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脑梗死进展期应用低分子肝素钙与硫酸氯氢吡格雷治疗的临床分析 被引量:7
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作者 杨美荣 向海溶 《陕西医学杂志》 CAS 2014年第12期1677-1678,共2页
目的:探讨低分子肝素钙与硫酸氯氢吡格雷治疗脑梗死进展期患者治疗效果及应用价值。方法:选择我院治疗的脑梗死进展期患者112例,按照随机分组分为观察组和对照组,每组各56例,对照组给予西医常规治疗,观察组在对照组基础上联合低分子肝... 目的:探讨低分子肝素钙与硫酸氯氢吡格雷治疗脑梗死进展期患者治疗效果及应用价值。方法:选择我院治疗的脑梗死进展期患者112例,按照随机分组分为观察组和对照组,每组各56例,对照组给予西医常规治疗,观察组在对照组基础上联合低分子肝素钙与硫酸氯氢吡格雷治疗,观察治疗疗效。比较两组神经功能缺损评分、日常生活能力评分、凝血酶、凝血酶原、活化部分凝血活酶时间。结果:观察组治疗总有效率为94.64%,对照组治疗总有效率为76.79%,组间对比差异具有统计学意义(P<0.05)。观察组治疗后神经功能缺损评分(6.23±2.13),日常生活能力评分(89.47±17.34),上述指标改善较对照组明显,组间对比差异具有统计学意义(P<0.05)。观察组治疗后凝血酶时间(17.21±1.41s),凝血酶原时间(11.07±1.83s),活化部分凝血活酶时间(35.63±1.37s),与治疗前和对照组治疗后比较,变化情况不具有统计学意义(P>0.05)。结论:采用低分子肝素钙与硫酸氯氢吡格雷治疗脑梗死疗效可靠,有效改善患者日常生活能力和神经功能缺损情况,从多途径抑制血栓进展。 展开更多
关键词 脑梗塞/药物疗法 @低分子肝素钙 @硫酸氯氢吡格雷
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Centrifugation-assisted preparation and thermostability of Form I clopidogrel hydrogen sulfate
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作者 敖桔 皋海涛 +2 位作者 唐小平 周岚 张国庆 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2015年第1期40-46,共7页
Of all reported polymorphs of clopidogrel hydrogen sulfate, Form Ⅰ is difficult to produce and store owing to its poor thermostability. It is reported that Form Ⅰ can spontaneously transform into Form Ⅱ at high tem... Of all reported polymorphs of clopidogrel hydrogen sulfate, Form Ⅰ is difficult to produce and store owing to its poor thermostability. It is reported that Form Ⅰ can spontaneously transform into Form Ⅱ at high temperature and humidity. In this study, high purity Form I of clopidogrel hydrogen sulfate with good thermodynamic stability was prepared by a centrifugation-assisted recrystallization technology. The resultant product was characterized by powder X-ray diffraction (PXRD), differential scanning calorimetry (DSC) and scanning electron microscope (SEM). The results showed that the crystallinity and crystallite size of the Form Ⅰ prepared by the centrifugation-assisted recrystallization method were larger than those obtained by conventional anti-solvent recrystallization methods. Long-term thermostability testing demonstrated that the improved product can keep stable crystal structure even at high temperature and humidity. 展开更多
关键词 Clopidogrel hydrogen sulfate POLYMORPH Centrifugation-assisted recrystallization Thermostability
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