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华法林联合通心络胶囊对非瓣膜性房颤的抗凝疗效和安全性分析 被引量:3
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作者 苏福娣 何芸 《中国当代医药》 2019年第13期40-42,52,共4页
目的研究华法林联合通心络胶囊对非瓣膜性心房纤颤的抗凝效果和安全性。方法选取2015年10月~2016年12月我院就诊且入选前尚未进行抗凝和抗血小板治疗的非瓣膜性心房纤颤患者100例,分为联合通心络组(52例)和纯华法林组(48例)。两组均规... 目的研究华法林联合通心络胶囊对非瓣膜性心房纤颤的抗凝效果和安全性。方法选取2015年10月~2016年12月我院就诊且入选前尚未进行抗凝和抗血小板治疗的非瓣膜性心房纤颤患者100例,分为联合通心络组(52例)和纯华法林组(48例)。两组均规范服用华法林,联合通心络组患者加服通心络胶囊0.78 g/次,每日3次。取治疗第2、4、8周3个时间点,观察两组华法林的使用剂量、国际标准化比值(INR值),同时记录血栓事件和出血事件。结果治疗第2、4、8周联合通心络组服用华法林的剂量低于纯华法林组(P<0.05);第2周两组的INR值比较,差异无统计学意义(P>0.05);第4、8周联合通心络组的INR值高于纯华法令组(P<0.05);两组INR的离异度比较,差异无统计学意义(P>0.05);两组患者均无发生血栓事件;两组出血事件的发生率比较,差异无统计学意义(P>0.05)。结论与单用华法林比较,华法林联合通心络胶囊可增强非瓣膜性心房纤颤患者的抗凝效果,未明显增加出血风险。 展开更多
关键词 心房纤颤 通心络胶囊 华法林
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Experimental assessment of a modified retrograde traction tracheal intubation method for increasing the success rate of myocardial infarction model in rats
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作者 JIN Jin-lan WEI Jian-rui +2 位作者 GUO Jian LV Rong-gui su fu-di 《South China Journal of Cardiology》 CAS 2014年第4期282-289,298,共9页
Background Animal models of myocardial infarction (MI) have been widely used to study the pathologi- cal and physiological changes that occur in MI, and to objectively evaluate the efficacy of new treatments. They a... Background Animal models of myocardial infarction (MI) have been widely used to study the pathologi- cal and physiological changes that occur in MI, and to objectively evaluate the efficacy of new treatments. They are an important tool in this procedure. However, the mortality rate of MI animal models has so far been higher than in real-life situations. The aim of this study was to explore the use of a modified retrograde traction tracheal intubation (MRTI) method for increasing the success rate of MI models in rats. Methods Sixty male Sprague-Dawley rats were used in the experiment. Using the MRTI method of artificial airway generation, we established the MI model by ligation of the left anterior descending branch of the coronary artery. We analyzed the effects of MRTI, the use of lidocaine, operative details, nursing considerations during the operation, and post-operative factors on the success rate of the MI model in rats. Results The success rate of generating an MI model in rats can be significantly increased using the following methods: 1) Setting up the artificial airway through the use of MRTI by using a single-lumen central venous catheter; 2) Selecting a ligation site 2 mm be- low the midpoint of the connection between the left atrial appendage and the pulmonary cone; 3) Adding a drop of lidocaine to the surface of the heart to slow down the heart rate, make the operation easier to perform, and prevent arrhythmias postoperatively; 4) Clearing up airway secretions timely both intra and postoperative- ly; 5) Making sure that rats are in a warm state both intra and postoperatively; 6) Preventing wound infection. Conclusions Use of the MRTI method can quickly establish an artificial airway in rats. Intraoperative use of lidocaine, selecting a precise vascular ligation site, and appropriate care both intra and postoperatively can in- crease the success rate of MI model generation. 展开更多
关键词 modified retrograde traction tracheal intubation method myocardial infarction animal models RATS
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