Influence of different doses of clopidogrel combined aspirin on platelet related indexes and safety in UAP patients / 心血管康复医学杂志
Chinese Journal of cardiovascular Rehabilitation Medicine
; (6): 181-184, 2019.
Article
in Zh
| WPRIM
| ID: wpr-753086
Responsible library:
WPRO
ABSTRACT
Objective :To explore influence of different doses of clopidogrel combined aspirin on platelet related inde—xes and safety in patients with unstable angina pectoris (UAP).Methods : A total of 92 UAP patients treated in our hospital were randomly and equally divided into large dose clopidogrel combined group (received 150mg/d clopi—dogrel combined aspirin ) and routine dose clopidogrel combined group (received 75mg/d clopidogrel combined aspi—rin) ,both groups were continuously treated for three months .Therapeutic effect , medication safety , level of thrombolytic granule membrane protein (GMP)—140 ,maximum platelet aggregation rate (LTA—PAmax ) and ADP—induced maximum platelet amplitude (MAADP ) were compared between two groups .Results : After three—month treatment ,there were no significant difference in total effective rate ,incidence rate of major adverse cardiovascular events ,GMP—140 level ,LTA—PAmax and MAADP between two groups , P>0. 05 all.Incidence rate of severe hemor—rhage in large dose clopidogrel group was higher than that of routine dose group (6.52% vs.2. 17%) without signifi—cant difference ( P=0.609).Conclusion : Increased dose of clopidogrel combined aspirin doesn't obtain significant therapeutic effect ,but may be risk of hemorrhage for unstable angina pectoris ,which calls for clinical attention
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WPRIM
Language:
Zh
Journal:
Chinese Journal of cardiovascular Rehabilitation Medicine
Year:
2019
Type:
Article