他汀类药物对氯吡格雷抵抗的影响
作者:
作者单位:

(哈尔滨医科大学附属第二医院老年医学科,哈尔滨 150000)

作者简介:

通讯作者:

中图分类号:

基金项目:


Effect of statins on clopidogrel resistance
Author:
Affiliation:

(Department of Geriatrics, Second Affiliated Hospital of Harbin Medical University, Harbin 150000, China)

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    双联抗血小板治疗被广泛应用于冠状动脉疾病的治疗,尤其是急性冠状动脉综合征(ACS)或经皮冠状动脉介入治疗(PCI)术后患者。其中一部分应用氯吡格雷治疗患者由于对氯吡格雷反应性差而未达到很好的治疗效果,这就是"氯吡格雷抵抗"现象。近年通过对不同他汀类药物种类、药物剂量、联用时其他因素的干扰等研究表明,他汀类药物直接独立影响个体对氯吡格雷抗血小板的反应证据不足,但这些研究为进一步研究氯吡格雷抵抗机制及明确他汀类药物与氯吡格雷相互作用提供依据, 从而指导临床医师及时调整抗血小板治疗患者的用药方案,以避免恶性血栓栓塞事件发生,本文综述了他汀类药物与氯吡格雷的相互作用。

    Abstract:

    Dual antiplatelet therapy (DAPT) has been widely used in the treatment of coronary artery diseases, especially in the patients with acute coronary syndrome (ACS) and those after percutaneous coronary intervention (PCI). Data indicate that a significant percentage of individuals treated with clopidogrel do not receive the expected therapeutic benefit because of a decreased responsiveness of their platelets. This phenomenon is called “clopidogrel resistance”. In present years, many studies focused on the effects of types, dosages and combinations of statins and other factors on clopidogrel efficacy, while not enough evidence shows that statins directively and independently affect platelet inhibition by clopidogrel. But these studies provided references for the underlying mechanism of clopidogrel resistance and the interactions between the 2 agents, and furthermore, guided the clinicians to adjust the anti-platelet treatment timely so as to avoid the occurrence of life-threatening thromboembolism. This article summarized the interactions of statins and clopidogrel.

    参考文献
    相似文献
    引证文献
引用本文

苏百慧,甘露.他汀类药物对氯吡格雷抵抗的影响[J].中华老年多器官疾病杂志,2017,16(3):230~233

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2016-10-10
  • 最后修改日期:2016-11-14
  • 录用日期:
  • 在线发布日期: 2017-03-24
  • 出版日期: