Young L, Ockelford P, Harper P
Department of Haematology, Auckland Hospital, Auckland, New Zealand.
Intern Med J. 2004 Nov;34(11):639-41. doi: 10.1111/j.1445-5994.2004.00690.x.
Oral anticoagulant monitoring is managed by general practitioners in Auckland. An audit of this service in 452 patients demonstrated that anticoagulant control was in line with recommended international guidelines, with 58.3% of international normalized ratio (INR) measurements in the therapeutic range. However, the frequency of testing was high, with the majority of patients (68%), including those on long-term treatment, having INR measurements at weekly intervals. We question the need for such frequent INR testing.
奥克兰的全科医生负责口服抗凝剂监测。对452名患者的这项服务进行的一项审计表明，抗凝控制符合推荐的国际指南，国际标准化比值（INR）测量值中有58.3%处于治疗范围内。然而，检测频率很高，大多数患者（68%），包括那些接受长期治疗的患者，每周都进行INR测量。我们质疑如此频繁进行INR检测的必要性。
