ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-05-074 心脑血管疾病与治疗 2025, (05)

替格瑞洛联用瑞舒伐他汀治疗急性心肌梗死的效果观察

宁夏医科大学总医院

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摘要

摘要:目的 探讨在急性心肌梗死的治疗中,联用替格瑞洛与瑞舒伐他汀的效果。方法 选取我院 2020 年 2月至 2024 年 11 月的 120 例急性心肌梗死患者,采用随机数字表法分为对照组和观察组,每组 60 例。给予对照组瑞舒伐他汀单药治疗,观察组则联用替格瑞洛。比较两组疗效、血流动力学和心功能指标的差异。结果 组间有效率比较,观察组更高(P<0.05);组间平均压力差(mMVP)、左房平均压(mLAP)、肺动脉平均压(mPAP) 相比,治疗前,差异不大(P>0.05),治疗后,观察组上述指标水平更低(P<0.05);组间左室舒张末期内径 (LVEDD)、心输出量(CO)、6 min 步行距离(6MWD)、室间隔厚度(IVST)、每搏输出量(SV)、左室射血分数(LVEF)和左室收缩末期内径(LVESD)治疗前较比,差异不大(P>0.05),治疗后,与对照组相比,观察组LVEDD、IVST 和 LVESD 更低,6MWD、CO、SV 和 LVEF 更高(P<0.05)。结论 替格瑞洛联用瑞舒伐他汀对急性心肌梗死有较为显著的效果。

Abstract

Abstract: Objective To investigate the efficacy of combining ticagrelor and rosuvastatin in the treatment of acute myocardial infarction. Methods Patients with acute myocardial infarction were selected between February 2020 and November 2024, with a total of 120 cases enrolled. They were randomly divided into two groups using a random number table method, with 60 cases in each group. The control group received rosuvastatin monotherapy, while the observation group received rosuvastatin combined with ticagrelor. The differences in efficacy, hemodynamic parameters, and cardiac function indicators between the two groups were compared. Results Between-group comparisons showed that the observation group had a higher effective rate (P<0.05). When comparing intergroup mean pressure differences (mMVP), mean left atrial pressure (mLAP), and mean pulmonary artery pressure (mPAP), there were no significant differences before treatment (P>0.05). However, after treatment, the observation group had lower levels of these indicators (P<0.05). When comparing the left ventricular end-diastolic diameter (LVEDD), cardiac output (CO), 6-minute walk distance (6MWD), interventricular septal thickness (IVST), stroke volume (SV), left ventricular ejection fraction (LVEF), and left ventricular end-systolic diameter (LVESD) between groups, there were no significant differences before treatment (P>0.05). After treatment, compared with the control group, the observation group had lower LVEDD, IVST, and LVESD, and higher 6MWD, CO, SV, and LVEF (P<0.05). Conclusion Ticagrelor combined with rosuvastatin has a relatively significant effect on acute myocardial infarction.

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[1]黄飞.替格瑞洛联用瑞舒伐他汀治疗急性心肌梗死的效果观察[J],2025,01(05):.