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临床药学服务干预在心血管疾病患者抗栓抗凝药物治疗中的效果分析
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作者 刘仁立 《中国科技期刊数据库 医药》 2024年第5期0098-0101,共4页
分析接受抗凝抗栓药物治疗的心血管疾病的患者,实施临床药学服务干预的作用。方法 在本院2022年5月至2023年5月,选择40例接受抗凝抗栓药物治疗的患者,随机分组,分析干预效果。结果 实验组的效果更优,差异存在,有意义(P<0.05)。结论 ... 分析接受抗凝抗栓药物治疗的心血管疾病的患者,实施临床药学服务干预的作用。方法 在本院2022年5月至2023年5月,选择40例接受抗凝抗栓药物治疗的患者,随机分组,分析干预效果。结果 实验组的效果更优,差异存在,有意义(P<0.05)。结论 在对应用了抗凝、抗栓等药物的心血管病患者进行干预时,主要采取的是临床药学服务的干预,可以有效改善患者的心功能指标与实验指标,避免住院患者的再住院,改善患者的生存品质适合推广。 展开更多
关键词 抗凝抗栓药物 心血管疾病 临床药学服务干预 心功能指标 再入院率
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基于中草药的直接凝血酶抑制剂分子模拟研究 被引量:4
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作者 张丽雷 刘晓洁 +1 位作者 明丹 张静晓 《化学研究与应用》 CSCD 北大核心 2017年第8期1148-1154,共7页
从天然产物中筛选与凝血酶靶点具有相互作用的抑制剂,是研究抗凝抗栓类药物的有效方法。本文使用分子对接和分子动力学方法研究了从治疗和预防中风的中草药中筛选出的有效成分与凝血酶的相互作用。结果表明,筛选出的丹参酮I、人参皂苷F... 从天然产物中筛选与凝血酶靶点具有相互作用的抑制剂,是研究抗凝抗栓类药物的有效方法。本文使用分子对接和分子动力学方法研究了从治疗和预防中风的中草药中筛选出的有效成分与凝血酶的相互作用。结果表明,筛选出的丹参酮I、人参皂苷F1和柯诺辛B三种成分与凝血酶的结合能力最强,可能是具有抗凝抗栓活性的中药有效成分。通过分子动力学方法获取了三种化合物与凝血酶结合的最优构象,三种配体均结合于凝血酶的活性位点,静电力和疏水作用是主要结合作用力。人参皂苷F1与凝血酶形成氢键,其结合能力强于丹参酮I和柯诺辛B。 展开更多
关键词 分子对接 分子模拟 凝血酶 抗凝抗栓药物
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Study on Antithrombotic and Antiplatelet Activities of Low Molecular Weight Fucoidan from Laminaria japonica 被引量:4
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作者 CHEN Anjin ZHANG Fang +1 位作者 SHI Jie ZHAO Xue 《Journal of Ocean University of China》 SCIE CAS 2012年第2期236-240,共5页
The antithrombotic and antiplatelet effects of two fucoidan fractions with low molecular weight and different sulfate content from Laminaria japonica were compared in order to examine the influence of chemical charact... The antithrombotic and antiplatelet effects of two fucoidan fractions with low molecular weight and different sulfate content from Laminaria japonica were compared in order to examine the influence of chemical character on their antithrombotic activity and the possible mechanism. Both LMW fucoidan fractions exhibited favorable antithrombotic activity in an Fecl3-induced arterial thrombosis. The antithrombotic activity of LMW fucoidan was related with decrease of TXB2 and whole blood viscosity and hematocrit. LMW fucoidan showed a correlation between anticoagulant, antiaggregant and antithrombotic effects in vivo. For LMW fucoidan, antithrombotic activity required high dose of 5-10 nmol kg-1, concomitantly with increase in anticoagulant activity and inhibition of platelet aggregation. Administration of LMW fucoidan significantly promoted the 6-keto-PGF1α content and decreased the TXB2 content, indicating its inhibition of tissue factor pathway and regulation of metabolism of arachidonic acid. By comparison, highly sulfated fucoidan LF2 with Mw 3900 seemed to be a more suitable choice for antithrombotic drug for its antithrombotic activity accompanied with specific inhibitory activity on platelet aggregation, low anticoagulant activity and low hemorrhagic risk in vivo. 展开更多
关键词 FUCOIDAN ANTITHROMBOTIC COAGULATION ANTIPLATELET HEMORHEOLOGY
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Discovery of novel aspartate derivatives as highly potent and selective FXIa inhibitors
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作者 Ling Zhang Wei Chen +5 位作者 Ningning Yao Shuzeng Hou Zhiwei Meng Yi Kong Chenzhong Liao Zhouling Xie 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2022年第10期727-737,共11页
As a coagulation factor in the intrinsic coagulation pathway,factor XIa(FXIa)is an effective and safe target for the development of antithrombotic drugs.Many small-molecule FXIa inhibitors have been discovered,some of... As a coagulation factor in the intrinsic coagulation pathway,factor XIa(FXIa)is an effective and safe target for the development of antithrombotic drugs.Many small-molecule FXIa inhibitors have been discovered,some of which are being evaluated in clinical trials.However,none of them have been approved.In the present study,a highly selective potent FXIa inhibitor with poor solubility reported in our previous work was selected as a lead compound to be further modified to improve FXIa potency and physicochemical properties.The structure-based drug design and structure-activity relationship study led to the discovery of LY8,LY17,and LY25,which demonstrated enhanced FXIa potency and maintained excellent selectivity.In addition,LY8 exhibited significantly improved aqueous solubility,suggesting that it could be a promising compound to be further evaluated. 展开更多
关键词 ANTITHROMBOSIS ANTICOAGULANTS Factor XIa Bleeding risk Structure-activity relationship
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