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各位朋友，大家好，现在是“每天健康三分钟”时间，我是安阳道简医院的医生杨潇，今天我来给大家讲讲服用阿司匹林的注意事项。

很多缺血性心脑血管病人都在服用阿司匹林，但是并不是所有病人都吃对了，服用阿司匹林时需要注意以下三个问题：

第一， 选择适宜的剂量，合适的剂型，正确的服药时间：预防应用阿司匹林的剂量为每日75~100 mg为适宜。这样既可达到最佳的预防作用，又可使药物的毒性反应降到最低。目前在临床上多应用肠溶衣型或缓释型阿司匹林，主要是为了减低对胃粘膜的直接损伤。服药时间的话，如果是“肠溶片”，最好早上空腹吃或者晚餐后2小时吃；若不是肠溶片，为避免刺激胃，放在饭后吃。专家建议，阿司匹林每天服用的话，最好固定在同一时间服用！

第二，与其它药物合用，要遵医嘱：阿司匹林与其它药物有相互作用。心血管疾病患者常常合并多种疾病，服用多类药物，因此患者就诊时，一定要完整、准确向医生交代服药史。

第三，本身有胃肠道疾病、痛风、哮喘的患者用药时一定要咨询医生：阿司匹林最常见的不良反应是：消化道出血和溃疡，对于过去有消化道溃疡或出血史的，尤其是过去服用非甾体抗炎药或阿司匹林时曾发生过类似病史的，这些患者属消化道出血的高危人群，应慎用和禁用。如果出现呕出鲜红血、呕血呈暗红色以及黑便等症状应立即就医。为预防阿司匹林所致的胃肠出血并发症，可在医生指导下，同时服用预防性抑酸药物和胃粘膜保护剂。此外，阿司匹林会导致痛风复发、引起哮喘，但发生率低，不用担心。

最后需要强调的是，并不是所有人都适合服用阿司匹林，更不要以为吃了阿司匹林就可以高枕无忧了！在心脏病和卒中预防方面，保持健康的生活方式比服用阿司匹林更重要。

最后祝大家生活愉快，身体健康！想要了解更多心血管科普小知识，请关注我们，咱们下期见。

【英文版】

Take aspirin every day. Are you right?

Hello, everyone. It's time for "Health Talk for Three Minutes Every Day". I'm Yang Xiao, a doctor from Anyang Daojian hospital.Today, I'd like to talk about the precautions of taking aspirin.

Many patients with ischemic cardiovascular and cerebrovascular diseases are taking aspirin, but not all patients are taking aspirin correctly.When taking aspirin, we should pay attention to the following three problems:

Choose the appropriate dosage, dosage form, the right time of taking medicine. The dosage of aspirin for prevention is 75 ~ 100 mg per day.This can not only achieve the best preventive effect, but also minimize the toxicity of drugs. At present, enteric coated or sustained-release aspirin is widely used in clinic, mainly to reduce the direct damage to gastric mucosa. If it is "enteric coated tablets", it is better to eat on an empty stomach in the morning or 2 hours after dinner.If it is not enteric coated tablets, it should be taken after meals to avoid stomach irritation. Experts suggest that aspirin should be taken at the same time every day!

When combined with other drugs, follow the doctor's advice,because aspirin can interact with other drugs.Patients with cardiovascular disease are often combined with a variety of diseases and take many kinds of drugs.Therefore, when patients seek treatment, they must give a complete and accurate account of the medication history to the doctor.Patients with gastrointestinal diseases, gout and asthma should consult their doctors when taking medicine. The most common adverse reactions of aspirin are: gastrointestinal bleeding and ulcer.For patients with a history of peptic ulcer or bleeding in the past, especially those with history of bleeding or ulcer when taking NSAIDs or aspirin in the past,these patients belong to the high-risk group of gastrointestinal bleeding,so aspirin should be used with caution and forbidden.In case of vomiting of bright red blood, dark red hematemesis and black stool, seek medical advice immediately. In order to prevent the complications of gastrointestinal bleeding caused by aspirin, you can take anti acid drugs and gastric mucosal protectants under the guidance of doctors. In addition, aspirin can cause gout recurrence and asthma, but the incidence is low, so don't worry.

Finally, it should be emphasized that not all people are suitable for taking aspirin,and you should not think that taking aspirin can make you feel at ease!In the prevention of heart disease and stroke, maintaining a healthy lifestyle is more important than taking aspirin.

Finally, I wish you all a happy life and good health! To learn more knowledge about cardiovascular disease, please pay attention to us.See you next time.