期刊文献+

冠状动脉支架置入围术期应用前列地尔对C反应蛋白及支架内再狭窄的影响 被引量:6

暂未订购
导出
摘要 目的观察冠状动脉支架置入围术期应用前列地尔对C反应蛋白及术后1年内支架内再狭窄的影响。方法 97例急性冠脉综合征行冠脉支架术患者随机分为治疗组和对照组,治疗组51例,对照组46例,治疗组在抗血小板、扩血管、降脂、抗凝等治疗的基础上加用前列地尔。术后所有患者继续服用肠溶阿司匹林100 mg,氯吡格雷75mg持续1年以上。结果 2组患者C反应蛋白术后1天较术前有显著性变化(p<0.05),但与对照组比较无显著统计学意义(P>0.05),术后1周较术前均有下降,但以治疗组下降为著,2组比较差异有统计学意义(P<0.05)。于6~12个月内复查冠脉造影治疗组冠脉再狭窄率明显降低(P<0.05)。结论围术期应用前列地尔可降低冠脉支架置入术后C反应蛋白,并有效抑制炎性反应,且减少1年内支架内再狭窄的发生率。
出处 《疑难病杂志》 CAS 2012年第5期372-374,共3页 Chinese Journal of Difficult and Complicated Cases
  • 相关文献

参考文献10

  • 1Ozer N,Tangurek B,Firat F,et al.Effects of drug-eluting stents on systemic inflammatory response in patients with unstable angina pectoris undergoing percutaneous coronary intervention[J].Heart Vessels,2008,23 (2):75-82.
  • 2Serrano CVJ,Santos ES,Mangione JA,et al.Enhanced inflammatory response following coronary stent implantation in stable angina patients [J].lnt J Cardiol,2007,118(1):69-75.
  • 3Kwaijtaal M,van Diest R,Bar FW,et al.Inflammatory markers predict late cardiac events in patients who are exhausted after percutaneous coronary intervention[J].Atherosclerosis,2005,182,(2):341-348.
  • 4叶任高.内科学[M].北京:人民卫生出版社,2000.721-723.
  • 5高润霖,刘冰.经皮冠状动脉介入治疗指南[J].中华心血管病杂志,2002,30(12):707-718. 被引量:338
  • 6Mizia-Stec K,Gasior Z,Haberka M,et al.In-stent coronary restenosis, but not the type of stent,is associated with impaied endothelial-depend- ??ent vasodilatation[J].Kardiol Pol,2009,67(1):9-17.
  • 7樊君娜.冠状动脉支架植入术后并发症的循证护理[J].临床误诊误治,2009,22(10):87-88. 被引量:5
  • 8胡永涛,高传玉,李芳,安家晨,李同社.单部位单个药物洗脱长支架置入术后远期疗效随访[J].疑难病杂志,2011,10(12):892-893. 被引量:1
  • 9卢强.冠状动脉支架植入术后早期炎性标记物的观察[J].河北医药,2009,31(20):2738-2739. 被引量:5
  • 10Aaron NH,Richard MB.Pharmation and immune modulation[J].Pharmacology&Therapeutics,2004,103(2):147-166.

