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与年龄相关的对乙酰水杨酸反应的变化

Age-associated changes of responses to acetylsalicylic acid.

作者信息

Baskin Steven I, Smith Lester, Hoey Leslie A, Levy Perri I, Goldfarb Allan H

机构信息

Department of Pharmacology, Medical College of Pennsylvania, 3300 Henry Avenue, Philadelphia, Pa. 19129, U.S.A.

出版信息

Pain. 1981 Aug;11(1):1-8. doi: 10.1016/0304-3959(81)90134-2.

DOI:10.1016/0304-3959(81)90134-2
PMID:7029423
Abstract

Aspirin can be an effective antipyretic, analgesic and anti-inflammatory agent, but unfortunately, its use in the elderly is often excessive [43]. In a survey by Gillies and Skyring, the overall prevalence of daily aspirin intake was greater in middle-age and older-age groups than for those of less than 40 years of age [16]. The elderly are susceptible to the advertising of non-prescription drugs and aspirin is frequently self-prescribed [8,31]. Age-related physiological changes modify the response to aspirin in the elderly. A higher incidence of drug reactions and interactions has been evidenced in this age group. The cases cited throughout this report substantiate the need for caution on the part of the geriatric patient and the physician in regard to aspirin therapy for the elderly.

摘要

阿司匹林可以是一种有效的解热、镇痛和抗炎药物,但不幸的是,它在老年人中的使用往往过量[43]。在吉利斯和斯凯林的一项调查中,中年和老年组每日服用阿司匹林的总体患病率高于40岁以下的人群[16]。老年人容易受到非处方药广告的影响,阿司匹林经常被自行用药[8,31]。与年龄相关的生理变化会改变老年人对阿司匹林的反应。在这个年龄组中,药物反应和相互作用的发生率更高。本报告中引用的病例证实了老年患者和医生在老年人阿司匹林治疗方面需要谨慎。

相似文献

1
Age-associated changes of responses to acetylsalicylic acid.与年龄相关的对乙酰水杨酸反应的变化
Pain. 1981 Aug;11(1):1-8. doi: 10.1016/0304-3959(81)90134-2.
2
Acetylsalicylic acid and acetaminophen.乙酰水杨酸和对乙酰氨基酚。
Dent Clin North Am. 1994 Oct;38(4):633-44.
3
Gastroduodenal ulcer bleeding in elderly patients on low dose aspirin therapy.老年低剂量阿司匹林治疗患者的胃十二指肠溃疡出血。
World J Gastroenterol. 2018 Sep 14;24(34):3908-3918. doi: 10.3748/wjg.v24.i34.3908.
4
Low-dose aspirin and comorbidities are significantly related to bleeding peptic ulcers in elderly patients compared with nonelderly patients in Japan.在日本,与非老年患者相比,低剂量阿司匹林和合并症与老年患者的消化性溃疡出血显著相关。
Intern Med. 2014;53(5):367-73. doi: 10.2169/internalmedicine.53.0603.
5
[Changes in stomach and duodenal mucosa caused by acetylsalicylic acid therapy].[乙酰水杨酸治疗引起的胃和十二指肠黏膜变化]
Acta Med Austriaca. 1988;15(3):80-2.
6
Gastro-duodenal injury associated with intake of 100-325 mg aspirin daily.每日摄入100 - 325毫克阿司匹林相关的胃十二指肠损伤。
Postgrad Med J. 1993 Sep;69(815):712-4. doi: 10.1136/pgmj.69.815.712.
7
NSAID and aspirin use by the elderly in general practice: effect on gastrointestinal symptoms and therapies.全科医疗中老年人使用非甾体抗炎药和阿司匹林的情况:对胃肠道症状及治疗的影响
Drugs Aging. 2003;20(9):701-10. doi: 10.2165/00002512-200320090-00006.
8
Prevalence and incidence of gastroduodenal ulcers during treatment with vascular protective doses of aspirin.使用血管保护剂量阿司匹林治疗期间胃十二指肠溃疡的患病率和发病率。
Aliment Pharmacol Ther. 2005 Nov 1;22(9):795-801. doi: 10.1111/j.1365-2036.2005.02649.x.
9
Endoscopy in asymptomatic minidose aspirin consumers.无症状小剂量阿司匹林服用者的内镜检查
Dig Dis Sci. 2005 Jan;50(1):78-80. doi: 10.1007/s10620-005-1281-1.
10
[Digestive and hemorrhage complications of low-dose aspirin].[小剂量阿司匹林的消化及出血并发症]
Presse Med. 2003 Nov 22;32(37 Pt 2):S17-28.

引用本文的文献

1
Non-steroidal anti-inflammatory drugs and hypertension in the elderly: a community-based cross-sectional study.老年人非甾体抗炎药与高血压:一项基于社区的横断面研究。
Br J Clin Pharmacol. 1993 May;35(5):455-9. doi: 10.1111/j.1365-2125.1993.tb04169.x.