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替格瑞洛联合冻干重组人脑利钠肽对急性ST段抬高型心肌梗死行介入治疗患者炎性因子、血小板功能及预后的影响 被引量:9
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作者 鲁叶弘 王雅心 +1 位作者 付强 王占胜 《实用药物与临床》 CAS 2018年第12期1364-1368,共5页
目的分析替格瑞洛联合冻干重组人脑利钠肽对急性ST段抬高型心肌梗死(STMEI)行介入治疗患者的炎性因子、血小板功能及预后的影响。方法选择我院2013年12月至2017年3月收治的108例STEMI患者,两组均给予经皮冠状动脉介入(PCI),按随机数字... 目的分析替格瑞洛联合冻干重组人脑利钠肽对急性ST段抬高型心肌梗死(STMEI)行介入治疗患者的炎性因子、血小板功能及预后的影响。方法选择我院2013年12月至2017年3月收治的108例STEMI患者,两组均给予经皮冠状动脉介入(PCI),按随机数字表法分为对照组(52例)和观察组(56例)。对照组应用替格瑞洛治疗,观察组在对照组基础上联合冻干重组人脑利钠肽治疗。比较两组术后2 h无复流情况,治疗前及治疗7 d后的血小板功能、炎性因子、心功能,以及随访12个月内心血管事件的发生情况。结果术后2 h,观察组的心肌无复流率低于对照组(5. 36%vs. 19. 23%,P <0. 05)。治疗前,两组血小板功能、炎性因子比较差异无统计学意义(P> 0. 05)。治疗7 d后,两组血小板功能、炎性因子、肌钙蛋白I(c Tn I)、肌酸激酶同工酶(CKMB)均降低,左室射血分数(LVEF)均升高,两组比较差异有统计学意义(P <0. 05)。随访12个月,两组均有严重心律失常、心力衰竭、顽固性心绞痛、再发心肌梗死、心源性死亡发生,且观察组总发生率低于对照组(P <0. 05)。结论替格瑞洛联合冻干重组人脑利钠肽对STMEI行PCI治疗者的效果确切,能够减轻炎症反应,提高血小板水平及心脏功能,降低心脏不良事件发生率,改善预后。 展开更多
关键词 急性ST段抬高型心肌梗死 介入治疗 替格瑞洛 冻干重组人脑利钠肽 预后
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Gap in food safety standard and catching up strategy:A case of China-EU nuts trade
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作者 DONG Yin-guo lu ye-hong 《Ecological Economy》 2015年第4期322-331,共10页
Food safety standard varies among countries due to their income.The food safety standard in advanced countries has become an export barrier for agricultural products and food from developing countries.How to deal with... Food safety standard varies among countries due to their income.The food safety standard in advanced countries has become an export barrier for agricultural products and food from developing countries.How to deal with the barrier is a challenge for the less developed countries.This paper,approaching the problem from the gap of food safety standard,employs the data of China-EU nuts trade during 1992 to 2013,to analyze the impact of discrepancy of food safety standard on nuts trade.It found that the difference of food safety standard did affect the bilateral nuts trade,i.e.if the standard gap shrinks by lppb or in the case China's MRLs(maximum residue limits)of aflatoxin B1 close to EU's by lppb,China's nuts exports to EU countries would expand by 6.6%.There're two ways to fill the gap,either EU lower its standard or China enhance its standard,the simulation found the effect that China elevate its nuts chemical standard to CAC or international level will exceed that of EU degrading its standard to CAC level. 展开更多
关键词 SPS measures food safety NUTS TRADE maximal residue limits(MRLs) CAC
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