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低强度抗凝治疗预防心房颤动患者血栓栓塞的临床研究 被引量:4

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摘要 目的观察不同抗凝强度的华发林对房颤患者血栓栓塞发生的预防效果和安全性.方法将至少有一个栓塞危险因素的房颤患者114例随机分为华发林常规强度抗凝组(52例)和低强度抗凝组(62)两组.观察两组血栓栓塞及出血事件发生率.结果低强度组血栓栓塞发生3例,常规抗凝强度组1例,两组比较无显著性差异.两组病例中出血事件年发生率;常规组为19.2%,低强度组为4.8%,两组比较有显著性差异(P<0.05).两组85%的出血事件均发生于INR>2.5时.两组病例无1例严重出血发生.结论 INR在1.6~2.5之间时相对安全,其血栓栓塞和出血事件发生率低.对于特殊的易出血及栓塞患者,INR应遵循个体化原则.
出处 《心脑血管病防治》 2005年第5期22-24,共3页 CARDIO-CEREBROVASCULAR DISEASE PREVENTION AND TREATMENT
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参考文献5

  • 1Kannel WB, Abbott RD, Savage DD, et al.Epidemiologic features of chronic atrial fibrillation: the Framingham study. N Engl J Med,1982,29,306(17):1018-22.
  • 2Yamaguchi T. Optimal intensity of warfarin therapy for secondary prevention of strokein patients with nonvalvular atrial fibrillation : a multicenter, prospective, randomizedtrial. Japanese Nonvalvular Atrial Fibrillation-Embolism Secondary Prevention CooperativeStudy Group. Stroke, 2000,31(4):817-21.
  • 3Chenhsu RY, Chiang SC, Chou MH, et al. Long-term treatment with warfarin in Chinesepopulation. Ann Pharmacother, 2000,34(12):1395-401.
  • 4墨非(Joseph G. Murphy). MAYO CLINIC 心脏病学(第2版).西安:第四军医大学出版社,2003,1.442-447.
  • 5Perret-Guillaume C, Wahl DG. Low-dose warfarin in atrial fibrillation leads to morethromboembolic events without reducing major bleeding when compared to adjusted-dose-ameta-analysis. Thromb Haemost, 2004,91(2):394-402.

同被引文献20

  • 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:162
  • 2张新才,王建军.华法林低强度抗凝预防心房颤动患者栓塞事件的临床观察[J].中国医药,2006,1(12):712-713. 被引量:3
  • 3吴雪萍,张丽,张帷,陈韦任.75岁以上老年非瓣膜病心房颤动患者抗血栓治疗的应用现状[J].中华老年心脑血管病杂志,2007,9(4):235-236. 被引量:2
  • 4Albers GW, Dalen JE, Laupacis A, et al. Antithrombotic therapy in atrial fibrillation. Chest, 2001, 119(1 Suppl): 194S-206S.
  • 5Gallagher MM, Camm AJ. Classification of atrial fibrillation. Pacing Clin Electrophysiol, 1997, 20(6): 1603-1605.
  • 6Kannel WB, Abbott RD, Savage DD, et al. Coronary heart disease and atrial fibrillation: the Framingham Study. Am Heart J, 1983, 106(2): 389-396.
  • 7Roldan V, marin F, Marco P, et al. Anticoagulant Therapy Modifies Fibrinolytic Dysfunction in Chronic Atrial Fibrillation. Haernostasis, 2000, 30(4): 219-224.
  • 8Li Saw HeeFL, Blann AD, Lip GYH. Effect soffixedlow dose warfarin, aspirin warfarin combination therapy and dose adjusted warfar in on thrombogenesis in chronic atrial fibrillation. Stroke, 2000, 31 (3): 828-833.
  • 9No author listed. Risk Factors for Stroke and Efficacy of Antithormbotic Therapy in Atrial Fibrillation. Analysis of Pooled Data from Five Randomized Controlled Trials. Arch Intern MED, 1994, 154(13): 1449-1457.
  • 10Albers GW,Dalen JE,Laupacis A,et al. Antithrombotic therapy in atrial fibrillation. Chest, 2001,119 : 194s-206s.

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