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女性心肌梗死后的长期抗凝治疗。

Long-term anticoagulant therapy after myocardial infarction in women.

作者信息

Borchgrevink C F, Bjerkelund C, Abrahamsen A M, Bay G, Borgen P, Grande B, Helle I, Kjörstad H, Petersen A M, Rörvik T, Thorsen R, Odegaard A

出版信息

Br Med J. 1968 Sep 7;3(5618):571-4. doi: 10.1136/bmj.3.5618.571.

DOI:10.1136/bmj.3.5618.571
PMID:4174488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1991128/
Abstract

A multicentre trial from five medical departments in Oslo has been carried out to determine the value in women patients of one year's long-term anticoagulant therapy. Follow-up long-term laboratory control and anticoagulant dosage were performed at one centre (the Rikshospitalet). One hundred and fifty-nine patients were assigned randomly into two similar well-matched groups (control and treatment). Dosage was controlled by Thrombotest, aiming at 10-20% levels, and 50% of the tests were less than 14%. Compared with the control group, the treatment group showed a significant reduction in mortality and in reinfarction rate. No serious bleeding complications occurred. It is concluded that women benefit as much as men from long-term anticoagulant therapy.

摘要

奥斯陆五个医学科室开展了一项多中心试验,以确定为期一年的长期抗凝治疗对女性患者的价值。长期实验室监测及抗凝剂剂量调整在一个中心(国家医院)进行。159名患者被随机分为两个匹配良好的相似组(对照组和治疗组)。通过凝血试验控制剂量,目标水平为10%-20%,且50%的检测结果低于14%。与对照组相比,治疗组的死亡率和再梗死率显著降低。未发生严重出血并发症。研究得出结论,长期抗凝治疗对女性和男性的益处相同。

相似文献

1
Long-term anticoagulant therapy after myocardial infarction in women.女性心肌梗死后的长期抗凝治疗。
Br Med J. 1968 Sep 7;3(5618):571-4. doi: 10.1136/bmj.3.5618.571.
2
Anticoagulant therapy after acute myocardial infarction. Relation of therapeutic benefit to patient's age, sex, and severity of infarction.
JAMA. 1972 Oct 30;222(5):541-8. doi: 10.1001/jama.222.5.541.
3
Improved control of long-term anticoagulant therapy.长期抗凝治疗的控制得到改善。
Br Med J. 1968 May 11;2(5601):337-40. doi: 10.1136/bmj.2.5601.337.
4
[Influence of long-term anticoagulant treatment on reinfarction, mortality and rehabilitation of patients with myocardial infarct. 4-year-observation ambulatory surveillance of infarction].
Z Gesamte Inn Med. 1972 Apr 1;27(7):307-11.
5
A double-blind trial to assess long-term oral anticoagulant therapy in elderly patients after myocardial infarction. Report of the Sixty Plus Reinfarction Study Research Group.一项评估老年心肌梗死患者长期口服抗凝治疗的双盲试验。六十岁以上再梗死研究组报告。
Lancet. 1980 Nov 8;2(8202):989-94.
6
Assessment of short-anticoagulant administration after cardiac infarction. Report of the Working Party on Anticoagulant Therapy in Coronary Thrombosis to the Medical Research Council.心肌梗死后短期抗凝治疗的评估。冠状动脉血栓形成抗凝治疗工作小组向医学研究理事会提交的报告。
Br Med J. 1969 Feb 8;1(5640):335-42.
7
Comparison of efficacy of 3 and 12 months' anticoagulant therapy after myocardial infarction. A controlled clinical trial.心肌梗死后3个月与12个月抗凝治疗疗效比较:一项对照临床试验
Lancet. 1969 Jan 18;1(7586):122-4. doi: 10.1016/s0140-6736(69)91136-2.
8
The role of anticoagulant therapy in acute myocardial infarction.抗凝治疗在急性心肌梗死中的作用。
Am Heart J. 1984 Nov;108(5):1387-93. doi: 10.1016/0002-8703(84)90779-8.
9
The management of adequate anticoagulant therapy and its complications.
Vasc Dis. 1966 Oct;3(5):295-304.
10
Control of long-term anticoagulant therapy.长期抗凝治疗的管理
Scott Med J. 1967 Apr;12(4):163-5. doi: 10.1177/003693306701200405.

引用本文的文献

1
Long-term anticoagulant treatment after myocardial infarction.心肌梗死后的长期抗凝治疗。
Br Med J. 1970 May 2;2(5704):300. doi: 10.1136/bmj.2.5704.300.
2
Determinants of anticoagulant control in patients receiving warfarin.接受华法林治疗患者抗凝控制的决定因素。
Br J Clin Pharmacol. 1977 Jun;4(3):309-14. doi: 10.1111/j.1365-2125.1977.tb00718.x.
3
Comparison of a new microcrystalline dicoumarol preparation with warfarin under routine treatment conditions.在常规治疗条件下,新型微晶双香豆素制剂与华法林的比较。
Br J Clin Pharmacol. 1979 Jul;8(1):59-64. doi: 10.1111/j.1365-2125.1979.tb05910.x.

本文引用的文献

1
A DOUBLE BLIND STUDY OF DICUMAROL PROPHYLAXIS IN CORONARY HEART DISEASE.双香豆素预防冠心病的双盲研究
Acta Med Scand. 1964 Nov;176:563-75. doi: 10.1111/j.0954-6820.1964.tb00659.x.
2
PROPHYLACTIC ANTICOAGULANT THERAPY FOR CORONARY ARTERY DISEASE. A SEVEN-YEAR CONTROLLED STUDY.冠状动脉疾病的预防性抗凝治疗。一项为期七年的对照研究。
JAMA. 1964 Jul 20;189:183-7. doi: 10.1001/jama.1964.03070030005001.
3
Long-term anticoagulant therapy after myocardial infarction.心肌梗死后的长期抗凝治疗。
Lancet. 1962 Sep 29;2(7257):626-30. doi: 10.1016/s0140-6736(62)92540-0.
4
Long-term anticoagulant therapy in angina pectoris. A follow-up study.心绞痛的长期抗凝治疗。一项随访研究。
Lancet. 1962 Mar 3;1(7227):449-51. doi: 10.1016/s0140-6736(62)91417-4.
5
A controlled trial of long-term treatment with anticoagulants after myocardial infarction in 412 male patients.412名男性患者心肌梗死后抗凝剂长期治疗的对照试验。
Med J Aust. 1967 Jul 15;2(3):97-104. doi: 10.5694/j.1326-5377.1967.tb73912.x.
6
[Anticoagulant therapy of acute myocardial infarct and its sequelae].[急性心肌梗死及其后遗症的抗凝治疗]
Ugeskr Laeger. 1968 Feb 22;130(8):318-27.
7
A double-blind trial of long-term anticoagulant treatment after myocardial infarction.心肌梗死后长期抗凝治疗的双盲试验。
Acta Med Scand. 1967 Nov;182(5):549-66. doi: 10.1111/j.0954-6820.1967.tb10881.x.