广州医药 ›› 2015, Vol. 46 ›› Issue (6): 90-91.DOI: 10.3969/j.issn.1000-8535.2015.06.034

• 综述 • 上一篇    下一篇

阿司匹林在房颤抗凝治疗中的弱化

从毅1, 金洪竹2, 高鸿慈3, 文齐3   

  1. 1 武汉科技大学附属天佑医院急诊科(武汉 430000)
    2 武汉市汉口医院泌外甲胸科(武汉 430000)
    3 湖北中医药大学(武汉 430065)
  • 收稿日期:2015-07-22 发布日期:2021-11-30
  • 通讯作者: 从毅,E-mail:1052965723@qq.com

The limitations of aspirin for anticoagulation in atrial fibrillation

Cong yi, Jin Hongzhu, Gao Hongci, Wen Qi   

  1. Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430000, China;
    Hankou Hospital of Wuhan,Wuhan 430000, China;
    Hubei University of Traditional Chinese Medicine Wuhan,43000,China
  • Received:2015-07-22 Published:2021-11-30

摘要: 目的 研讨阿司匹林广泛用于高危血栓、栓塞抗凝的预防治疗应用。方法 查阅参考文献,结合临床实践,新口服抗凝药疗效终点卒中和体循环栓塞方面为基准。结果 界於CHADS2和CHA2DS2-VASc 评分所涵盖的风险和差异因素,后期华法林与新口服抗凝药可能取舍或并存。结论 在危险分层,卒中抗拴防凝治疗中,我国房颤患者不建议继续服用阿司匹林。

关键词: 阿司匹林, 心房颤动, 抗凝治疗

Abstract: Objective To Study and discuss the applications for prevention and treatment of high risky thrombosis and embolism anticoagulation of Aspirin. Methods Combining literature consultation and clinical practice,making stroke and general circulation embolism of oral anticoagulant curative effect terminal point as the base. Results According to the risky and different factors covered by CHADS2 and CHA2DS2-VASc in the later stage, warfarin and the new oral anticoagulant can be taken together or abandon one of them. Conclusion In the risky factors classification and stroke anticoagulant therapy, we suggest that the atrial fibrillation patients should not take Aspirin.

Key words: Aspirin, Atrial fibrillation, Anticoagulant therapy