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氢氯吡格雷联合阿司匹林治疗进展型脑梗死临床观察
Clinical Study of Clopidogrel Combined with Aspirin in the Treatment of Progressive Cerebral Infarction
  
DOI:
中文关键词:  硫酸氢氯吡格雷片  阿司匹林  进展型脑梗死
英文关键词:Clopidogrel  Aspirin  Progressive cerebral infarction
基金项目:
作者单位
吴晓力 富阳市人民医院神经内科(浙江富阳 311400) 
倪旭明 杭州市五云山疗养院内科。 
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中文摘要:
      摘 要 目的:探讨氢氯吡格雷联合阿司匹林治疗进展型脑梗死的疗效。方法:180例进展型脑梗死患者随机分为两组,对照组90例给予阿司匹林片100 mg,po qd,试验组90例给予硫酸氢氯吡格雷片75 mg,po qd,阿司匹林片100 mg,po qd。15 d后观察两组患者临床疗效,比较两组患者神经功能改善情况和药品不良反应。结果:治疗后,试验组神经功能缺损评分较前降低(P<0.05),且明显低于同期对照组(P<0.05)。试验组总有效率88.9%,高于对照组的〖KG*4〗66.7%(P<0.05)。两组不良发应发生率差异无统计学意义(P>0.05) 。结论:氢氯吡格雷联合阿司匹林治疗进展型脑梗死效果显著,能显著促进患者神经功能的恢复。
英文摘要:
      ABSTRACT Objective::To explore the curative effect of clopidogrel combined with aspirin on progressive cerebral infarction. Methods:180 cases of the progressive cerebral infarction patients were randomly divided into two groups. 90 cases in the control group were given aspirin tablet 100mg,po qd, and 90 patients in the experimental group, given clopidogrel tablet 75mg,po qd combined with aspirin treatment. The differences in clinical efficacy were observed in the two groups and the nerve function and adverse drug reaction(ADR) were evaluated. Results: The total effective rate in the experimental group was 88.9%, higher than 66.7% of the control group ,and the difference was statistically significant (P<0.05). The treatment satisfaction rate of the experimental group was 84.4%, higher than 62.2% of the control group , and the difference was significant (P<0.05). After the treatment, the neural function defect score of the experimental group was decreased, and was lower than that of the control group and the difference was statistically significant (P<0.05). No significant difference in the rate of ADR between the two group(P<0.05).Conclusion: Clopidogrel combined with aspirin had its remarkable effect on the treatment of progressive cerebral infarction, and a combination of the two had high clinical efficiency, which could significantly promote the neurological recovery.
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