Hirasawa Tomosuke, Satoh Kiichi, Sugano Kentaro
Division of Gastro-enterology, Department of Internal Medicine, Jichi Medical University.
Nihon Rinsho. 2010 Nov;68(11):1983-6.
Upper gastrointestinal (GI) injuries induced by non-steroidal anti-inflammatory drugs (NSAID) and low-dose aspirin (LDA) have been increasing, because the number of patients who need to use NSAID, LDA, other anti-platelet drugs and anti-coagulants have been increasing. The aging is one of the most important risk factors of upper GI injuries induced by LDA, such as gastric ulcer. Since atypical symptoms often lead to a delay in diagnosis and treatment in the elderly patients, endoscopic examination should be considered especially in the elderly patients to detect upper GI lesions before using LDA.
非甾体抗炎药(NSAID)和低剂量阿司匹林(LDA)所致上消化道(GI)损伤一直在增加,因为需要使用NSAID、LDA、其他抗血小板药物和抗凝剂的患者数量一直在增加。衰老是非甾体抗炎药所致上消化道损伤(如胃溃疡)最重要的危险因素之一。由于非典型症状常导致老年患者诊断和治疗延迟,因此在使用低剂量阿司匹林前,尤其对于老年患者,应考虑进行内镜检查以检测上消化道病变。