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阿司匹林联合西洛他唑对糖尿病患者血栓闭塞性脉管炎的影响。

Effects of aspirin combined with cilostazol on thromboangiitis obliterans in diabetic patients.

作者信息

Yong Jun, Zhang Shaomei, Gao Yan, Guo Wenchen, Shi Peixia, Zhou Qinglin

机构信息

Department of Vascular Surgery, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, P.R. China.

Department of Pharmacy, Yantaishan Hospital, Yantai, Shandong 264000, P.R. China.

出版信息

Exp Ther Med. 2018 Dec;16(6):5041-5046. doi: 10.3892/etm.2018.6833. Epub 2018 Oct 8.

Abstract

The present study explored the effects of aspirin combined with cilostazolin in the treatment of diabetic patients with thromboangiitis obliterans and the effects on the related inflammatory factors. A total of 90 diabetic patients with thromboangiitis obliterans admitted to Weifang People's Hospital from August 2015 to June 2017 were selected and divided into the control group (n=45) and the combination group (n=45). Patients in the control group were given aspirin, and those in the combination group were given aspirin combined with cilostazol. Before treatment and 6 weeks after treatment, the clinical data including ankle-brachial index (ABI), 6-min walk test (6MWT) and test data including serum inflammatory factors interleukin (IL)-8, IL-6 and matrix metalloprotease (MMP)-2 and MMP-9 of the two groups were collected for quantitative and statistical analysis. Compared with those in the control group, the ABI and 6MWT in the combination group could be effectively reduced, and the differences were statistically significant (P<0.05). At the same time, cilostazol combined with aspirin could effectively reduce the levels of serum inflammatory factors MMP-2 and MMP-9 in patients, except for nitric oxide (NO), and the differences were statistically significant (P<0.05). Compared with that before treatment, the control and the combination group can significantly improve the clinical symptoms of the patients, and aspirin combined with cilostazol can effectively improve the clinical curative effect of diabetic patients with thromboangitis obliterans and delay the progression of the disease.

摘要

本研究探讨阿司匹林联合西洛他唑治疗糖尿病性血栓闭塞性脉管炎的效果及其对相关炎症因子的影响。选取2015年8月至2017年6月在潍坊市人民医院收治的90例糖尿病性血栓闭塞性脉管炎患者,分为对照组(n = 45)和联合组(n = 45)。对照组患者给予阿司匹林,联合组患者给予阿司匹林联合西洛他唑。在治疗前及治疗6周后,收集两组患者的临床数据,包括踝肱指数(ABI)、6分钟步行试验(6MWT),以及检测数据,包括血清炎症因子白细胞介素(IL)-8、IL-6和基质金属蛋白酶(MMP)-2及MMP-9,并进行定量和统计学分析。与对照组相比,联合组的ABI和6MWT能有效降低,差异有统计学意义(P<0.05)。同时,西洛他唑联合阿司匹林除一氧化氮(NO)外,能有效降低患者血清炎症因子MMP-2和MMP-9水平,差异有统计学意义(P<0.05)。与治疗前相比,对照组和联合组均可显著改善患者临床症状,阿司匹林联合西洛他唑能有效提高糖尿病性血栓闭塞性脉管炎患者的临床疗效,延缓疾病进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ded/6256971/244ac7b19215/etm-16-06-5041-g00.jpg

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