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New Aspirin Guidelines


Mayo Clinic - April 15, 2016 USPSTF建议使用低剂量阿司匹林预防心血管疾病和结肠直肠癌。 The USPSTF recommends low-dose aspirin for preventing cardiovascular disease and colorectal cancer.

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Dr. Stephen Kopecky, Cardiologist, Mayo Clinic: And so, they have come out and said aspirin is good to take to reduce risk of heart attack, stroke and colorectal cancer, but they've been very specific about who should get it. They said your risk over ten years should be at least 10%, and you should be at least in the 50-60-year age group. Once you're older than that or younger than that, they really don't have evidence to say it may benefit you, although certainly, the older group, we tend to give people aspirin for. Now, the other caveat is if you have bleeding problems; if you've had GI bleeding (gastrointestinal), you've had blood in your stool before [or] you've had ulcers before. That's a risk. Or, if you take lots of what we call "non-steroidal anti-inflammatory agents" (NSAID). These over-the-counter medications, we buy for arthritis and pain - ibuprofen [and] naproxen, things like that. That can actually get you into trouble, so they're saying don't take the aspirin if you take a lot of those pills too. Aspirin, in a man, will lower their risk of heart attack, but not so much lower the risk of stroke. Aspirin in women lowers their risk of stroke, but not the risk of heart attack, and this is in primary prevention, meaning patients that have not had either before. It's all based on risk. If you're at high risk, you're more benefited by the aspirin. If you're [at] low risk, the benefit's very low. The second thing that's very good is the risk of side effects from the aspirin, you know, the bleeding from the aspirin. That's very important, because what most people don't realize is that while our risk of heart attack goes up as we go through life, our risk of bleeding with aspirin goes up faster. So, you actually need to be at higher risk at an older age for heart attack or stroke, to warrant aspirin then you do at a younger age.

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    age group 年龄组
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    aging 老化【及物动词】衰老,老龄化,时效,老龄,增龄,陈酿,老年
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    anti-inflammatory 【形容词】抗炎的,消炎的 【名词】抗炎药,消炎药
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    arthritis 关节炎 【名词】
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    aspirin 阿司匹林
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    benefit 【名词】1. 利益,好处;利润 2. 恩惠 3. 义演,义赛; 4. 退休金;(依照社会保险付给的)津贴,救济金,抚恤金; 5. (俚、反)好机会,好差事; 【及物动词】对…有利,有益于…;使得利益; 【不及物动词】得益,受益
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    bleeding 【名词】1. 出血;流血;静脉切开术; 2. 【植物学】伤流,泌脂; 3. (美俚)(车胎)放气,换油; 4. 【印染】渗色 【形容词】1. 流血的; 2. 悲痛的; 3. 渗色的
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    bleeding problem 出血问题
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    blood 血液【名词】1. 血,血液;生命液; 2. 血族,血统;种族;家族(关系);家世;门第;名门,门阀;贵族血统; 3. 生命,活力;元气; 4. 流血,杀戮,杀人(罪),牺牲; 5. 血气;气质,气性,脾气;热情;激怒;肉欲;兽欲; 6. (主英)血气方刚的人;花花公子,纨袴子; 7. (集合词)人员; 8. (树木、果子等的)赤色汁液;(美俚)蕃茄酱; 9. (马的)纯种
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    cancer 癌症【名词】1. 癌症;癌(瘤),肿瘤; 2. 弊病;社会恶习; 3. (the C-)【天文学】巨蟹座;巨蟹宫
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    cardiologist 心脏病学家;心血管病医师
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    caveat 知会备忘 【名词】1. 【法律】中止诉讼的申请;(美国)保护发明特许权的请求书;【商业】停止支付的通知; 2. 防止误解的说明; 3. 要求停止某些行动的告诫,警告
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    clinic 诊所【名词】1. 临床讲授;临床实习课; 2. 诊所;门诊部; 3. 特殊病例分析;会诊
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    colorectal 大肠癌【形容词】结直肠,大肠,结肠
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    colorectal cancer 结肠直肠癌;大肠癌;结肠癌◆【略】CRC
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    evidence 【名词】1. 证据 2. 形迹;迹象 3. 【法律】证据,证人;证词 4.明显;显著; 【及物动词】1. 证明; 2. 显示
  • Extracting Microarray Gene Expression Patterns and Identifying co-expressed Genes 提取微阵列基因表达模式和确认共表达基因◆【略】EPIG
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    gastrointestinal 【形容词】胃肠道的;胃肠的◆【略】GI
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    gastrointestinal bleeding 消化道出血◆【略】GI
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    heart 心 【名词】1. 心脏,心; 2. 胸,胸部;心胸,心地,心肠,胸怀; 3. 感情,热情,爱情;灵魂;良心; 4. 勇气,胆力;勇士; 5. 精神,气质;心境,心情; 6. 中心,核心;精华,要点,本质; 7. 意中人,情人;心爱的人,宝贝儿; 8. (主英)(土地的)肥沃程度; 9. 心脏形的东西
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    heart attack 心脏病发作
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    ibuprofen 布洛芬
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    inflammatory 【形容词】1. 刺激性的,煽动性的; 2. 【病理学】炎性的; 炎症性的; 易红肿的
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    medication 【名词】1. 药物疗法,加入药物,药物处理,用药物治;2. 药物,药剂
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    naproxen 萘普生;甲氧萘丙酸
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    non-steroidal anti-inflammatory drug 非甾体类抗炎药◆【略】NSAID
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    over the counter 非处方
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    over-the-counter medication 非处方药◆【略】OTC
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    pill 丸【1名词】1. 丸,药丸; (the birth control pill/the pill) (女用口服)避孕丸; 2. 讨厌的东西[人];苦事; 3. (俚语)炮弹,子弹;球;(pl.)(英俚)撞球战,弹子战; 4. (美俚)香烟;切去两端的雪茄烟;(鸦片)烟泡; 5. 投票用小球; 6. 【农业】粒肥;【及物动词】1. 把…作成丸药;给…吃丸药; 2. (俚语)投票反对;排斥;不录取;开除;【及物动词】(古语)抢劫,掠夺
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    prevention 【名词】1. 预防;预防法 2. 阻止; 妨碍
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    primary prevention 初级预防
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    risk of bleeding 出血的风险
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    risk of stroke 中风的危险性
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    side effect 副作用; 意外情况
  • steroidal 甾体
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    stool 【名词】1. 凳子 2. 凳子;粪便;便桶;厕所 3. 【园艺】(压枝)根株,母株 4. 鸟的栖木 【及物动词】引诱【不及物动词】1. (根株)发新枝 2. [美国口语] 充当密探
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    stroke 【名词】1. 脑卒中;中风;(疾病的)发作 2. (心脏的)跳动;脉搏 3. 一击,一敲 4. 【机械】冲程,行程【1及物动词】1. (用笔)画;勾消 2. (划船比赛中) 划【2及物动词】轻抚
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    ulcer 溃疡【名词】溃疡;(比喻)积弊,病;症结
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    warrant 【名词】根据;正当理由;认购权证 【及物动词】保证;担保;批准
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