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ID:22000141
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时间:2018-10-26
《不同抗血小板治疗方案对上消化道出血发生率的影响》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、不同抗血小板治疗方案对上消化道出血发生率的影响[摘要]目的分析不同的抗血小板药物治疗方案对上消化道出血发生率的影响。方法选取第三军医大学新桥医院2013年10月〜2015年2月收治的心脑血管疾病合并上消化道出血患者180例作为研宄对象,回顾性分析其临床资料,根据其是否曾服用过抗血小板药物将其分为非药物组(对照组,68例)和药物组(观察组,112例),然后根据其使用的抗血小板药物种类又将观察组分为阿司匹林组(66例)、氯毗格雷组(21例)和联用组(25例)。比较各组患者的各临床指标及其出血情况。结果经过不同的抗血小
2、板治疗后,观察组消化道出血率明显高于对照组,住院时间明显短于对照组,出血前腹痛发生率明显低于对照组,差异均有统计学意义(均P0.05)。对观察组患者进行单因素分析,消化道出血与年龄及幽门螺杆菌感染相关(P0.05)。对观察组患者进行多因素Logistic回归分析,患者的年龄及幽门螺杆菌感染情况均与消化道出血发生率密切相关(P[关键词]抗血小板;治疗方案;上消化道出血;影响因素[中图分类号]R573[文献标识码]A[文章编号]1673-7210(2015)05(c)-0128-05[Abstract]Objecti
3、veToanalyzetheeffectofdifferentanti-platelettherapeuticschedulesforincidenceofuppergastrointestinalhemorrhage.Methods180patientswithcardiovascularandcerebrovasculardiseasesincombinationwithuppergastrointestinalhemorrhageadmittedtoXinqiaoHospital,ThirdMilitary
4、MedicalUniversityfromOctober2013toFebruary2015wereselectedasresearchsubjects,andtheclinicaldatawasanalyzedretrospectively.Accordingtowhetherthepatientstooktheanti-platelets,theyweredividedintonon-druggroup(controlgroup,68cases)anddruggroup(observationgroup,11
5、2cases),thenaccordingtodifferentkindsofanti-platelets,thepatientsofobservationgroupweredividedintoAspiringroup(66cases),Clopidogrelgroup(21cases)andcombinedgroup(25cases).Theclinicalindexesandbleedingconditionsofallgroupswerecompared.ResultsAfterdifferentther
6、apiesofanti-platelets,therateofgastrointestinalbleedinginobservationgroupwashigherthanthatofcontrolgroup,thehospitalstaywasshorterthanthatofcontrolgroup,theincidenceofstomachachebeforebleedingwaslowerthanthatofcontrolgroup,thedifferenceswereallstatisticallysi
7、gnificant(allP0.05).Singlefactoranalysisforobservationgroupshowedthat,gastrointestinalhemorrhagewasrelatedtoageandHpinfection(P0.05)•MultivariateLogisticregressionanalysisforobservationgroupshowedthat,theageandHpinfectionhadclosecorrelationwithgastrointestina
8、lhemorrhage(P[Keywords]Anti-platelet;Therapeuticschedules;Uppergastrointestinalhemorrhage;Influencingfactors目前临床上常采用氯毗格雷及阿司匹林等抗血小板药物用于治疗心脑血管疾病,如心肌梗死、房颤、脑梗死、起搏器植入术后、心脏支架术后及短暂性脑缺血[1],同时还具有预
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