期刊文献+

非瓣膜性心房颤动抗凝治疗疗效和安全性观察 被引量:4

暂未订购
导出
摘要 目的:评价非瓣膜性房颤病人使用抗凝治疗与抗血小板治疗的疗效和安全性。方法:132例非瓣膜性房颤患者,分为抗凝组和抗血小板组。抗凝组给予华法林口服维持国际标准化比率(INR)2.0~3.0;抗血小板组给予阿司匹林口服。结果:抗凝组62例患者华法林维持量1.87~4.75mg/天,平均剂量(2.58±0.74)mg/天,I NR平均(2.46±0.26)。抗凝组和抗血小板组的栓塞发生率分别是1.6%和8.6%,两组比较差异有统计学意义(P<0.05);出血并发症发生率分别是16.1%和5.7%,但是出血严重程度构成比,两组比较差异无统计学意义(P>0.05)。结论:非瓣膜性房颤患者抗凝治疗可以明显减少栓塞事件的发生,维持INR 2.0~3.0,严重出血并发症发生率不高、用药安全。
作者 赵怀美
出处 《中国美容医学》 CAS 2012年第09X期150-151,共2页 Chinese Journal of Aesthetic Medicine
  • 相关文献

参考文献5

  • 1Benjamin EJ,Levy D,V aziri SM. Independent risk factors for atrial fibrillation in a population-based cohort[J].Journal of the American Medical Association,1994.840-844.
  • 2涂荣会,钟国强,曾志羽,伍伟锋,何燕.抗血小板与抗凝治疗预防非瓣膜性心房颤动缺血性卒中的疗效评价[J].中华心血管病杂志,2011,39(3):262-267. 被引量:27
  • 3Aguilar MI,Hart R,Pearce LA. Oral anticoagulants versus antiplatelet therapy for preventing stroke in patients with nonvalvular atrial fibrillation and no history of stroke or transient ischemic attack[J].Stroke,2008.1399-1400.
  • 4Hart RG,Pearce LA,Aguilar MI. Meta-analysis:antithrombotic therapy to prevent stroke in patints who Have nonvalvular atrial fibrillation[J].Arm Intern Med,2007.857.
  • 5张凤祥,曹克将.2010年欧洲心脏病学会心房颤动治疗指南概要[J].中华心律失常学杂志,2011,15(2):157-159. 被引量:24

二级参考文献26

  • 1胡大一,张鹤萍,孙艺红,姜立清.华法林与阿司匹林预防非瓣膜性心房颤动患者血栓栓塞的随机对照研究[J].中华心血管病杂志,2006,34(4):295-298. 被引量:163
  • 2Wolf PA,Abbott RD,Kannel WB.Atrial fibrillation as an independent risk factor for stroke:the Framingham Study.Stroke,1991,22:983-988.
  • 3Petersen P,Boysen G,Godtfredsen J,et al.Placebo-controlled,randomised trial of warfarin and aspirin for prevention of thromboembolic complications in chronic atrial fibrillation:the Copenhagen AFASAK Study.Lancet,1989,1:175-179.
  • 4Stroke Prevention in Atrial Fibrillation Study:final results.Circulation,1991,84:527-539.
  • 5European Atrial Fibrillation Trial Study Group.Secondary prevention in non-rheumatic atrial fibrillation after transient ischaemic attack or minor stroke.Lancet,1993,342:1255-1262.
  • 6Diener HC,Cunha L,Forbes C,et al.European Stroke Prevention Study 2:dipyridamole and acetylsalicylic acid in the prevention of stroke.J Neurol Sci,1996,143:1-13.
  • 7Posada IS,Barriales V.Alternate-day dosing of aspiring in atrial fibrillation:IASAF Pilot Study Group.Am Heart J,1999,138:137-143.
  • 8Sato H,Ishikawa K,Kitabatake A,et al.Low-dose aspirin for prevention of stroke in low-risk patients with atrial fibrillation:Japan Atrial Fibrillation Stroke Trial.Stroke,2006,37:447-451.
  • 9Stroke Prevention in Atrial Fibrillation.Warfarin versus aspirin for prevention of thromboembolism in atrial fibrillation:Stroke Prevention in Atrial Fibrillation Ⅱ Study.Lancet,1994,343:687-691.
  • 10Gullov AL,Koefoed BG,Petersen P.Bleeding during warfarin and aspirin therapy in patients with atrial fibrillation:the AFASAK 2 Study.Arch Intern Med,1999,159:1322-1328.

共引文献49

同被引文献29

引证文献4

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部