A meta-analysis of the safety of clopidogrel and tegrarol in patients with non-ST elevation acute co

来源 :海南医科大学学报(英文版) | 被引量 : 0次 | 上传用户:sydna521
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective:Meta-analysis was performed to evaluate the safety of clopidogrel and tigrel in the treatment of non-ST-segment elevation acute coronary syndrome after intervention. Methods: by searching the databases of cnki, wanfang database, weipu network, bailian and so on, relevant literatures on oral clopidogrel sulfate and tigrel after interventional treatment of non-ST-elevation acute coronary syndrome were collected. Search the required literature according to the inclusion criteria and exclusion criteria. Risk assessment of the included literature was performed on the basis of Cochrane reviews or the Newcastle scale (NOS). Fixed two researchers randomly and the control group, experimental group into literature alone assessed, Use software Review Manager 5.3 analyze aspirin and clopidogrel, aspirin and ticagrelor drug for the safety of the drug after therapy intervention Meta analysis, merge effect value odds ratio (OR) and 95% confidence interval, inspection heterogeneity and publication bias.Results: a total of 16 articles met the criteria, and 3007 patients were included in the meta-analysis. Compared with the clopidogrel sulfate group, the tigrilol group significantly reduced the incidence of major cardiovascular adverse events after interventional therapy for non-ST-segment elevation acute coronary syndrome(MACE) OR=0.37,95%Cl=(0.280.49) (P<0.00001)、Angina symptoms OR=0.46, 95%Cl= (0.260.81) (P=0.008)、Non-fatal heart infarction OR=0.38, 95%cl = (0.260.81) (P=0.001)、heart failure OR=0.41, 95%cl = (0.180.96) (P=0.04)、cardiac death OR=0.31, 95%cl = (0.150.64) (P=0.002)、target vessel revascularization OR=0.46, 95%cl = (0.210.99) (P=0.05),However, increased respiratory distress OR=4.44, 95%cl = (2.089.45) (P<0.0001)、bleeding events OR=2.06, 95%cl = (1.303.27) (P=0.002)、arrhythmia OR=1.14, 95%cl = (0.851.54) (P=0.39).Conclusion:In the treatment of non-ST-segment elevation acute coronary syndrome after interventional surgery, compared with clopidogrel, Tigliero can reduce the incidence of major cardiovascular adverse events, angina symptoms, non-fatal cardiac infarction, heart failure, cardiogenic death, and target vessel revascularization, However, the incidence of dyspnea, bleeding events and arrhythmias increased.
其他文献
前言:Claudin-7是紧密连接蛋白Claudins的家族成员之一,参与维持细胞的极性和调节细胞间的渗透性,在食管癌和结肠癌中表达降低或缺失而在胃腺癌和卵巢癌中Claudin-7的表达较
目的:2型糖尿病是一种自身免疫和低度炎症性疾病,且2型糖尿病存在着细胞因子介导的急性相反应,细胞因子可通过多种机制引起炎症反应,最终引起或加速糖尿病及其并发症的发生。甘露
9月12~15日,由国家新闻出版广电总局、天津市人民政府主办,天津市新闻出版局等单位承办的2013中国国际新闻出版技术装备博览会在天津梅江会展中心举办。与上届不同的是,本届展会增加了影视内容,成为了一个集出版印刷、3D打印、图书、电影、微电影、摄影、音像等多种元素为一体的博览会,在国内尚属首例。  展会上最受關注的无疑是前来参展的世界著名电影制作商卡梅隆-佩斯集团,该集团为《阿凡达》导演詹姆斯·卡
梦想    我的心中有一个梦,我时常会在一个人的时候做这个梦,诉说一些话语,从梦中得到一些安慰,获得奋斗的动力。那个梦就是——超越他!  他就是我的父亲,一个让外婆整天赞不绝口的人,她为有这么个女婿而自豪。他是一个成功的人,10年前,他还是一无是处的穷小子,连家人都养活不起,并且欠债累累,或许那个时候我们是困难户,那时我们需要帮助…·可他没有泄气,没有放弃。他重新拿起书本,一边工作,一边学习。渐渐