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达肝素:在血栓栓塞性疾病预防和治疗中的药理特性及临床疗效

Dalteparin: pharmacological properties and clinical efficacy in the prophylaxis and treatment of thromboembolic diseases.

作者信息

Pineo Graham F, Hull Russell D

机构信息

University of Calgary, Thrombosis Research Unit, Foothills Hospital, Calgary, AB, Canada.

出版信息

Eur J Med Res. 2004 Apr 30;9(4):215-24.

Abstract

Dalteparin is a low molecular weight heparin (LMWH) with a mean molecular weight of approximately 5,000. As with the other low molecular weight heparins, dalteparin has certain advantages over unfractionated heparin (UFH) most important of which are improved bio-availability by subcutaneous injection, a prolonged antithrombotic activity which is highly correlated with body weight permitting the once daily administration of the drug. Other possible advantages of LMWH including dalteparin include a lower incidence of heparin induced thrombocytopenia and thrombosis and decreased tendency to produce osteopenia on prolonged administration. Dalteparin has been subjected to a large number of well designed randomised clinical trials for the prevention and treatment of venous thromboembolism. Based on data from the randomised clinical trials, dalteparin has been approved internationally for a wide spectrum of clinical indications.

摘要

达肝素是一种平均分子量约为5000的低分子量肝素(LMWH)。与其他低分子量肝素一样,达肝素相对于普通肝素(UFH)具有某些优势,其中最重要的是皮下注射时生物利用度提高、抗血栓活性延长,且该活性与体重高度相关,允许每日一次给药。包括达肝素在内的低分子量肝素的其他可能优势包括肝素诱导的血小板减少症和血栓形成的发生率较低,以及长期给药时产生骨质减少的倾向降低。达肝素已在大量精心设计的随机临床试验中用于预防和治疗静脉血栓栓塞。基于随机临床试验的数据,达肝素已在国际上获批用于广泛的临床适应症。

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