阿司匹林对冠状动脉旁路移植术后早期血小板数量和功能的影响

Effect of aspirin on early platelet count and function after coronary artery bypass grafting

  • 摘要: 目的 探讨阿司匹林在冠状动脉旁路移植术(Coronary Artery Bypass Graft,CABG)术后早期的抗血小板作用。方法 选取体外循环下冠状动脉旁路移植术(Conventional Coronary Artery Bypass Graft,CCABG)和非体外循环冠状动脉旁路移植术(Off-Pump Coronary Artery Bypass Graft,OPCAB)各30例,记录术前、术后当天、术后1、5、10d的血小板数量及二磷酸腺苷诱导的血小板聚集率(PAG)。结果 在术后常规阿司匹林治疗下,两组术后早期血小板数量短暂下降后大幅上升,显著超过术前水平(P<0.01);CCABG组的变化更明显。两组PAG均有所升高(P<0.05),术后第10天OPCAB组基本恢复,而CCABG组仍高于术前水平(P<0.05)。结论 阿司匹林对CABG术后早期血小板聚集功能的抑制作用不显著,阿司匹林抵抗(Aspirin Resistance,AR)可能是其原因之一。

     

    Abstract: Objective To study the early anti-platelet effect of aspirin after coronary artery bypass grafting(CABG)Methods Thirty patients were selected to undergo CABG and 30 patients were selected to undergo off-pump coronary artery bypass grafting(OPCABG).Their platelet count and adenosine diphosphate-induced platelet aggregation(PAG)rate were recorded before and 1,5,10 days after operationResults The number of platelets decreased transiently and then increased significantly in both groups after treatment with aspirin,and was significantly greater than that before operation(P<0.01),especially in CABG group.The PAG rate increased in both groups after operation than before operation(P<0.05).The number of platelets returned to normal 10 days after OPCABG,and was still higher in those after CABG than before CABG(P<0.05)Conclusion Aspirin cannot significantly inhibit the early aggregation function of platelets after CABG due to aspirin resistanceTherapy;Aspirin/Aspirin Resistance.

     

/

返回文章
返回