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老年房颤伴阿司匹林抵抗患者抗血栓治疗临床观察 被引量:1
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作者 董春 张利华 +1 位作者 孙晓斐 张新岭 《济宁医学院学报》 2009年第5期332-333,共2页
目的探讨老年心房颤动(AF)患者应用阿司匹林与氯吡格雷抗血栓治疗的疗效及发生阿司匹林抵抗(AR)的预测因素。方法选择2006年6月至2008年6月在我院就诊老年AF患者168例,口服阿司匹林100mg/d,2周后检测最大血小板聚集率(PAgM),根据PAgM从... 目的探讨老年心房颤动(AF)患者应用阿司匹林与氯吡格雷抗血栓治疗的疗效及发生阿司匹林抵抗(AR)的预测因素。方法选择2006年6月至2008年6月在我院就诊老年AF患者168例,口服阿司匹林100mg/d,2周后检测最大血小板聚集率(PAgM),根据PAgM从中筛选出AR患者41例,随机分为对照组21例和实验组20例,分别加服阿司匹林及氯吡格雷,测定用药后血血栓素B2(TXB2)、尿11-脱氢-TXB2(11-DH-TXB2)及PAgM。结果老年AF患者AR发生率为24.40%;非AR患者与AR患者比较,血TXB2、尿11-DH-TXB2及PAgM显著下降(P<0.01);用药后,实验组ADP PAgM和AA PAgM水平均较用药前显著降低(P<0.01),且较对照组用药后显著降低(P<0.01),并无出血倾向(P>0.05)。结论血TXB2、尿11-DH-TXB2及PagM可能为AR的预测因素;AR患者加服氯吡格雷可能是一种有效的抗血栓治疗方法。 展开更多
关键词 心房颤动 阿司匹林 血小板聚集 血栓素烷b2
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Influence of acupoint-injection on TXB_2 and 6-keto-PGF_(1a) in patients with pseudobulbar palsy: a randomized controlled trial 被引量:3
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作者 Liu Ji-ye Chen Ying-hua 《Journal of Acupuncture and Tuina Science》 CSCD 2017年第1期22-26,共5页
Objective: To prove the feasibility and validity of Xing Nao Jing acupoint-injection (XNJ-AI) at Fengchi (GB 20) for pseudobulbar palsy caused by ischemic stroke (PBP-IS). Methods: An assessor-blinded, two-par... Objective: To prove the feasibility and validity of Xing Nao Jing acupoint-injection (XNJ-AI) at Fengchi (GB 20) for pseudobulbar palsy caused by ischemic stroke (PBP-IS). Methods: An assessor-blinded, two-parallel-group, randomized controlled trial was conducted, and the patients with PBP-IS were recruited and randomly divided into two groups. Patients in the control group received oral aspirin (100 mg per day for 2 weeks). In addition to oral aspirin; patients in the treatment group received XNJ-AI at Fengchi (GB 20), once a day, for two weeks. The primary outcome was assessed by the water-swallowing test (WST). Thromboxane B2 (TXB2) and 6-keto-prostaglandin F1α (6-keto-PGF1α) in plasma were measured before and after the treatment. Results: In the treatment group, the percentage of swallowing function no less than grade 3 before and after the treatment was 32% and 88%, respectively; in the control group, it was 28% and 76% before and after the treatment, respectively; the difference after the treatment between the two groups was statistically significant (P〈0.05). There were statistical differences between pre- and post-treatment levels of plasma TXB2 and 6-keto-PGF1α in the two groups (both P〈0.05). After the treatment, there were significant differences in the levels of plasma TXB2 and 6-keto-PGF1α between the two groups (both P〈0.05). Conclusion: XNJ-AI at Fengchi (GB 20) can improve the patients' swallowing function and balance the levels of TXB2 and 6-keto-PGF1α in plasma. 展开更多
关键词 Point Fengchi (Gb 20) HYDRO-ACUPUNCTURE Acupoint Therapy Pseudobulbar Palsy Deglutition Disorders brain Ischemia Thromboxane b2
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