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我院非瓣膜性房颤患者抗凝药物应用现状
Clinical Application Status of Anticoagulants in Patients with Non valvular Atrial Fibrillation
  
DOI:
中文关键词:  非瓣膜性房颤  抗凝  华法林  阿司匹林
英文关键词:Non valvular atrial fibrillation  Anticoagulant  Warfarin  Aspirin
基金项目:复旦大学医院管理研究院科研项目(慢病患者用药教育临床药学路径构建及评估,编号:FDCDM201309)
作者单位
顾智淳 上海交通大学医学院附属仁济医院药剂科(上海 200127) 
刘晓琰 上海交通大学医学院附属仁济医院药剂科 
崔敏 上海交通大学医学院附属仁济医院药剂科 
潘忙忙 上海交通大学医学院附属仁济医院药剂科 
沈珑 上海交通大学医学院附属仁济医院心内科 
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中文摘要:
      摘 要 目的:了解我院非瓣膜性房颤患者抗凝药物应用现状,为临床合理使用抗凝药物提供依据。方法:采集2013年1~12月诊断为非瓣膜性房颤的住院患者共149例,结合血栓栓塞风险评分、出血风险评分、INR在治疗范围的时间比例(TTR)等对其抗凝药物应用情况进行分析评价。结果:149例患者中有144例使用抗凝药物治疗,其中使用华法林的110例(TTR≥60%76例),使用阿司匹林24例,使用达比加群酯10例。经血栓栓塞风险评分,高危、中危、低危分别有80例、46例、23例。阿司匹林治疗患者中有2例发生脑卒中,华法林治疗患者中8例发生非严重的出血事件。年龄大、合并疾病多、栓塞及出血风险高等因素影响抗凝药物的选择。结论:我院非瓣膜性房颤患者抗凝现状较好,与国外指南推荐使用的抗凝方案基本相符。
英文摘要:
      ABSTRACT Objective:To investigate the clinical application status of anticoagulants in patients with non valvular atrial fibrillation of our hospital and provide the basis for clinical rational use of anticoagulant drugs.Methods:A total of 149 patients with non valvular atrial fibrillation from January 2013 to December 2013 were collected.To analyze and evaluate the clinical application of anticoagulants based on thrombo embolism risk score,bleeding risk score and time in therapeutic range(TTR).Results:In 149 patients with non valvular atrial fibrillation,110 patients used warfarin as anticoagulation,24 patients used aspirin as anticoagulation,and 10 patients used dabigatran Etexilate as anticoagulation.After thrombo embolism risk assessment,the patients of high risk,moderate risk and low risk with thrombo embolism was 80,46,23 respectively.There were 2 patients with aspirin occurred stroke, and 8 patients with warfarin occurred non serious hemorrhage events.The factors,including elder,more comorbidities,high risk of thrombo embolism and bleeding, affect the choice of anticoagulants.Conclusion:The clinical application status of anticoagulants in patients with non valvular atrial fibrillation of our hospital is well,and fundamentally accorded with the recommended anticoagulants in foreign guidelines .
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