ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2017, Vol. 26 ›› Issue (6): 573-577.DOI: 10.3969/j.issn.1006-298X.2017.06.016

• 论文 • 上一篇    下一篇

血液透析患者抗血小板治疗的研究进展

  

  • 出版日期:2017-12-28 发布日期:2017-12-26

Antiplatelet agents in hemodialysis patients

  • Online:2017-12-28 Published:2017-12-26

摘要:

心血管疾病是慢性肾脏病(CKD)患者最重要的合并症和死亡原因。抗血小板药物是心血管疾病治疗的基石。目前抗血小板药物广泛应用于CKD患者的治疗。有关血液透析患者抗血小板治疗仍缺乏大型随机对照研究,本文结合近年血液透析患者抗血小板药物治疗相关研究、指南,对血液透析患者抗血小板治疗的研究进展进行综述。

关键词: 抗血小板药物, 慢性肾脏病, 血液透析, 冠心病

Abstract:

Cardiovascular disease (CVD) is the most common cause of death in chronic kidney diseases (CKD). Moreover,antiplatelet drugs(AA) or anticoagulants are the cornerstones  treatment of cardiovascular disease. AA are widely used in patients affected by CKD. However, hemodialysis patients, having an increased risk of periprocedural ischemic and bleeding complications, are excluded from most RCTs on revascularization;while, current treatment strategies are based on retrospective analyses of RCTs and data from registries. This article summarizes the recent progress in research  on antiplatelet agents in hemodialysis patients based on the studies and guidelines in recent years.

Key words: antiplatelet drugs, chronic kidney diseases, hemodialysis, cardiovascular disease