岭南急诊医学杂志
嶺南急診醫學雜誌
령남급진의학잡지
LINGNAN JOURNAL OF EMERGENCY MEDICINE
2015年
4期
299-300,303
,共3页
反复发作性脑梗死%氯吡格雷%阿司匹林
反複髮作性腦梗死%氯吡格雷%阿司匹林
반복발작성뇌경사%록필격뢰%아사필림
recurrent cerebral infarction%clopidogrel%aspirin
目的：探讨反复发作性脑梗死患者短期加用氯吡格雷联合阿司匹林抗血小板聚集治疗的有效性。方法：将2012年10月至2014年10月我院神经内科及综合内科收治的反复发作性脑梗死患者82例随机分成氯吡格雷＋阿司匹林治疗组（研究组，n＝41）和阿司匹林治疗组（对照组，n＝41），比较两组住院14日及出院6个月内急性脑梗死的总再次发生率。结果：研究组急性脑梗死总再次发生率明显低于对照组（7．3％ vs 22．0％，P＜0．05）。结论：反复发作性脑梗死患者若无禁忌症及患者同意，应尽早行短期应用氯吡格雷联合阿司匹林治疗，以降低急性脑梗死的再次发生率。
目的：探討反複髮作性腦梗死患者短期加用氯吡格雷聯閤阿司匹林抗血小闆聚集治療的有效性。方法：將2012年10月至2014年10月我院神經內科及綜閤內科收治的反複髮作性腦梗死患者82例隨機分成氯吡格雷＋阿司匹林治療組（研究組，n＝41）和阿司匹林治療組（對照組，n＝41），比較兩組住院14日及齣院6箇月內急性腦梗死的總再次髮生率。結果：研究組急性腦梗死總再次髮生率明顯低于對照組（7．3％ vs 22．0％，P＜0．05）。結論：反複髮作性腦梗死患者若無禁忌癥及患者同意，應儘早行短期應用氯吡格雷聯閤阿司匹林治療，以降低急性腦梗死的再次髮生率。
목적：탐토반복발작성뇌경사환자단기가용록필격뢰연합아사필림항혈소판취집치료적유효성。방법：장2012년10월지2014년10월아원신경내과급종합내과수치적반복발작성뇌경사환자82례수궤분성록필격뢰＋아사필림치료조（연구조，n＝41）화아사필림치료조（대조조，n＝41），비교량조주원14일급출원6개월내급성뇌경사적총재차발생솔。결과：연구조급성뇌경사총재차발생솔명현저우대조조（7．3％ vs 22．0％，P＜0．05）。결론：반복발작성뇌경사환자약무금기증급환자동의，응진조행단기응용록필격뢰연합아사필림치료，이강저급성뇌경사적재차발생솔。
Objective:To explore the effect of combined therapy of clopidogrel and aspirin in short-term plus aspirin in patients with recurrent cerebral infarction. Methods:82 patients with recurrent cerebral infarction in our hospital from Oct 2012 to Oct 2014 were randomly divided into clopidogrel plus aspirin therapy group (research group,n=41) and aspirin group (control group,n=41)and the recurrent cerebral infarction rates were compared between the two groups at in-hospital 14 days and out-hospital 6 months. Results: The total acute cerebral infarction rate in research group was significantly lower than that in the control group (7.3% vs 22.0%,P<0.05). Conclusion:It should as far as possible take short-term clopidogrel and aspirin treatment for patients with recurrent cerebral infarction without contraindication to the consent of the cases , in order to reduce the incidence of recurrent acute cerebral infarction.
