氯吡格雷对冠心病患者的安全性和血小板聚集率的影响

被引:13
作者
赵秀丽
胡大一
李田昌
肖洁
边红
机构
[1] 首都医科大学附属北京同仁医院
[2] 首都医科大学附属北京同仁医院 北京
[3] 北京
[4] 北京
关键词
氯吡格雷; 阿司匹林; 冠心病; 血小板聚集率;
D O I
暂无
中图分类号
R541.4 [冠状动脉(粥样)硬化性心脏病(冠心病)];
学科分类号
摘要
目的:评价氯吡格雷对冠心病患者的安全性和血小板聚集率的影响。方法:31例冠心病患者随机分为治疗组16例和对照组15例,分别服用氯吡格雷75mg·d-1,qd和阿司匹林100mg·d-1,qd,总疗程为6周,包括2周安慰剂清洗期和4周药物治疗期。入选前后测定其血常规、血生化和血小板聚集率,2周安慰期后测定血常规。结果:两组患者的基线实验室检测的各项参数差异无显著性,治疗后对血小板数量没有明显影响;两组药物治疗后,患者的血小板聚集率均明显降低,与治疗前比较差异有显著性,而且治疗组的降低更显著,与对照组相比差异有显著性(P<0.01)。在试验过程中治疗组有1例患者出现腹泻,但症状较轻,患者没有因此退出试验。结论:冠心病患者应用氯吡格雷安全有效,患者耐受性好。
引用
收藏
页码:933 / 935
页数:3
相关论文
共 12 条
[1]  
Casella G,Ottani F,Pavesi PC,et al.Safety and efficacy evaluation of clopidogrel compared to ticlopidine after stent implantation: an updated meta-analysis. Italian Heart Journal . 2003
[2]  
Easthope SE,Javis B.Clopidogrel: potential in the prevention of cardiovascular events in patients with acute coronary syndromes. American Journal of Cardiovascular Drugs . 2001
[3]  
Gruber A,Hanson SR.Potential new targets for antithrombotictherapy. Current Pharmaceutical Design . 2003
[4]  
Shennib H,Endo M,Benhameid O.A feasibility study of the safety and efficacy of a combined clopidogrel and aspirin regimen following off-pump coronary artery bypass grafting. The Heart Surgery Forum . 2003
[5]  
Ho WK,Hankey GJ,Eikelboom JW.Prevention of coronary heart disease with aspirin and clopidogrel: efficacy, safety, costs and cost-effectiveness. Expert Opinion on Pharmacotherapy . 2004
[6]  
Ho WK,Hankey GJ,Eikelboom JW.Prevention of coronary heart disease with aspirin and clopidogrel: efficacy, safety, costs and cost-effectiveness. Expert Opinion on Pharmacotherapy . 2004
[7]  
Orford JL,Fasseas P,Melby S,et al.Safety and efficacy of aspirin, clopidogrel, and warfarin after coronary stent placement in patients with an indication for anticoagulation. American Heart Journal . 2004
[8]  
Payne DA,Jones CI,Hayes PD,et al.Beneficial effects of clopidogrel combined with aspirin in reducing cerebral emboli in patients undergoing carotid endarterectomy. Circulation . 2004
[9]  
Mobley JE,Bresee SJ,Wortham DC,et al.Frequency of nonre sponse antiplatelet activity of clopidogrel during pretreatment for cardiac catheterization. The American Journal of Cardiology . 2004
[10]  
Kunapuli SP,Ding Z,Dorsam RT,et al.ADP receptors-targets for developing antithrombotic agents. Current Pharmaceutical Design . 2003