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急性心肌梗死介入术后口服双联抗血小板药物患者发生上消化道出血的现状及相关因素分析
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作者 杜红艳 袁晋 《心血管病防治知识(学术版)》 2024年第12期15-18,共4页
目的探讨急性心肌梗死(Acute myocardial infarction,AMI)介入术后口服双联抗血小板药物患者发生上消化道出血的现状及相关因素。方法回顾性分析80例2020年1月至2024年1月在本院进行AMI介入术患者的基本资料,给予所有患者术后口服双联... 目的探讨急性心肌梗死(Acute myocardial infarction,AMI)介入术后口服双联抗血小板药物患者发生上消化道出血的现状及相关因素。方法回顾性分析80例2020年1月至2024年1月在本院进行AMI介入术患者的基本资料,给予所有患者术后口服双联抗血小板药物(阿司匹林+氯吡格雷)治疗,并进行术后随访,根据是否发生上消化道出血事件分为消化道出血组(11例)与消化道未出血组(69例)。统计两组基本资料,服药依从性(Morisky服药依从性问卷)、血红蛋白含量等数据,行单因素分析对比上述资料差异,将有差异的信息纳入多因素Logistic分析。明确AMI介入术后口服双联抗血小板药物患者发生上消化道出血的危险因素。结果出血组与未出血组性别、BMI、是否具有吸烟史、是否具有饮酒史、是否合并高血压、是否合并糖尿病、手术置入支架个数、AMI后发生心绞痛、服药依从性、血红蛋白差异无统计学意义(P>0.05);出血组年龄≥65岁、PCI手术时间≥90 min、具有消化性溃疡发生占比高于未出血组,两组差异具有统计学意义(P<0.05);多因素Logistic分析证实了年龄≥65岁、PCI手术时间≥90 min、具有消化性溃疡为AMI介入术后口服双联抗血小板药物患者发生上消化道出血的危险因素。结论年龄、PCI手术时间、是否具有消化性溃疡被认定为AMI介入术后口服双联抗血小板药物患者发生上消化道出血的危险因素。 展开更多
关键词 急性心肌梗死 经皮冠状动脉介入术 抗小血板药物 上消化道出 危险因素
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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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Comparative study between rivaroxaban and conventional low molecular weight heparin anticoagulant in preventing thrombosis
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作者 Zhongfu Zhao Xiaoguang Li Jin Wang Wei Dong Ling Ding Hongbo Yao 《International Journal of Technology Management》 2013年第9期131-133,共3页
After entering 2010, as main varieties patents of the global non-peptide angiotensin II receptor antagonists (ARB) expire, strong growth of anti-hypertensive drug market will tend to slow down. In drugs acting on th... After entering 2010, as main varieties patents of the global non-peptide angiotensin II receptor antagonists (ARB) expire, strong growth of anti-hypertensive drug market will tend to slow down. In drugs acting on the cardiovascular and blood system, antithrombotie drugs will become a new attraction on the market. Antithrombotic drugs are primarily formed by the anti-platelet aggregation, coagulation system activation of plasminogen thrombolytic drugs and the like. Antiplatelet drugs have both prevention and treatment effect, are the main category of antithrombotic drugs. According to IMS Health data, in 2008, sale of anti-thrombosis drug in global market is 180 million U.S. dollars, an increase of 16 %, while in 2009 the growth rate is only 7.95%, reaching $ 19.5 billion, growth rate of antithrombotic drugs is 7.13% in the world' s major pharmaceutical market. 展开更多
关键词 RIVAROXABAN HEPARIN preventing thrombosis
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