{"title":"替格瑞洛与氯吡格雷在急性冠脉综合征介入治疗后的应用及对血清特异性指标的影响。","authors":"Yangzhi Chen, Limei Lei, Qing Ji","doi":"10.36721/PJPS.2025.38.4.REG.14377.1","DOIUrl":null,"url":null,"abstract":"<p><p>Acute coronary syndrome (ACS) is a severe form of coronary artery disease that poses a major challenge to clinical management. This study evaluated the effects of ticagrelor and clopidogrel on serum biomarkers and clinical outcomes after intervention in patients with ACS. 112 ACS patients (June 2023 to June 2024) were enrolled and randomized into two groups: control group (n=56) and study group (n=56). Both groups received clopidogrel treatment, while the study group was additionally treated with ticagrelor. Platelet aggregation rate, serum inflammatory markers, cardiac function indices (LVEF, LVEDD, LVESD), immune function, microcirculatory function (CFR, IMR), clinical efficacy, and adverse events were assessed at various time points. Postoperative indicators improved in both groups (P<0.05). Platelet aggregation rate, inflammatory index level, LVEDD and LVESD, percentage of CD8+ T cellls, IMR level and incidence of adverse reactions were lower in Study group patients than in Control group (P<0.05). Study group patients had higher LVEF, percentage of CD3+ T cellls, CD4+ T cellls, CFR level and clinical efficacy than Control group (P<0.05). The efficacy of ticagrelor and clopidogrel in the post-interventional period in patients with ACS is definite and of high clinical value.</p>","PeriodicalId":19971,"journal":{"name":"Pakistan journal of pharmaceutical sciences","volume":"38 4","pages":"1203-1212"},"PeriodicalIF":0.7000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The use of ticagrelor with clopidogrel in patients after interventional therapy for acutely coronary syndrome and effect on serum specificity indices.\",\"authors\":\"Yangzhi Chen, Limei Lei, Qing Ji\",\"doi\":\"10.36721/PJPS.2025.38.4.REG.14377.1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Acute coronary syndrome (ACS) is a severe form of coronary artery disease that poses a major challenge to clinical management. This study evaluated the effects of ticagrelor and clopidogrel on serum biomarkers and clinical outcomes after intervention in patients with ACS. 112 ACS patients (June 2023 to June 2024) were enrolled and randomized into two groups: control group (n=56) and study group (n=56). Both groups received clopidogrel treatment, while the study group was additionally treated with ticagrelor. Platelet aggregation rate, serum inflammatory markers, cardiac function indices (LVEF, LVEDD, LVESD), immune function, microcirculatory function (CFR, IMR), clinical efficacy, and adverse events were assessed at various time points. Postoperative indicators improved in both groups (P<0.05). Platelet aggregation rate, inflammatory index level, LVEDD and LVESD, percentage of CD8+ T cellls, IMR level and incidence of adverse reactions were lower in Study group patients than in Control group (P<0.05). Study group patients had higher LVEF, percentage of CD3+ T cellls, CD4+ T cellls, CFR level and clinical efficacy than Control group (P<0.05). The efficacy of ticagrelor and clopidogrel in the post-interventional period in patients with ACS is definite and of high clinical value.</p>\",\"PeriodicalId\":19971,\"journal\":{\"name\":\"Pakistan journal of pharmaceutical sciences\",\"volume\":\"38 4\",\"pages\":\"1203-1212\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pakistan journal of pharmaceutical sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.36721/PJPS.2025.38.4.REG.14377.1\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PHARMACOLOGY & PHARMACY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pakistan journal of pharmaceutical sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.36721/PJPS.2025.38.4.REG.14377.1","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PHARMACOLOGY & PHARMACY","Score":null,"Total":0}
The use of ticagrelor with clopidogrel in patients after interventional therapy for acutely coronary syndrome and effect on serum specificity indices.
Acute coronary syndrome (ACS) is a severe form of coronary artery disease that poses a major challenge to clinical management. This study evaluated the effects of ticagrelor and clopidogrel on serum biomarkers and clinical outcomes after intervention in patients with ACS. 112 ACS patients (June 2023 to June 2024) were enrolled and randomized into two groups: control group (n=56) and study group (n=56). Both groups received clopidogrel treatment, while the study group was additionally treated with ticagrelor. Platelet aggregation rate, serum inflammatory markers, cardiac function indices (LVEF, LVEDD, LVESD), immune function, microcirculatory function (CFR, IMR), clinical efficacy, and adverse events were assessed at various time points. Postoperative indicators improved in both groups (P<0.05). Platelet aggregation rate, inflammatory index level, LVEDD and LVESD, percentage of CD8+ T cellls, IMR level and incidence of adverse reactions were lower in Study group patients than in Control group (P<0.05). Study group patients had higher LVEF, percentage of CD3+ T cellls, CD4+ T cellls, CFR level and clinical efficacy than Control group (P<0.05). The efficacy of ticagrelor and clopidogrel in the post-interventional period in patients with ACS is definite and of high clinical value.
期刊介绍:
Pakistan Journal of Pharmaceutical Sciences (PJPS) is a peer reviewed multi-disciplinary pharmaceutical sciences journal. The PJPS had its origin in 1988 from the Faculty of Pharmacy, University of Karachi as a biannual journal, frequency converted as quarterly in 2005, and now PJPS is being published as bi-monthly from January 2013.
PJPS covers Biological, Pharmaceutical and Medicinal Research (Drug Delivery, Pharmacy Management, Molecular Biology, Biochemical, Pharmacology, Pharmacokinetics, Phytochemical, Bio-analytical, Therapeutics, Biotechnology and research on nano particles.