中国全科医学2016,Vol.19Issue(11):1246-1249,4.DOI:10.3969/j.issn.1007-9572.2016.11.003
幽门螺杆菌阳性对缺血性脑卒中患者阿司匹林依从性的影响研究
Influence of Helicobacter Pylori-positive on Aspirin Compliance Among Patients With Cerebral Ischemic Stroke
温淼 1杨波 1闫婧 1吕栋 1魏娜 1杨中华1
作者信息
- 1. 100050 北京市,首都医科大学附属北京天坛医院神经病学中心神经重症医学科
- 折叠
摘要
Abstract
Objective To investigate the influence of Helicobacter pylori( Hp) - positive on aspirin compliance among patients with cerebral ischemic stroke. Methods We enrolled 200 patients with cerebral ischemic stroke who received treatment and were orally administrated with aspirin in the outpatient Department of the Neurology of Beijing Tiantan Hospital Affiliated to Capital Medical University from May 2013 to December 2014,and 188 patients who completed follow - up as required were enrolled as research objects. According to 14 C-UBT result,the subjects were divided into Hp - positive group(n= 62)and Hp - negative group(n = 126). The two groups were both orally administrated with aspirin for one year. Results The two groups were not significantly different in gender,average age,education level,monthly family income,category of medical insurance and complications(P > 0. 05). The two groups were significantly different in 6 - month compliance(P <0. 05),while the two groups were not significantly different in one - year complianc(P > 0. 05). Logistic regression analysis showed that Hp - positive status had significant influence on 6 - month aspirin compliance〔OR(95% CI) = 2. 125(1. 206, 3. 745),P = 0. 003〕,but had no significant influence on one - year aspirin compliance〔 OR(95% CI) = 1. 124(0. 846, 1. 493),P = 0. 123〕. Conclusion Hp - positive is an influencing factor for short - term aspirin compliance of patients with cerebral ischemic stroke,the compliance of Hp - positive patients is at low level. Before the administration of aspirin, conventional screening of Hp and eradication of Hp treatment could improve aspirin compliance.关键词
幽门螺杆菌/卒中/阿司匹林/服药依从性Key words
Helicobacter pylori/Stroke/Aspirin/Medication adherence分类
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温淼,杨波,闫婧,吕栋,魏娜,杨中华..幽门螺杆菌阳性对缺血性脑卒中患者阿司匹林依从性的影响研究[J].中国全科医学,2016,19(11):1246-1249,4.