摘要
抗凝(栓)门诊是通过药师和医师的合作,对接受抗凝治疗患者进行系统、规范、全面的指导与治疗,以规范使用抗凝药物,提高抗凝药物的有效性、安全性以及依从性的多学科合作形式.抗凝(栓)门诊的作用包括:(1)协助临床医师和患者从越来越多的抗凝药物(包括华法林)中选择最合适的药物和剂量;(2)通过规范的长期监测,将患者的严重出血并发症风险降至最低;(3)提高患者依从性,避免血栓并发症.国内已有多家医院开设了抗凝(栓)门诊,但尚未有规范化的操作规程.本共识根据多家医院抗凝(栓)门诊的经验,对抗凝(栓)门诊的基本设施要求、诊疗流程与诊疗内容、工作记录、信息化管理、风险控制及防范等方面进行了推荐.
In order to regulate the use of anticoagulants and improve the effectiveness, safety and compliance of the anticoagulants, anticoagulation (antithrombotic) clinic is emerged as a form of multidisciplinary cooperation to manage patients who receive anticoagulants under the guidance of pharmacists and clinicians in a systematic, standardized and comprehensive way. The benefits of anticoagulation (antithrombotic) clinics include:(1) Assisting clinicians and patients in making optimal treatment decision on drug selection and dosages from an increasing number of anticoagulants, including warfarin;(2) Major bleeding complications of patients could be minimized by standardized long-term monitoring;(3) Improving medication compliance and avoiding thrombosis complications. Number of anticoagulation (antithrombotic) clinics is increasing now in Chinese hospitals, but the standardized operating procedures for anticoagulation (antithrombotic) clinic have not been established. Based on the experience of anticoagulation (antithrombotic) clinic in Fuwai hospital, this consensus provides recommendations regarding the basic facilities requirements, the procedures and contents of diagnosis and treatment, work records, informatization management, risk control and prevention issues of the anticoagulation (antithrombotic) clinic.
出处
《中国循环杂志》
CSCD
北大核心
2019年第10期944-950,共7页
Chinese Circulation Journal
关键词
抗凝(栓)门诊
标准操作规程
共识
anticoagulation (antithrombotic) clinic
standard operating procedure
consensus
