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Competent unit: National Health and Wellness Commission

Organizer: Chinese Preventive Medicine Association

How to use aspirin correctly

Text/Professor Jiang

Many elderly people with hypertension and arteriosclerosis are taking aspirin now. The serious complication of arteriosclerosis is the rupture of cellulite (plaque) accumulated on the arterial wall, blood coagulation, formation of fat-containing blood clots, namely thrombus, blockage of arterial blood vessels, and formation of myocardial infarction and cerebral infarction. Although myocardial infarction and cerebral infarction can be treated, the risk is high and the effect is limited, so prevention should be given priority to. The first is to prevent atherosclerosis. In addition to controlling fat diet, quitting smoking and limiting alcohol, elderly people with genetic factors and diseases such as diabetes and hypertension are prone to atherosclerosis, and more attention should be paid to prevention.

In 1970s, some researchers found that aspirin, an ancient drug originally used to treat arthritis, could also inhibit platelet aggregation. Platelet is an important component of blood, and its function is to promote blood coagulation. Coagulation on the wound can prevent further blood loss, but coagulation in blood vessels will block blood vessels, causing myocardial infarction of the heart and cerebral infarction, which are very critical diseases. Therefore, some experts have suggested that since aspirin can inhibit platelet aggregation, whether aspirin can be used to prevent myocardial infarction and cerebral infarction. Research institutions in western countries have carried out large-scale research and confirmed this hypothesis. Therefore, some people use aspirin to prevent myocardial infarction and cerebral infarction, which has benefited thousands of potential patients with myocardial infarction and cerebral infarction in Qian Qian. Because the elderly are prone to myocardial infarction and cerebral infarction, some elderly people take aspirin to prevent myocardial infarction and cerebral infarction, but the role of aspirin in preventing platelet aggregation from causing bleeding is ignored. For example, taking aspirin in patients with gastric ulcer may cause gastric bleeding, and patients with hemorrhoid bleeding, gingival bleeding and frequent subcutaneous bleeding should not take aspirin. In addition, patients who are preparing for surgery or preparing for tooth extraction should not take it to avoid bleeding from the wound. They should stop taking aspirin one week before surgery.

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