Efficacy and safety of different maintenance doses of clopidogrel for patients after percutaneous coronary intervention:a systematic review
返回论文页
|更新时间:2023-12-18
|
Efficacy and safety of different maintenance doses of clopidogrel for patients after percutaneous coronary intervention:a systematic review
Journal of Chongqing Medical UniversityVol. 38, Issue 10, Pages: 1419-1424(2014)
作者机构:
重庆医科大学附属第二医院药学部
作者简介:
基金信息:
DOI:
CLC:
Published:2014,
扫 描 看 全 文
Wei Lai, Wei Na, Qian Yan. Efficacy and safety of different maintenance doses of clopidogrel for patients after percutaneous coronary intervention:a systematic review. [J]. Journal of Chongqing Medical University 38(10):1419-1424(2014)
DOI:
Wei Lai, Wei Na, Qian Yan. Efficacy and safety of different maintenance doses of clopidogrel for patients after percutaneous coronary intervention:a systematic review. [J]. Journal of Chongqing Medical University 38(10):1419-1424(2014)DOI:
Efficacy and safety of different maintenance doses of clopidogrel for patients after percutaneous coronary intervention:a systematic review
Objective:To assess the efficacy and safety of different maintenance doses of clopidogrel for patients after percutaneous coronary intervention(PCI) by a meta-analysis and to provide some advices for clinical therapy. Methods:According to the methods of evidence-based medicine,randomized controlled trials(RCTs) about the different maintenance doses of clopidogrel using on pa-tients after PCI were searched. Data were extracted into a designed form and the quality of selected articles was analyzed. The Rev Man 5.0 software was used for data analysis. Results:Thirteen RCTs containing 2 883 patients were included. The meta-analysis showed that 150 mg clopidogrel significantly inhibited platelet aggregation(PA) and reduced major adverse cardiac events(MACE) incidence than 75 mg clopidogrel(MD=-12.20,95%CI=-13.77 to -10.63,P=0.000)(RR=0.41,95%CI=0.27 to 0.63,P=0.000). Finally,No obvious difference was found in major bleeding(RR=1.61,95%CI=0.90 to 2.87,P=0.110) or minor bleeding(RR=1.19,95%CI=0.87 to 1.62,P=0.270) between the two groups. Conclusion:Clopidogrel with dose of 150 mg is superior to clopidogrel with dose of 75 mg in inhibiting PA and reducing MACE for patients after PCI without bleeding risk.