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将48例急性心肌梗塞(AMI)患者随机分为阿司匹林每日疗法组(300mg,每日一次),小剂量疗法组(75mg,每日一次)、间歇疗法组(300mg,第三日一次)及未服阿司匹林组,观察患者血浆6-酮前列腺素F1α(6-keto-PGF1α)和血栓素B2(TXB2)浓度的变化。结果表明三种疗法抑制血小板血栓素A2(TXA2)的程度相似,小剂量疗法及间歇疗法对前列环素(PGI2)生成无累积性抑制.提示小剂量疗法和间歇疗法能改善PGI2-TXA2平衡,优于每日疗法组。
48 patients with acute myocardial infarction (AMI) were randomly divided into aspirin daily therapy group (300mg once daily), low-dose therapy group (75mg once daily), intermittent therapy group (300mg once on the third day) and In the aspirin group, the changes of plasma concentrations of 6-keto-PGF1α and TXB2 were observed. The results showed that the three therapies were similar in their inhibition of TXA2, and that low-dose and intermittent therapies produced no cumulative inhibition of prostacyclin (PGI2) production. Tip Low-dose therapy and intermittent therapy can improve PGI2-TXA2 balance, better than the daily therapy group.