Zhonghua Yi Xue Za Zhi. 2024 Jul 23;104(28):2595-2612. doi: 10.3760/cma.j.cn112137-20231102-00987.
Oral anticoagulants are widely used in the home care of patients who require prevention and treatment of thromboembolic diseases. The irrational use of anticoagulants may cause thrombosis and hemorrhage. Currently, there are no national or international guidelines or consensus providing recommendations for home management of oral anticoagulants. Therefore, the Hospital Pharmacy Professional Committee of the Chinese Pharmaceutical Association organized domestic experts in the fields of clinical pharmacy, cardiovascular surgery, cardiovascular medicine, vascular surgery, respiratory medicine and laboratory science to sort out the relevant issues and compile the expert consensus on the home management of oral anticoagulants. The main contents of this consensus include pharmacological monitoring of oral anticoagulants, the process and precautions of carrying out home management of oral anticoagulants, and treatment of some special conditions during home management, with the aim of enhancing the safety and effectiveness of oral anticoagulants' usage and reducing the adverse events.
口服抗凝剂广泛应用于需要预防和治疗血栓栓塞性疾病患者的家庭护理中。抗凝剂的不合理使用可能导致血栓形成和出血。目前,尚无国家或国际指南或共识为口服抗凝剂的家庭管理提供建议。因此,中国药学会医院药学专业委员会组织了临床药学、心血管外科、心血管内科、血管外科、呼吸内科和检验医学等领域的国内专家,梳理相关问题,编写了《口服抗凝剂家庭管理专家共识》。本共识的主要内容包括口服抗凝剂的药学监测、开展口服抗凝剂家庭管理的流程及注意事项,以及家庭管理期间某些特殊情况的处理,旨在提高口服抗凝剂使用的安全性和有效性,减少不良事件的发生。