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Effect of tirofiban combined with PCI on myocardial damage and platelet activation in patients with STEMI

机译:替罗非班联合PCI对STEMI患者心肌损伤和血小板活化的影响

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摘要

Objective: To study the effect of tirofiban combined with PCI on myocardial damage and platelet activation in patients with STEMI. Methods: Patients with STEMI who were treated and underwent PCI in Wujiang First People's Hospital in Suzhou between March 2015 and February 2017 were selected as the research subjects and randomly divided into two groups, intervention group received tirofiban combined with PCI therapy, control group received routine PCI therapy, and the myocardial damage indexes and platelet activation indexes of two groups of patients were detected. Results: 24 h after PCI treatment, serum S100A/B, H-FABP, GDF-15, cTnT, FKN, MDA, sFas, sTWEAK and 8-OHdG levels of intervention group were obviously lower than those of control group; before PCI treatment and 24 h after PCI treatment, peripheral blood CD62p and PAC-1 expression intensity as well as serum P-selectin, thrombospondin and CD40 ligand levels of intervention group were obviously lower than those of control group. Conclusion: Tirofiban therapy before PCI can help alleviate myocardial damage and inhibit platelet activation.
机译:目的:研究替罗非班联合PCI对STEMI患者心肌损伤和血小板活化的影响。方法:选择2015年3月至2017年2月在苏州吴江市第一人民医院接受PCI治疗的STEMI患者作为研究对象,随机分为两组,干预组接受替罗非班联合PCI治疗,对照组接受常规检测两组PCI患者的PCI损伤指数和血小板活化指数。结果:PCI治疗24 h后,干预组血清S100A / B,H-FABP,GDF-15,cTnT,FKN,MDA,sFas,sTWEAK和8-OHdG水平明显低于对照组。 PCI治疗前和PCI治疗后24h,干预组外周血CD62p和PAC-1表达强度以及血清P-选择素,血小板反应蛋白和CD40配体水平明显低于对照组。结论:PCI前进行替罗非班治疗可以减轻心肌损伤,抑制血小板活化。

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  • 来源
    《海南医科大学学报(英文版)》 |2018年第1期|17-20|共4页
  • 作者

    Guo-Hua Shi;

  • 作者单位

    Department of Cardiovascular Medicine,Wujiang First People's Hospital in Suzhou Jiangsu Province,Suzhou City,Jiangsu Province,215200;

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