二级参考文献22

  • 1李萍,程晓曙,吴清华,吴延庆,程开诚,姜醒华,苏海.冠状动脉支架置入术后亚急性血栓形成3例[J].临床心血管病杂志,2006,22(9):566-567. 被引量:2
  • 2李俊峡,张莉,赵玉英.血管内超声在冠心病诊断及治疗中的应用进展[J].临床误诊误治,2007,20(2):83-86. 被引量:1
  • 3Walter DH, Fichtlscherer S, Sellwig M, et al. Preprocedural C-reactive protein levels and cardiovascular events after coronary stent implantation. J Am Coll Cardiol,2001,37 :839-846.
  • 4Farb A, Weber DK, Kolodgie KD, et al. Morphological predictors of restenosis after coronary stenting in humans. Circulation, 2002, 105: 2974 -2980.
  • 5Gaspardone A, Crea F, Versaci F, et al. Predictive value of C-reactive protein after successful coronary artery stenting in patients with stable angina. Am J Cardiol, 1998,82:515-518.
  • 6Aggarwal A, Schneider D J, Terrien EF, et al. Comparison of effects of abciximab versus eptifabide on C-reactive protein, interleukin-6, and interleukin-1 receptor antagonist after coronary arterial stenting. Am J Cardio1,2003,91 : 1346-1349.
  • 7Ridker PM, Rifai N, Pfeffer MA, et al. Long term effects of pravastatin on plasma concentration of C-reactive protein. Circulation, 1999, 100: 230-235.
  • 8Patti G, Di Sciascio G, D' Ambrosio A, et al. Prognostic value of interleu- kin-1 receptor antagonist in patients undergoing percutaneous coronary intervention. Am J Cardiol,2002 ,89 :372-376.
  • 9Heeschen C, Dimmeler S, Hamm CW, et al. CAPTURE Study Investigatiors. Soluble CIM0 ligand in acute coronary syndromes. New Engl J Med ,2003,348 : 1104-1111.
  • 10Liuzzo G, Buffon A, Biasucci LM, et al. Enhanced inflammatory response to coronary angioplasty in patients with severe unstable angina. Circulation, 1998,98:2370-2376.

共引文献729

同被引文献41

  • 1Colombo A, Latib A. Treatment of drug-eluting stent restenosis with an- other drug-eluting stent:do not fail the second time[J]. Revista Espan- ola de Cardiologia, 2008, 61 ( 11 ) : 1120-1122.
  • 2Byrne RA, Neumann FJ, Mehilli JA, et al. Paclitaxel-eluting balloons, paclitaxel-eluting stents, and balloon angioplasty in patients with rest- enosis after implantation of a drug-eluting stent ( ISAR-DESIRE 3 ) : a randomised, open-label trial [ J ]. Lancet, 2013, 381 (9865) : 461- 467.
  • 3Dangas GD, Claessen BE, Caixeta AA, et al. In-stent restenosis in the Drug-Eluting stent era[ J]. Journal of the American College of Cardiolo- gy, 2010, 56(23) : 1897-1907.
  • 4Mehran R, Dangas G, Abixaid AS, et al. Angiographic patterns of in- stent restenosis: classification and implications for long-term out-come [ J]. Circulation, 1999, 100 (18) : 1872-1878.
  • 5Jukema JW, Versehuren JJ, Ahmed TA, et al. Restenosis after PCI. Partl: patho-physiology and riskfactors [ J ]. Nat Rev, 2011, 132 ( 9 ) : 1-10.
  • 6Mehilli J, Byrne RA, Tiroch K, et al. Randomized trial of paclitaxel- versus sirolimus-eluting stents for treatment of coronary restenosis in sirolimus-eluting stents: the ISAR-DESIRE 2 ( Intracoronary Stenting and Angiographic Results: Drug Eluting Stents for In-Stent Restenosis 2 ) study [ J ]. Journal of the American College of Cardiology, 2010, 55 (24) : 2710-2716.
  • 7Byrne RA, Neumann FJ, Mehilli JA, et al. Paclitaxel-eluting balloons, paclitaxel-eluting stents, and balloon angioplasty in patients with rest- enosis after implantation of a drug-eluting stent ( ISAR-DESIRE 3 ) : a randomised, open-label trial [ J ]. Lancet, 2013, 381 ( 9865 ) : 461- 467.
  • 8Lee SS, Price M J, Wong GB, et al. Early-and medium-term outcomes af- ter paclitaxel-eluting stent implantation for sirolimus-eluting stent failure [ J]. American Journal of Cardiology, 2006, 98 (10) :1345-1348.
  • 9Torguson R, Sabate M, Deible R, et al. Intravascular brachytherapy ver- sus drug-eluting stents for the treatment of patients with drug-eluting stent restenosis[ J]. American Journal of Cardiology, 2006, 98 (10) : 1340-1344.
  • 10Byrne R, Iijima R, Mehilli J, et al. Treatment Of paclitaxel-eluting stent restenosis with sirolimus-eluting stent implantation: angiographic and clinical outcomes[J]. Rev Esp cardiol,2008,61 ( 11 ) :1134-1139.

引证文献6

二级引证文献55

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部