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脑梗死患者抗血小板药物的精准策略选择 被引量:5
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作者 马昱 吴旭青 +4 位作者 毕晓莹 丁素菊 郝子龙 吴波 范薇 《中国临床医学》 2022年第6期899-905,共7页
抗血小板治疗是脑梗死全程管理的重要手段之一,然而临床上存在抗血小板药物个体反应差异且其与患者预后密切相关,因此精准选择抗血小板药物具有重要意义。血小板功能检测及基因检测是抗血小板药物精准治疗的核心环节。对于存在高危缺血... 抗血小板治疗是脑梗死全程管理的重要手段之一,然而临床上存在抗血小板药物个体反应差异且其与患者预后密切相关,因此精准选择抗血小板药物具有重要意义。血小板功能检测及基因检测是抗血小板药物精准治疗的核心环节。对于存在高危缺血风险或预后较差、有高出血风险的患者,可考虑行基因检测和(或)血小板功能检测。阿司匹林和氯吡格雷仍是目前最常用的抗血小板药物,其他抗血小板药物的有效性及安全性有待进一步验证。对于阿司匹林抵抗人群,不推荐增加阿司匹林剂量,可考虑换用其他抗血小板药物。基于CYP2C19基因型进行氯吡格雷剂量调整的策略仍有待研究,而携带CYP2C19失功能等位基因的患者,建议换用其他抗血小板药物。 展开更多
关键词 脑梗死 抗血小板药物 精准策略 基因检测
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Effects of L-lysine monohydrochloride on insulin and blood glucose levels in spinal cord injured rats
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作者 ZHANG Tian-ling ZHAO Yu-wu +1 位作者 LIU Xue-yuan ding su-ju 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第6期722-725,共4页
Background Hyperglycemia in brain and spinal cord could aggravate neurologic impairment. Recent studies showed that L-lysine monohydrochlonde (LMH) could increase the insulin secretion and regulate the blood glucose... Background Hyperglycemia in brain and spinal cord could aggravate neurologic impairment. Recent studies showed that L-lysine monohydrochlonde (LMH) could increase the insulin secretion and regulate the blood glucose level. The aim of the present study was to investigate the effects of LMH on pancreatic islet B cells, the levels of endogenous insulin and blood glucose in spinal cord injured rats.Methods Forty male Wistar rats were divided into four groups, namely, normal control group, model group, high-dose LMH group (621.5 mg/kg equal to LMH 1/8 LD50), and low-dose LMH group (310.8 mg/kg equal to LMH 1/16 LD50). The model of spinal cord injured rat was established by hemi-transection at the lower right thoracic spinal cord. LMH was administered via intraperitoneal injection once spinal cord injury was produced in rats. All rats were sacrificed 48 hours after spinal cord injured. The effects of LMH on pancreatic islet B cells, the content of endogenous insulin, end the level of blood glucose were observed with immunohistochemical method, radioimmunoassay method, end biochemical analyzer, respectively. Results The insulin immunohistochemical intensities of islet B cells were significantly weaker in model group then those in normal control group (P 〈0.01). The levels of endogenous insulin were significantly lower and the blood glucose levels were significantly higher in model group than those in normal control group (P 〈0.01). The insulin immunohistochemical intensities of islet B cells were significantly stronger in high-dose LMH group then those in model group (P〈0.05). In addition, we found that the levels of endogenous insulin were significantly higher and the blood glucose levels were significantly lower in high-dose LMH group then those in model group (P 〈0.05). There were no significant differences in the insulin immunohistochemical intensities of islet B cells, the levels of endogenous insulin and the blood glucose between low-dose LMH group and model group (P 〉0.05). Conclusion LMH, but dose-dependent, might participate in the regulation of pancreatic islet B cells, and then reduce the blood glucose levels in the spinal cord injured rats. 展开更多
关键词 spinal cord injuries INSULIN L-lysine monohydrochloride blood glucose
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