Effect of aspirin combined with atorvastatin on prevention of the recurrence of cerebral infarction
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摘要: 目的 研究抗血小板药物阿司匹林与阿托伐他汀联合用药对预防脑梗死复发的临床效果.方法 将116例脑梗死患者随机分成2组,均给予脑梗死首发常规治疗,治疗组同时口服阿托伐他汀钙20 mg/d及阿司匹林肠溶片100 mg/d,对照组仅晚间口服阿司匹林肠溶片100 mg/d.比较治疗12个月后2组患者的脑梗死复发率及治疗前后颈动脉斑块变化情况.结果 治疗12个月后,治疗组复发率(5.2%)显著低于对照组(19.0%),治疗组不稳定斑块率(24.1%)亦显著低于对照组(41.4%).结论 阿司匹林与阿托伐他汀联合用药后可降低脑梗死患者复发率及不稳定斑块率,其在预防脑梗死复发事件上具有明显的作用.
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Fuentes B, Femández-Dominguez J, Ortega-Casarrubios M A. Treatment with angiotensin receptor blockers before stroke could exerta favourable effect in acute cerebral infarction [J]. Journal of Hypertension, 2010(3):575. 朱林章. 脑心通胶囊联合他汀类药对颈动脉粥样硬化斑块的干预作用 [J]. 中西医结合心脑血管病杂志, 2010(2):134.doi: 10.3969/j.issn.1672-1349.2010.02.004. 中华神经科学会. 脑血管疾病分类(1995)-各类脑血管疾病诊断要点 [J]. 中华神经外科杂志, 1996(5):281. Fang R, Zhang N, Wang C. Relations between plasma ox-LDL and carotid plaque among Chinese Han ethnic group [J]. Neurological Research, 2011(5):460. 蔡雪峰, 隋世华. 普罗布考联合阿托伐他汀在脑梗死二级预防中的疗效观察 [J]. 中国医师杂志, 2010(9):1287.doi: 10.3760/cma.j.issn.1008-1372.2010.09.056. Becattini C, Agnelli G, Schenone A. Aspirin for preventing the recurrence of venous thromboembolism [J]. New England Journal of Medicine, 2012, (21):1959. Boekholdt S M, Arsenault B J, Mora S. Association of LDL cholesterol, non-HDL cholesterol, and apolipoprotein B levels with risk of cardiovascular events among patients treated with statins:a meta-analysis [J]. Journal of the American Medical Association, 2012, (12):1302. Sanchez M A, Thomas C B, O' Neal H R. Do aspirin and statins prevent severe sepsis [J]. Current Opinion in Infectious Diseases, 2012(3):345.
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