NEJM:健康老年人服用阿司匹林对健康无益

2018-09-17 zhangfan MedSci原创

研究认为,健康老年人每天服用低剂量的阿司匹林不会改善其健康程度,反而导致出血风险增加

近日研究人员开展为期5年的研究,考察低剂量阿司匹林对健康老年人群保持持续健康的影响。

2010-14年间,70岁以上无血管疾病、痴呆以及身体残疾的老年人参与研究,随机接受100mg阿司匹林或安慰剂。研究的主要终点为死亡、痴呆以及持续身体残疾的复合终点,次要终点为大出血。

19114名老年志愿者参与研究,平均年龄74岁,其中阿司匹林组9525人,安慰剂组9589人,11.0%的患者先前服用过阿司匹林。研究随访4.7年,因阿司匹林组对终点事件预防无显著改善而终止。阿司匹林组每1000随访年中,死亡、痴呆以及持续性残疾发生21.5起,安慰剂发生21.2起(HR=1.01)。在试验参与的最后一年,阿司匹林组参与者依从率为62.1%,安慰剂组为64.1%。 组间任何原因导致的次级死亡、痴呆以及持续性残疾(阿司匹林组每1000随访年12.7起vs安慰剂组11.1起)发生率差异不显著,但阿司匹林组大出血风险增加(3.8 vs2.8%)。

研究认为,健康老年人每天服用低剂量的阿司匹林不会改善其健康程度,反而导致出血风险增加。

原始出处:

John J. McNeil et al. Effect of Aspirin on Disability-free Survival in the Healthy Elderly. N Engl J Med, September 16, 2018.

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    2018-12-10 小小小麦兜

    学习了

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  2. [GetPortalCommentsPageByObjectIdResponse(id=355045, encodeId=7db035504518, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/f3d88083d8829740786bed95c22464d1/e325f3af93bb747a620d16c209094d69.jpg, createdBy=9efb2014947, createdName=小小小麦兜, createdTime=Mon Dec 10 21:42:48 CST 2018, time=2018-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345765, encodeId=ed03345e6520, content=健康老人的定义是什么?有糖尿病这样的基础病算吗?好多糖尿病患者都伴有心血管动脉的病变, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7e71713450, createdName=太阳系小猪, createdTime=Thu Sep 20 06:57:36 CST 2018, time=2018-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345635, encodeId=62bb345635f7, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=88b22189262, createdName=1208def7m48暂无昵称, createdTime=Wed Sep 19 08:37:39 CST 2018, time=2018-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345529, encodeId=771d3455296a, content=***, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2b2b2406287, createdName=123664f5m21暂无昵称, createdTime=Tue Sep 18 17:06:30 CST 2018, time=2018-09-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345382, encodeId=730a345382db, content=认真学习,不断进步,把经验分享给同好。点赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eb131638261, createdName=lietome24, createdTime=Mon Sep 17 17:06:25 CST 2018, time=2018-09-17, status=1, ipAttribution=)]
    2018-09-20 太阳系小猪

    健康老人的定义是什么?有糖尿病这样的基础病算吗?好多糖尿病患者都伴有心血管动脉的病变

    0

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    2018-09-19 1208def7m48暂无昵称

    学习了

    0

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    2018-09-18 123664f5m21暂无昵称

    ***

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=355045, encodeId=7db035504518, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/f3d88083d8829740786bed95c22464d1/e325f3af93bb747a620d16c209094d69.jpg, createdBy=9efb2014947, createdName=小小小麦兜, createdTime=Mon Dec 10 21:42:48 CST 2018, time=2018-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345765, encodeId=ed03345e6520, content=健康老人的定义是什么?有糖尿病这样的基础病算吗?好多糖尿病患者都伴有心血管动脉的病变, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d7e71713450, createdName=太阳系小猪, createdTime=Thu Sep 20 06:57:36 CST 2018, time=2018-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345635, encodeId=62bb345635f7, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=88b22189262, createdName=1208def7m48暂无昵称, createdTime=Wed Sep 19 08:37:39 CST 2018, time=2018-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345529, encodeId=771d3455296a, content=***, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2b2b2406287, createdName=123664f5m21暂无昵称, createdTime=Tue Sep 18 17:06:30 CST 2018, time=2018-09-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345382, encodeId=730a345382db, content=认真学习,不断进步,把经验分享给同好。点赞了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eb131638261, createdName=lietome24, createdTime=Mon Sep 17 17:06:25 CST 2018, time=2018-09-17, status=1, ipAttribution=)]
    2018-09-17 lietome24

    认真学习,不断进步,把经验分享给同好。点赞了!

    0

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