回眸2009年抗栓药物治疗中的进展与争鸣

被引:2
作者
施仲伟
机构
[1] 上海交通大学附属瑞金医院心内科
关键词
D O I
暂无
中图分类号
R541.4 [冠状动脉(粥样)硬化性心脏病(冠心病)];
学科分类号
1002 ; 100201 ;
摘要
<正>抗栓药物的研究进展无疑是2009年心血管病药物治疗学中的最大热点,一些抗血小板和抗凝新药纷纷登台亮相,而阿司匹林等药物的老问题再起波澜,令人既感到惊喜、也有几分困惑。一、抗血小板新药1.替格瑞洛(ticagrelor):血小板抑制和患者转归(PLATO)研究纳入18 624例急性冠状动脉综合征(ACS)患者,随机分入替格瑞洛组(首次负荷剂量180 mg,随后90 mg,2次/d)或氯吡格雷组(首次负荷剂量300~600 mg,随后75 mg/d),平均治疗277 d。结果显示,替格瑞洛组的主要终点事件发
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