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氯吡格雷和阿司匹林双重抗血小板治疗用于二级卒中预防。

Dual antiplatelet therapy with clopidogrel and aspirin for secondary stroke prevention.

作者信息

Wang Yilong, Chen Weiqi, Wang Yongjun

机构信息

Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, No.6 Tiantanxili, Dongcheng District, Beijing, China, 100050,

出版信息

Curr Cardiol Rep. 2015 Oct;17(10):89. doi: 10.1007/s11886-015-0642-4.

DOI:10.1007/s11886-015-0642-4
PMID:26294261
Abstract

Stroke is a major public health concern worldwide, and 25 % of stroke victims would have another stroke. Although administration of antiplatelet agents has been confirmed to be one of the major approaches for secondary prevention of noncardioembolic stroke, the short-term or long-term use of aspirin plus clopidogrel for secondary stroke prevention remains to be controversial. This article aims at providing a comprehensive review of the evidence on the use of aspirin plus clopidogrel for secondary stroke prevention, with special focus on important studies that may impact clinical practice of treating patients with stroke or transient ischemic attack.

摘要

中风是全球主要的公共卫生问题,25%的中风患者会再次中风。尽管抗血小板药物的使用已被确认为非心源性栓塞性中风二级预防的主要方法之一,但阿司匹林联合氯吡格雷用于中风二级预防的短期或长期使用仍存在争议。本文旨在全面综述阿司匹林联合氯吡格雷用于中风二级预防的证据,特别关注可能影响中风或短暂性脑缺血发作患者临床治疗实践的重要研究。

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Dual antiplatelet therapy with clopidogrel and aspirin for secondary stroke prevention.氯吡格雷和阿司匹林双重抗血小板治疗用于二级卒中预防。
Curr Cardiol Rep. 2015 Oct;17(10):89. doi: 10.1007/s11886-015-0642-4.
2
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本文引用的文献

1
Soluble CD40L Is a Useful Marker to Predict Future Strokes in Patients With Minor Stroke and Transient Ischemic Attack.可溶性 CD40L 是预测小卒中及短暂性脑缺血发作患者未来发生卒中的有用标志物。
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Glycated albumin predicts the effect of dual and single antiplatelet therapy on recurrent stroke.糖化白蛋白预测双联和单联抗血小板治疗对复发性卒中的影响。
Neurology. 2015 Mar 31;84(13):1330-6. doi: 10.1212/WNL.0000000000001421. Epub 2015 Mar 4.
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Treatment and prevention of gastrointestinal bleeding in patients receiving antiplatelet therapy.
接受抗血小板治疗患者胃肠道出血的治疗与预防
World J Crit Care Med. 2015 Feb 4;4(1):40-6. doi: 10.5492/wjccm.v4.i1.40.
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Stroke. 2014 Jul;45(7):2160-236. doi: 10.1161/STR.0000000000000024. Epub 2014 May 1.
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Clopidogrel plus aspirin versus warfarin in patients with stroke and aortic arch plaques.氯吡格雷联合阿司匹林与华法林治疗合并主动脉弓斑块的缺血性脑卒中患者的疗效比较
Stroke. 2014 May;45(5):1248-57. doi: 10.1161/STROKEAHA.113.004251. Epub 2014 Apr 3.
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Stroke: a new CHANCE for combination antiplatelet therapy?卒中:联合抗血小板治疗的新机会?
Nat Rev Neurol. 2013 Oct;9(10):549-50. doi: 10.1038/nrneurol.2013.191. Epub 2013 Sep 10.
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Clopidogrel with aspirin in acute minor stroke or transient ischemic attack.氯吡格雷联合阿司匹林治疗急性小卒中或短暂性脑缺血发作。
N Engl J Med. 2013 Jul 4;369(1):11-9. doi: 10.1056/NEJMoa1215340. Epub 2013 Jun 26.
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Stenting versus aggressive medical therapy for intracranial arterial stenosis.颅内动脉狭窄的血管内支架置入与积极药物治疗的比较。
N Engl J Med. 2011 Sep 15;365(11):993-1003. doi: 10.1056/NEJMoa1105335. Epub 2011 Sep 7.
9
Systematic review of thienopyridine discontinuation and its impact upon clinical outcomes.噻吩吡啶类药物停药的系统评价及其对临床结局的影响。
Eur Heart J. 2011 Oct;32(19):2358-64. doi: 10.1093/eurheartj/ehr141. Epub 2011 Jul 30.
10
2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery.2011年美国麻醉医师协会/美国心脏病学会基金会/美国心脏协会/美国神经学会护士协会/美国神经外科医师协会/美国放射学会/美国神经放射学会/神经外科医师大会/动脉粥样硬化影像与预防学会/心血管造影和介入学会/介入放射学会/神经介入外科学会/血管医学学会和血管外科学会关于颅外颈动脉和椎动脉疾病患者管理的指南:美国心脏病学会基金会/美国心脏协会实践指南工作组、美国中风协会、美国神经科学护士协会、美国神经外科医师协会、美国放射学会、美国神经放射学会、神经外科医师大会、动脉粥样硬化影像与预防学会、心血管造影和介入学会、介入放射学会、神经介入外科学会、血管医学学会和血管外科学会的报告
J Am Coll Cardiol. 2011 Feb 22;57(8):e16-94. doi: 10.1016/j.jacc.2010.11.006. Epub 2011 Feb 1.