抗血小板联合抗凝治疗急性非ST段抬高性心肌梗死临床分析

Clinical analysis of antiplatelet therapy combined with anticoagulation of acute non ST segment elevation myocardial infarction

目的:探讨阿司匹林、氯吡格雷联合低分子肝素钙治疗急性非ST段抬高性心肌梗死治疗效果。方法:收治急性非ST段抬高性心肌梗死患者36例,使用阿司匹林、氯吡格雷联合低分子肝素钙治疗进行回顾分析。结果:胸痛或(和)胸闷、气短完全缓解出院,且出院后经随访2个月未再发作21例,无效而转入上级医院行冠脉介入术12例,终点心血管事件发生3例。结论:阿司匹林、氯吡格雷联合低分子肝素钙治疗能显著缓解低危险组、部分中危险组病情,降低转入上级医院行介入治疗比率。

Objective:To investigate the effect of aspirin,clopidogrel combined with low molecular weight heparin calcium in the treatment of acute non ST segment elevation myocardial infarction.Methods:A retrospective analysis was made on the treatment of 36 cases of patients with acute non ST segment elevation myocardial infarction with aspirin,clopidogrel combined with low molecular weight heparin calcium in 2009 March-2013 April.Results:Chest pain or(and) chest tightness,shortness of breath completely was alleviated of 21 cases discharged from the hospital,and not to attack after two months of follow-up.Invalid and transferred to the superior hospital with coronary interention 12 cases,and end point of cardiovascular event 3 cases.Conclusion:Aspirin,clopidogrel combined with low molecular heparin calcium treatment could significantly alleviate the patient's condition of the low risk group and part of the middle risk group,reduce patients transferred to higher hospital for interventional therapy ratio.