerebral infarction.Method: to divide randomly 130 cases of progressive cerebral infarction patients into 2 groups: control group (62 cases) single use of enteric coated aspirin treatment; the treatment group (68 cases) were treated with clopidogrel and aspirin. In the 14, 28 d after treatment, compared 2 groups of treatment efficiency, neurological deficit score and blood coagulation function examination and 2 groups of patients. Results: the total effective rate of treatment group was 92.6%, higher than 77.4% in the control group (P 0.05); group after treatment was 14 d and 28 d neural function defect significantly improve treatment (P 0.05 and P 0.01); the 2 groups before and after treatment, blood coagulation function of platelet were no difference statistical significance (P 0.05); the 2 group during the treatment had no adverse reaction. Conclusion: curative effect of clopidogrel combined with aspirin in treatment of acute cerebral infarction than single use of aspirin significantly, can significantly improve the neurological status of the patient, and no adverse reaction.

       

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