| 凌桥镇250例老年人心脑血栓三年临床预防观察 |
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| 引用本文： | 戴稼禾,施忠林,李勇祥,金怀珠,钱素萍,姜剑霞,张振华,梁碧杏,蒋德法. 凌桥镇250例老年人心脑血栓三年临床预防观察[J]. 老年医学与保健, 2003, 9(1): 30-33 |
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| 作者姓名： | 戴稼禾 施忠林 李勇祥 金怀珠 钱素萍 姜剑霞 张振华 梁碧杏 蒋德法 |
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| 作者单位： | 200032,上海市,复旦大学上海医学院生物物理教研室;200137,上海浦东新区凌桥卫生院;545005,原广西地质医院 |
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| 摘 要： | 目的 对250例老年人进行心脑血栓病预防。方法 采用体外模拟血栓指标Q值作预测指标。以中西医抗凝活血药物作预测手段。对250例老年人进行3年跟踪监测。结果 在治疗组162例老年人中，采用中西医抗凝活血药物治疗后，血栓指标Q值明显下降；而非治疗组88例老年人，由于未采用药物干预治疗，不仅血栓阳性指标无明显变化。而且先后有3例脑中风发生。结论 在乡镇社区采用简便体外血栓指标预测和抗凝活血药物预治相结合的方法能有效预防心脑血栓病（中风、心肌梗死）的发生。
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| 关 键 词： | 老年人 心脑血栓预防 体外模拟血栓 跟踪监测 预测预治 |
| 文章编号： | 1008-8296(2003)-01-0030-04 |
| 修稿时间： | 2003-01-28 |
A 3 -YEAR FOLLOW -UP ON 250 ELDERLY PATIENTS FOR PREVENTIVESTUDY OF CARDIAC AND CEREBRAL THROMBOSIS IN LING -BRIDGE TOWN |
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| DaiJiahe,ShiZhonglin,LiYongxiang,jinHuaizhu,QianSuping,JiangJianxia,ZhangZhenhua,LiangBixing,Jiangdefa.FudanUniversityShanghaiMedicalCollege. A 3 -YEAR FOLLOW -UP ON 250 ELDERLY PATIENTS FOR PREVENTIVESTUDY OF CARDIAC AND CEREBRAL THROMBOSIS IN LING -BRIDGE TOWN[J]. Geriatrics & Health Care, 2003, 9(1): 30-33 |
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| Authors: | DaiJiahe ShiZhonglin LiYongxiang jinHuaizhu QianSuping JiangJianxia ZhangZhenhua LiangBixing Jiangdefa.FudanUniversityShanghaiMedicalCollege |
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| Affiliation: | DaiJiahe,ShiZhonglin,LiYongxiang,jinHuaizhu,QianSuping,JiangJianxia,ZhangZhenhua,LiangBixing,Jiangdefa.FudanUniversityShanghaiMedicalCollege.Shanghai200032,China |
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| Abstract: | ObjectivePreventionofcardiacandcerebralthrombosisin250elderlypatients.MethodsTakeex-tracorporealimitatingthrombusindexQvalueaspredictingindex.AnticoaulatingagentsandChinesetransditionalblood-activatingdrugswereusedaspreventivemeans.Athree-yearfollow-upwasperformedon250elderlypatients.ResultsAmong166treatedelderlypatients,afterusinganticoagulatingagentsplusblood-activatingdrugs,thethrombusindexQvalusshowedapparentlowering.Whereasthe88elderlypatientswithouttakingdrugintervenienttherapy,notonlythethrombuspositiveindexhadnoobviouschange,butalso3ofthemhadcerebralapoplexysoonerorlater.ConclusionsTheresultsofthisworkrevealedthatincountrysidecommunity,usingthesimpleandconvenientextracorporealthrombusindextopredictandusingtheintegrationofanti-coagulantsandblood-activatingdrugsmothodcaneffectivelypreventtheoccurrenceofcardiacandcerebralthrombosis(apoplexyandmyocardialinfarction). |
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| Keywords: | Theelderly Preventionofcardiac&cerebralthrombosis Extracorporealimitativethrombosis Follow-upmonitoring Prediction&prevention |
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