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他汀类药物与氯吡格雷相互作用争议的现状 被引量:20

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摘要 近年来大规模随机试验证实,他汀类药物具有多效性,在冠心病的一级和二级预防中具有肯定的效果,并且强化他汀类药物的治疗在急性冠脉综合征(ACS)和经皮冠脉介入治疗(PCI)中有重要价值。阿司匹林联合应用氯吡格雷能进一步减少ACS和PCI患者的血栓并发症。临床上已经将强化他汀类药物和双重抗血小板治疗应用于ACS和PCI患者,并取得了较理想的效果。但一些小样本研究提示他汀类药物和氯吡格雷合用竞争肝细胞色素P450同工酶CYP3A4而降低氯吡格雷抗血小板的能力,但多数研究显示,阿托伐他汀等经CYP3A4代谢的他汀和氯吡格雷同时使用并不降低氯毗格雷的抗血小板作用。该文就他汀类药物与氯吡格雷相互作用的争议进行综述。
作者 王燕慧 张灏
出处 《国际心血管病杂志》 2011年第2期104-107,共4页 International Journal of Cardiovascular Disease
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