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健康年轻女性口服避孕药与非致死性中风

Oral contraceptives and nonfatal stroke in healthy young women.

作者信息

Jick H, Porter J, Rothman K J

出版信息

Ann Intern Med. 1978 Jul;89(1):58-60. doi: 10.7326/0003-4819-89-1-58.

DOI:10.7326/0003-4819-89-1-58
PMID:666187
Abstract

The Boston Collaborative Drug Surveillance Program obtained medical histories on 29 premenopausal women with a discharge diagnosis of stroke. Of these women, 14 were otherwise healthy with no known predisposing illnesses. Eleven of the 14 patients were taking oral contraceptives just before admission compared with seven of 56 otherwise healthy control women (13%). The relative risk estimate for stroke among oral contraceptive users compared with nonusers is 26 (lower 90% one-sided confidence bound = 7.0). Cigarette smoking was only weakly associated with stroke in this group of women.

摘要

波士顿合作药物监测项目获取了29名绝经前女性的病史,她们出院诊断为中风。在这些女性中,14名在其他方面健康,没有已知的诱发疾病。14名患者中有11名在入院前正在服用口服避孕药,而56名其他方面健康的对照女性中有7名(13%)正在服用。与未使用口服避孕药者相比,口服避孕药使用者中风的相对风险估计值为26(90%单侧置信下限=7.0)。在这组女性中,吸烟与中风的关联较弱。

相似文献

1
Oral contraceptives and nonfatal stroke in healthy young women.健康年轻女性口服避孕药与非致死性中风
Ann Intern Med. 1978 Jul;89(1):58-60. doi: 10.7326/0003-4819-89-1-58.
2
Oral contraceptives and nonfatal myocardial infarction.口服避孕药与非致命性心肌梗死
JAMA. 1978 Apr 3;239(14):1403-6.
3
Smoking and use of oral contraceptives: impact on thrombotic diseases.吸烟与口服避孕药的使用:对血栓性疾病的影响
Am J Obstet Gynecol. 1999 Jun;180(6 Pt 2):S357-63. doi: 10.1016/s0002-9378(99)70696-4.
4
Case-control study of oral contraceptives and risk of thromboembolic stroke: results from International Study on Oral Contraceptives and Health of Young Women.口服避孕药与血栓栓塞性中风风险的病例对照研究:年轻女性口服避孕药与健康国际研究的结果
BMJ. 1997 Dec 6;315(7121):1502-4. doi: 10.1136/bmj.315.7121.1502.
5
Fatal stroke and use of oral contraceptives: findings from a case-control study.致命性中风与口服避孕药的使用:一项病例对照研究的结果
Am J Epidemiol. 1992 Jul 1;136(1):35-45. doi: 10.1093/oxfordjournals.aje.a116418.
6
Oral contraceptives and nonfatal vascular disease.
Obstet Gynecol. 1985 Jul;66(1):1-4.
7
Estimates of the risk of cardiovascular death attributable to low-dose oral contraceptives in the United States.美国低剂量口服避孕药所致心血管死亡风险的估计值。
Am J Obstet Gynecol. 1999 Jan;180(1 Pt 1):241-9. doi: 10.1016/s0002-9378(99)70182-1.
8
Accelerated intracranial occlusive disease, oral contraceptives, and cigarette use.加速性颅内闭塞性疾病、口服避孕药与吸烟
Neurology. 1991 Dec;41(12):1893-901. doi: 10.1212/wnl.41.12.1893.
9
Strokes and contraceptive medication.中风与避孕药物
Med J Aust. 1980 Jan 26;1(2):58. doi: 10.5694/j.1326-5377.1980.tb134624.x.
10
The role of estrogens as a risk factor for stroke in postmenopausal women.雌激素作为绝经后女性中风风险因素的作用。
West J Med. 1980 Oct;133(4):292-6.

引用本文的文献

1
Occlusive vascular diseases in oral contraceptive users. Epidemiology, pathology and mechanisms.口服避孕药使用者的闭塞性血管疾病。流行病学、病理学及发病机制。
Drugs. 2000 Oct;60(4):721-869. doi: 10.2165/00003495-200060040-00003.
2
Oral contraception and risk of a cerebral thromboembolic attack: results of a case-control study.口服避孕药与脑栓塞发作风险:一项病例对照研究的结果
BMJ. 1993 Apr 10;306(6883):956-63. doi: 10.1136/bmj.306.6883.956.
3
Cerebral ischemia in young adults.年轻成年人的脑缺血
Ital J Neurol Sci. 1980 Oct;1(4):257-62. doi: 10.1007/BF02336707.
4
Meta-analysis of relation between cigarette smoking and stroke.吸烟与中风关系的荟萃分析。
BMJ. 1989 Mar 25;298(6676):789-94. doi: 10.1136/bmj.298.6676.789.