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目的观察氯吡格雷联合阿司匹林及单用阿司匹林治疗短暂性脑缺血发作(TIA)的临床疗效及安全性。方法 100例确诊为非心源性TIA的患者,随机分为观察组与对照组,每组50例。对照组予以阿司匹林治疗,观察组予以阿司匹林联合氯吡格雷治疗。治疗1个月后对两组疗效对比观察,并随访3个月以观察其安全性。结果治疗1个月后观察组患者总有效率为94%,对照组患者总有效率为78%,两组比较差异有统计学意义(P<0.05)。住院期间两组患者均未出现严重不良反应。结论对于反复发作的非心源性TIA,作为神经内科的急症一定要实施积极的干预,在常规治疗的基础上,使用阿司匹林联合氯吡格雷治疗,能发挥最佳的治疗效果,改善TIA患者的预后,可在临床积极应用。
Objective To observe the clinical efficacy and safety of clopidogrel combined with aspirin and aspirin in the treatment of transient ischemic attack (TIA). Methods One hundred patients diagnosed as non-cardiac TIA were randomly divided into observation group and control group, with 50 cases in each group. The control group was treated with aspirin, the observation group was treated with aspirin and clopidogrel. One month after treatment, the curative effect of the two groups was observed and followed up for 3 months to observe the safety. Results One month after treatment, the total effective rate in the observation group was 94%, while the total effective rate in the control group was 78%. There was significant difference between the two groups (P <0.05). No serious adverse reactions occurred in both groups during hospitalization. Conclusion For recurrent episodes of non-cardiac TIA, as a neurological emergency must implement a positive intervention in the conventional treatment, based on the use of aspirin combined with clopidogrel can exert the best treatment to improve the TIA patients Prognosis, can be actively applied in the clinic.