CAJ | 학술논문

目的：研究分析短暂性脑缺血发作的临床治疗方法和治疗效果。方法回顾性分析2011年1月-2012年6月期间，我科收治的48例短暂性脑缺血发作患者的临床资料，按照患者治疗期间所采用的治疗方式不同，将其随机分为两组，对照组24例，采用阿司匹林治疗，观察组24例，采用氯吡格雷治疗，比较两组患者的治疗效果和不良反应情况。结果治疗后对照组患者的有效率为95．83％，观察组为91．67％，两组间比较无明显差异，差异无统计学意义（P＞0．05），且治疗过程中两组患者均未见肾功能、血糖、血压等方面的不良反应。结论阿司匹林和氯吡格雷都是治疗短暂性脑缺血发作的良好药物，两种药物疗效相当，但阿司匹林的价格相对低廉，值得临床推广。
목적：연구분석단잠성뇌결혈발작적림상치료방법화치료효과。방법회고성분석2011년1월-2012년6월기간，아과수치적48례단잠성뇌결혈발작환자적림상자료，안조환자치료기간소채용적치료방식불동，장기수궤분위량조，대조조24례，채용아사필림치료，관찰조24례，채용록필격뢰치료，비교량조환자적치료효과화불량반응정황。결과치료후대조조환자적유효솔위95．83％，관찰조위91．67％，량조간비교무명현차이，차이무통계학의의（P＞0．05），차치료과정중량조환자균미견신공능、혈당、혈압등방면적불량반응。결론아사필림화록필격뢰도시치료단잠성뇌결혈발작적량호약물，량충약물료효상당，단아사필림적개격상대저렴，치득림상추엄。
Objective To analyze the clinical treatment of transient ischemic attack (TIA) and the treatment outcome. Methods A retrospective analysis was performed on the clinical data of 48 patients with TIA who were admitted to our department from January 2011 to June 2012. The patients were randomly divided into control group (n=24) and observation group (n=24). The control group received aspirin, while the observation group received clopidogrel. The two groups were compared in terms of treatment outcome and adverse events. Results The control group had a response rate of 95.83%, versus 91.67% in the observation group (P>0.05). Neither group had adverse events concerning renal function, blood glucose, and blood pressure during treatment. Conclusion Aspirin and clopidogrel are good medicines in treating TIA, and they have comparable therapeutic effects. However, aspirin is relatively inexpensive and holds promise for clinical application.