{"id":25478,"date":"2021-07-10T01:16:44","date_gmt":"2021-07-09T17:16:44","guid":{"rendered":"https:\/\/www.stroke.org.hk\/home\/?p=25478"},"modified":"2021-07-25T16:39:15","modified_gmt":"2021-07-25T08:39:15","slug":"q-stroke-prevention-drugs","status":"publish","type":"post","link":"https:\/\/www.stroke.org.hk\/home\/2021\/07\/10\/q-stroke-prevention-drugs\/","title":{"rendered":"Q: \u9810\u9632\u7f3a\u8840\u6027\u4e2d\u98a8\u85e5\u7269"},"content":{"rendered":"<div class=\"row \"><div class=\"wpv-grid grid-1-1  wpv-first-level first unextended\" style=\"padding-top:0px;padding-bottom:0px\" id=\"wpv-column-3126ab1db76fc98f9455f849c761394a\" ><p><\/p>\r\n<h2 class=\"wp-block-heading\">\u6211\u6b63\u5728\u670d\u7528\u7684\u9810\u9632\u4e2d\u98a8\u85e5\u7269\u662f\u4ec0\u9ebc\uff1f\u6297\u8840\u5c0f\u677f\u96c6\u7d50\u5291\uff1f \u6297\u51dd\u8840\u5291\uff08\u8584\u8840\u85e5\uff09\uff1f<\/h2>\r\n<p><\/p>\r\n<p>\u85e5\u7269\u5728\u7ba1\u7406\u75be\u75c5\u4e2d\u8d77\u8457\u91cd\u8981\u89d2\u8272\uff0c\u4f46\u5982\u679c\u670d\u7528\u4e0d\u7576\uff0c\u5b83\u4e5f\u53ef\u80fd\u9020\u6210\u50b7\u5bb3\u3002\u77e5\u9053\u6bcf\u5929\u670d\u7528\u591a\u5c11\u6b21, \u4ec0\u9ebc\u984f\u8272, \u4ec0\u9ebc\u5f62\u72c0\u7684\u85e5\u54c1\u662f\u4e0d\u5920\u7684\u3002\u60a8\u9700\u8981\u77ad\u89e3\u8655\u65b9\u7684\u540d\u7a31\uff0c\u4e26\u77e5\u9053\u7528\u85e5\u7684\u76ee\u7684\u662f\u4ec0\u9ebc\u548c\u6709\u95dc\u7684\u91cd\u8981\u7d30\u7bc0\u3002\u4f8b\u5982\uff0c\u4f55\u6642\u4ee5\u53ca\u5982\u4f55\u670d\u7528\uff1f\u7a7a\u8179\u98df \u9084\u662f \u98fd\u809a\u98df\uff1f\u5982\u679c\u6211\u932f\u904e\u4e86\u5291\u91cf\uff0c\u6211\u8a72\u600e\u9ebc\u8fa6? \u67d0\u4e9b\u85e5\u7269\u53ef\u80fd\u8207\u67d0\u4e9b\u98df\u7269\u3001\u5176\u4ed6\u85e5\u7269\uff0c\u751a\u81f3\u98df\u54c1\u88dc\u5145\u5291\u6709\u76f8\u4e92\u5f71\u97ff, \u5c0e\u81f4\u4e0d\u826f\u53cd\u61c9\u3002\u85e5\u7269\u53ef\u80fd\u5f15\u8d77\u4ec0\u9ebc\u526f\u4f5c\u7528\uff1f\u6240\u4ee5\u5982\u679c\u4f60\u4e0d\u660e\u767d\u4f60\u7684\u85e5\u7269\u6cbb\u7642,\u00a0 \u8acb\u4f60\u8aee\u8a62\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u3002<\/p>\r\n<p><\/p>\r\n<p>\u4e00\u822c\u4f86\u8aaa,\u975e\u5fc3\u6e90\u6027\u7684\u7f3a\u8840\u6027\u4e2d\u98a8,\u91ab\u751f\u6703\u9078\u7528<strong>\u6297\u8840\u5c0f\u677f\u96c6\u7d50\u5291<\/strong>\u4f86\u9810\u9632\u4e2d\u98a8\u3002\u4f46\u662f\u5fc3\u6e90\u6027\u7f3a\u8840\u6027\u4e2d\u98a8, \u9664\u975e\u75c5\u4eba\u6709\u67d0\u4e9b\u539f\u56e0\u6216\u62d2\u7d55\u670d\u7528\u6297\u51dd\u8840\u85e5, \u91ab\u751f\u6703\u8f03\u591a\u9078\u7528<strong>\u6297\u51dd\u8840\u5291<\/strong>\u4fd7\u7a31\u8584\u8840\u4e38\u4f86\u9810\u9632\u4e2d\u98a8\u3002<\/p>\r\n<h3><strong>\u6297\u8840\u5c0f\u677f\u96c6\u7d50\u5291<\/strong><\/h3>\r\n<p><\/p>\r\n<p>\u73fe\u6642\u6709\u591a\u7a2e\u6297\u8840\u5c0f\u677f\u96c6\u7d50\u5291\u8b49\u5be6\u6709\u6548\u9810\u9632\u4e2d\u98a8 \u4f8b\u5982\u963f\u58eb\u5339\u9748 (aspirin), Clopidogrel (\u67cf\u57df\u65af Plavix), aspirin &amp; dipyridamole extended release (\u8166\u8108\u901aAggrenox) , cilostazol ( Pletaal\u00a0\u00a0\u666e\u9054). \u6bcf\u7a2e\u6297\u8840\u5c0f\u677f\u85e5\u90fd\u5404\u6709\u6240\u9577\u548c\u526f\u4f5c\u7528, \u5982\u679c\u6709\u4e0d\u660e\u4e4b\u8655, \u8acb\u5411\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u8acb\u6559\u3002\u5982\u679c\u4f60\u8981\u505a\u624b\u8853\u6642, \u61c9\u8a62\u554f\u91ab\u751f\u662f\u5426\u6709\u9700\u8981\u624b\u8853\u524d\u66ab\u505c\u8840\u5c0f\u677f\u6297\u96c6\u7d50\u5291, \u4f46\u662f\u4e0d\u8981\u81ea\u5df1\u5728\u6c92\u6709\u539f\u56e0\u4e0b\u505c\u7528\u8840\u5c0f\u677f\u6297\u96c6\u7d50\u5291, \u56e0\u70ba\u9019\u6703\u4ee4\u5230\u4e2d\u98a8\u98a8\u96aa\u63d0\u9ad8\u3002<\/p>\r\n<h3><strong>\u6297\u51dd\u8840\u5291 (\u8584\u8840\u4e38)<\/strong><\/h3>\r\n<p><\/p>\r\n<p>\u6297\u51dd\u8840\u5291, \u4fd7\u7a31\u8584\u8840\u4e38, \u6709\u591a\u7a2e\u7684\u9078\u64c7\u3002\u4ee5\u5f80\u75c5\u4eba\u53ea\u53ef\u9078\u64c7 warfarin (\u83ef\u6cd5\u6797), \u4f46\u662f\u83ef\u6cd5\u6797\u9700\u8981\u983b\u5bc6\u9a57\u8840\u6aa2\u67e5\u51dd\u8840\u529f\u80fd (INR), \u4e5f\u8981\u6212\u53e3\u548c\u907f\u958b\u67d0\u4e9b\u85e5\u7269, \u6240\u4ee5\u7528\u85e5\u6709\u4e00\u5b9a\u7684\u56f0\u96e3, \u8986\u8a3a\u4ea6\u8981\u983b\u5bc6\u3002\u65b0\u4e00\u4ee3\u7684\u6297\u51dd\u8840\u85e5\u4f8b\u5982 Dabigatran (\u767e\u9054\u751f, Pradaxa), Apixaban (\u51dd\u8840\u901a Eliquis), Edoxaban (\u91cc\u5148\u5b89 Lixiana),\u00a0 Rivaroxaban\u00a0 (\u62dc\u5229\u59a5 Xarelto) \u00a0\u76f8\u5c0d\u8f03\u65b9\u4fbf, \u4e0d\u7528\u6642\u5e38\u9a57\u8840, \u8f03\u5c11\u8207\u98df\u7269\u6216\u85e5\u7269\u76f8\u6c96\u3002\u8acb\u6ce8\u610f\u670d\u7528\u6297\u51dd\u8840\u85e5\u7121\u8ad6\u662f\u54ea\u4e00\u7a2e\u90fd\u8981\u5c0f\u5fc3\u8655\u7406, \u7279\u5225\u662f\u4ed6\u5011\u6703\u4ee4\u5230\u51fa\u8840\u98a8\u96aa\u589e\u52a0\u3002\u5982\u679c\u4f60\u8981\u505a\u624b\u8853\u6642,\u61c9\u8acb\u6559\u91ab\u751f\u662f\u5426\u6709\u9700\u8981\u624b\u8853\u524d\u66ab\u505c\u8584\u8840\u4e38, \u4f46\u662f\u4e0d\u554f\u8981\u81ea\u5df1\u5728\u6c92\u6709\u539f\u56e0\u4e0b\u505c\u7528\u6297\u51dd\u8840\u85e5, \u56e0\u70ba\u9019\u6703\u4ee4\u5230\u4e2d\u98a8\u98a8\u96aa\u63d0\u9ad8\u3002<\/p>\r\n<p><\/p>\r\n<p>(\u674e \u5c11 \u96c4 \u91ab \u751f)<\/p>\r\n<p><\/p><\/div><\/div>\r\n<div class=\"row \"><div class=\"wpv-grid grid-1-1  wpv-first-level first unextended\" style=\"padding-top:0px;padding-bottom:0px\" id=\"wpv-column-f5706f42be2baab001dd0caaeeb40ce3\" ><p><!--more--><\/p><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>\u6211\u6b63\u5728\u670d\u7528\u7684\u9810\u9632\u4e2d\u98a8\u85e5\u7269\u662f\u4ec0\u9ebc\uff1f\u6297\u8840\u5c0f\u677f\u96c6\u7d50\u5291\uff1f \u6297\u51dd\u8840\u5291\uff08\u8584\u8840\u85e5\uff09\uff1f \u85e5\u7269\u5728\u7ba1\u7406\u75be\u75c5\u4e2d\u8d77\u8457\u91cd\u8981\u89d2\u8272\uff0c\u4f46\u5982\u679c\u670d\u7528\u4e0d\u7576\uff0c\u5b83\u4e5f\u53ef\u80fd\u9020\u6210\u50b7\u5bb3\u3002\u77e5\u9053\u6bcf\u5929\u670d\u7528\u591a\u5c11\u6b21, \u4ec0\u9ebc\u984f\u8272, \u4ec0\u9ebc\u5f62\u72c0\u7684\u85e5\u54c1\u662f\u4e0d\u5920\u7684\u3002\u60a8\u9700\u8981\u77ad\u89e3\u8655\u65b9\u7684\u540d\u7a31\uff0c\u4e26\u77e5\u9053\u7528\u85e5\u7684\u76ee\u7684\u662f\u4ec0\u9ebc\u548c\u6709\u95dc\u7684\u91cd\u8981\u7d30\u7bc0\u3002\u4f8b\u5982\uff0c\u4f55\u6642\u4ee5\u53ca\u5982\u4f55\u670d\u7528\uff1f\u7a7a\u8179\u98df \u9084\u662f \u98fd\u809a\u98df\uff1f\u5982\u679c\u6211\u932f\u904e\u4e86\u5291\u91cf\uff0c\u6211\u8a72\u600e\u9ebc\u8fa6? 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