硫酸氯吡格雷片联合阿司匹林肠溶片在基层医院急性非ST段抬高型心肌梗死中的治疗体会.docVIP

精品论文 参考文献 硫酸氯吡格雷片联合阿司匹林肠溶片在基层医院急性非ST段抬高型心肌梗死中的治疗体会 庞 胜 　　（四川省内江市资中县人民医院 四川 内江 641200） 　　【摘 要】目的：总结硫酸氯吡格雷片联合阿司匹林肠溶片在基层医院急性非ST段抬高型心肌梗死中的治疗体会。方法：将我院收治的74例非ST段抬高型AMI患者随机分为观察组37例和对照组37例。在常规治疗的基础上，观察组患者行硫酸氯吡格雷片联合阿司匹林肠溶片治疗，对照组患者行单纯的阿司匹林肠溶片治疗。评价2组患者的临床治疗效果，观察治疗前后患者ST段下移幅度、缺血导联数的变化情况，并随访观察患者不良心血管事件的发生率。结果：观察组患者临床治疗的总有效率为91.89%，对照组为75.68%，2组比较，差异具有统计学意义（P＜0.05）。治疗后，2组患者的平均ST段下移幅度较治疗前均降低（P＜0.05），缺血导联数较治疗前均减少（P＜0.05），但观察组患者两项指标的改善幅度均大于对照组（P＜0.05）。观察组患者6个月随访期间再梗死率、心绞痛ge;5次/month率、心源性死亡率及总死亡率均低于对照组（P＜0.05）。结论：在基层医院应用硫酸氯吡格雷片联合阿司匹林肠溶片治疗非ST段抬高型AMI的临床疗效显著，值得临床推广应用。 　　【关键词】急性非ST段抬高型心肌梗死；硫酸氯吡格雷片；阿司匹林肠溶片 　　【中图分类号】R542.2 【文献标识码】B 【文章编号】1003-5028（2015）7-0067-02 　　Summarize of the hospital clopidogrel sulfate tablets combined aspirin enteric-coated metformin hydrochloride in treatment of acute non ST segment elevation myocardial infarction. 　　【Abstract】objective: to summarize the hospital clopidogrel sulfate tablets combined aspirin enteric-coated metformin hydrochloride in treatment of acute non ST segment elevation myocardial infarction. Methods: our hospitalrsquo;s 74 cases of non ST segment elevation AMI patients were randomly divided into the observation group (37 cases) and the control group (37 cases). On the basis of routine therapy, observation group patients were treated by clopidogrel sulfate tablets combined aspirin enteric-coated metformin hydrochloride, the control group patients were treated by the pure aspirin enteric-coated metformin hydrochloride . 2 groups of patients with the clinical treatment effect were evaluated, before and after treatment, patients with ST segment down range, ischemia, the change of the lead in the number was observed, the incidence of adverse cardiovascular events in patients with was statistics. Results: observation group of patients with clinical treatment the total effective rate was 91.89%, control group was 75.68%, the comparison of two groups, statistically significant difference (P lt; 0.05). The average ST segment after treatme