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长期负荷量硫酸氢氯吡格雷显著降低血小板高反应性患者PCI术后心血管缺血事件发生率 被引量:4
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作者 林乐健 唐发宽 +2 位作者 华宁 陆宏 唐雪正 《心脏杂志》 CAS 2015年第6期708-711,共4页
目的观察长期负荷量使用硫酸氢氯吡格雷对血小板高反应性患者PCI术后心血管缺血事件发生率的影响。方法采用血栓弹力仪检测硫酸氢氯吡格雷的药物效果,筛选PCI术后对硫酸氢氯吡格雷药物不敏感患者(血小板高反应性患者)作为研究对象,随机... 目的观察长期负荷量使用硫酸氢氯吡格雷对血小板高反应性患者PCI术后心血管缺血事件发生率的影响。方法采用血栓弹力仪检测硫酸氢氯吡格雷的药物效果,筛选PCI术后对硫酸氢氯吡格雷药物不敏感患者(血小板高反应性患者)作为研究对象,随机分为对照组及试药组,每组患者各60例,对照组每天服用100 mg阿司匹林及75 mg硫酸氢氯吡格雷,试药组服用100 mg阿司匹林以及150 mg硫酸氢氯吡格雷,检测6个月后硫酸氢氯吡格雷的药物效果,同时观察两组6个月内心血管事件的发生率。结果 6个月内试药组心血管病病死率、支架内血栓再形成率、再发心肌梗死和再发不稳定心绞痛发生率分别为0%、10%、23%以及6%,对照组为3%、20%、36%以及17%,试药组显著低于对照组,试药组硫酸氢氯吡格雷所致血小板抑制率明显高于对照组,两组患者出血风险无显著性差异。结论对于血小板高反应性患者,长期加倍剂量服用硫酸氢氯吡格雷可降低心血管缺血事件发生率。 展开更多
关键词 硫酸氢氯吡格雷 血栓弹力图 经皮冠状动脉介入治疗 心血管缺血事件
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Interfacial Interaction Between Polyurethane/Poly(Methacrylateco-Styrene) Coating and the Regenerated Cellulose Film 被引量:1
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作者 Gong Ping, Yang Guang, Zhang Lina(Department of Chemistry, Wuhan University, Wuhan 430072, China) 《Wuhan University Journal of Natural Sciences》 EI CAS 1998年第1期92-97,共6页
Water-resistant films were prepared by coating the surface of regenerated cellulose films with castor oil-based polyurethane (PU)/ poly-(methacrylate-co-styrene) [P (MA-St)]. The effects of the ratio of PU to P (MA-St... Water-resistant films were prepared by coating the surface of regenerated cellulose films with castor oil-based polyurethane (PU)/ poly-(methacrylate-co-styrene) [P (MA-St)]. The effects of the ratio of PU to P (MA-St) copolymer on tensile strength (dry and wet states), vapor permeability, size stability, and water resistivity of the coated films were studied. The interfacial interaction between cellulose and the PU/P (MA-St) coating was analyzed using infrared (IR), ultraviolet (UV), scanning electron microscopy (SEM), transmission electron microscopy (TEM), differential thermal analysis (DTA), and electron probe microanalysis (EPMA). The results indicated that the mechanical properties and water resistivity of the coated films significantly enhanced, and the biodegradability was displayed, when the ratio of PU to P (MA-St) was 8∶2 by weight. The chemical bonds and hydrogen bonds between the cellulose, PU, and the copolymer exist in the coated films. It is regarded that PU/P (MA-St) semi-interpenetrating polymer networks (IPNs) were formed, and a shared network of PU with both the cellulose and the coating in the coated film occurred simultaneously resulting in a strong bonding between the coating layer and the film. 展开更多
关键词 key words regenerated cellulose films water resistivity interfacial interaction coating IPNS
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