新一代血液稀释剂可有效降低房颤患者卒中风险

2016-04-18 佚名 来宝网

新一代的血液稀释剂能够降低房颤患者的卒中风险,无需经常性监测和饮食限制。 但是根据一篇由来自芝加哥特里奇医学院洛约拉大学洛约拉医学部门的神经病学家发表的文章,在使用这种新药之前必须特别关注患者的年龄、肾功能和其它因素。 这篇由Rochelle Sweis, DO和José Biller发表的报道,出版在了名为journal Current Treatment Options in Cardio

新一代的血液稀释剂能够降低房颤患者的卒中风险,无需经常性监测和饮食限制。

但是根据一篇由来自芝加哥特里奇医学院洛约拉大学洛约拉医学部门的神经病学家发表的文章,在使用这种新药之前必须特别关注患者的年龄、肾功能和其它因素。

这篇由Rochelle Sweis, DO和José Biller发表的报道,出版在了名为journal Current Treatment Options in Cardiovascular Medicine的杂志上。

房颤是心律不齐最常见的类型,它的普遍性正随着人口老龄化增加。房颤时,调控心跳的电信号变得不稳定。与心跳规律时不同,这种情况下心脏的心房颤动,血液流动不好。血块形成,迁移至大脑,引起卒中。房颤使卒中风险增加5倍。

血液稀释剂降低了大约70%的卒中风险。60年来临床医生一直在给患者开具华法林以及其他一些维生素K拮抗剂。这些药物已经证明能够有效降低凝血和卒中风险。但是它们需要进行持续的监测和剂量调整以确保药物稀释血液足以预防凝血,但又不至于增加主要出血风险。患者也必须控制他们的饮食(尤其富含维生素K的)像菠菜、甘蓝、羽衣甘蓝、欧芹和茶。

新的血液稀释剂包括达比加群酯、利伐沙班、阿哌沙班和依度沙班。在应用于正确的患者群时,这些新药对于治疗房颤是安全有效的选择, Drs. Sweis 和 Biller写道。

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  2. [GetPortalCommentsPageByObjectIdResponse(id=2010741, encodeId=68162010e413b, content=<a href='/topic/show?id=3dfc89322d6' target=_blank style='color:#2F92EE;'>#血液稀释剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89322, encryptionId=3dfc89322d6, topicName=血液稀释剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=jiangjun073, createdTime=Wed May 11 23:27:00 CST 2016, time=2016-05-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=82695, encodeId=733582695f6, content=我以为是啥呢,感觉写文章的人不是特专业,明明就是新型口服抗凝药嘛。, beContent=null, objectType=article, channel=null, level=null, likeNumber=110, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9ebb1716792, createdName=黑心天使, createdTime=Mon Apr 25 11:15:00 CST 2016, time=2016-04-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=81730, encodeId=da0181e30f1, content=用词不规范,哪有血液稀释剂吧,明明是新型抗凝药物,拜托编辑好好审批, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=824d1716533, createdName=1deb6da7m33(暂无匿称), createdTime=Sat Apr 23 14:08:00 CST 2016, time=2016-04-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1281211, encodeId=a84d128121129, content=<a href='/topic/show?id=455f36085f0' target=_blank style='color:#2F92EE;'>#卒中风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36085, encryptionId=455f36085f0, topicName=卒中风险)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Wed Apr 20 00:27:00 CST 2016, time=2016-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1614296, encodeId=6864161429647, content=<a href='/topic/show?id=64f95426122' target=_blank style='color:#2F92EE;'>#房颤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54261, encryptionId=64f95426122, topicName=房颤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937e19519012, createdName=hittouch, createdTime=Wed Apr 20 00:27:00 CST 2016, time=2016-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79464, encodeId=47a5e946477, content=文章高大上, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=240a1683959, createdName=李继凯, createdTime=Tue Apr 19 01:07:00 CST 2016, time=2016-04-19, status=1, ipAttribution=)]
    2016-04-25 黑心天使

    我以为是啥呢,感觉写文章的人不是特专业,明明就是新型口服抗凝药嘛。

    0

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    2016-04-23 1deb6da7m33(暂无匿称)

    用词不规范,哪有血液稀释剂吧,明明是新型抗凝药物,拜托编辑好好审批

    0

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    2016-04-19 李继凯

    文章高大上

    0

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