床旁即时凝血检测仪在抗凝治疗监测中的临床应用进展.pdfVIP

窑综 述 窑 中国医药导报 2015年10月第 12卷第30期 床旁即时凝血检测仪在抗凝治疗监测中的 临床应用进展 李玲玲 都丽萍 梅 丹 中国医学科学院 北京协和医学院北京协和医院药剂科袁北京 100730 [摘要] 与检验科凝血检测仪检测国际标准化比值渊INR冤比较袁POCT凝血检测仪的准确度较好袁精密度良好遥用床 旁即时渊POCT冤凝血检测仪最主要的优势在于能缩短检测周转时间袁同时提高患者的满意度遥 不仅提高了患者华 法林抗凝治疗的质量袁而且减少了血栓栓塞事件和降低了全因死亡率袁不增加出血事件的风险遥 同时袁可以明显 提高患者用药的依从性及生活质量遥 美国等国家由药师管理的抗凝门诊中袁POCT凝血检测仪的应用袁方便医务 人员及时调整华法林的用药剂量袁保证患者用药安全遥若能进一步提高POCT凝血检测仪检测INR的准确度袁会 更好地服务于临床遥 [关键词]床旁即时曰国际标准化比值曰华法林曰药剂师 [中图分类号] R446.1 [文献标识码]A [文章编号] 1673-7210渊2015冤10渊c冤-0038-04 Progressin clinical application ofpoint-of-care testing devicefor antico鄄 agulationmonitoring LI Lingling DULiping MEI Dan Departmentof Pharmacy,Peking Union MedicalCollege Hospital, ChineseAcademy of Medical Sciences-Peking Union Medical College,Beijing 100730,China [Abstract] Compared with laboratory INR, good accuracy and precision are observed with POCT device. The primary advantages of POCT device is rapid turn-around time, improving patients satisfaction at the same time. Using POCT device not only improves the gouality of Warfarin anticoagulant therapy, but also reduces thromboembolic events and mortality,without increased risk for a seriousbleeding event. With the INR measured by POCT device, patients medi鄄 cation compliance and life quality will be improved significantly. In anticoagulation clinics of the country such as America are managed by pharmacists, with the application of POCT device, medical workers can adjust the dosage of Warfarin conveniently and ensure patients medication safety. If the accuracy of POCT device is improved, it will be betterfor INR controlinpatientswho taking Warfarin. [Keywords] Point-of-care; International normalisedratio;Warfarin;Pharmacists 众所周知袁华法林是目前应用最广泛的经典口服 在保证及时调整华法林给药