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肝素与类肝素不良反应特征的比较性综述。

A comparative review of the adverse effect profiles of heparins and heparinoids.

作者信息

Borris L C, Lassen M R

机构信息

Department of Orthopaedics, Aalborg Hospital, Denmark.

出版信息

Drug Saf. 1995 Jan;12(1):26-31. doi: 10.2165/00002018-199512010-00002.

DOI:10.2165/00002018-199512010-00002
PMID:7537967
Abstract

On the basis of the results of the 11 studies reviewed, thromboprophylaxis with unfractionated heparin, low molecular weight (LMW) heparin or a heparinoid (danaparoid sodium; Org 10172) in patients undergoing total hip replacement did not show any important clinical differences with respect to the tolerability profiles of the different compounds. However, as a result of the great variability in the presentation and evaluation of blood losses and bleeding complications in these studies, it is mandatory to perform a direct comparison of the different compounds in question in a double-blind, prospective clinical study.

摘要

根据所综述的11项研究结果,在接受全髋关节置换术的患者中,使用普通肝素、低分子量(LMW)肝素或类肝素(达那肝素钠;Org 10172)进行血栓预防,在不同化合物的耐受性方面未显示出任何重要的临床差异。然而,由于这些研究中失血和出血并发症的呈现和评估存在很大差异,必须在一项双盲前瞻性临床研究中对相关不同化合物进行直接比较。

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2
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Fatal danaparoid-sodium induced thrombocytopenia and arterial thromboses.达那帕罗钠导致的致命性血小板减少症和动脉血栓形成。
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引用本文的文献

1
Danaparoid. A review of its pharmacology and clinical use in the management of heparin-induced thrombocytopenia.达那肝素。其药理学及在肝素诱导的血小板减少症管理中的临床应用综述。
Drugs. 1997 Dec;54(6):903-24. doi: 10.2165/00003495-199754060-00008.
2
Nadroparin calcium. A review of its pharmacology and clinical use in the prevention and treatment of thromboembolic disorders.那屈肝素钙。其药理学及在预防和治疗血栓栓塞性疾病中的临床应用综述。
Drugs Aging. 1997 Apr;10(4):299-322. doi: 10.2165/00002512-199710040-00006.

本文引用的文献

1
Platelet activation following intravenous injection of a conventional heparin: absence of effect with a low molecular weight heparinoid (Org 10172).静脉注射常规肝素后血小板的激活:低分子肝素类似物(Org 10172)无此作用。
Br J Clin Pharmacol. 1987 Oct;24(4):415-24. doi: 10.1111/j.1365-2125.1987.tb03193.x.
2
Heparin-induced thrombocytopenia: mechanism of interaction of the heparin-dependent antibody with platelets.肝素诱导的血小板减少症:肝素依赖性抗体与血小板相互作用的机制
Br J Haematol. 1989 Oct;73(2):235-40. doi: 10.1111/j.1365-2141.1989.tb00258.x.
3
Randomized trial of a low-molecular-weight heparin (Kabi 2165) versus adjusted-dose subcutaneous standard heparin in the prophylaxis of deep-vein thrombosis after elective hip surgery.
低分子量肝素(卡比 2165)与调整剂量皮下注射标准肝素预防择期髋关节手术后深静脉血栓形成的随机试验。
Haemostasis. 1989;19(1):5-12. doi: 10.1159/000215882.
4
Does thromboprophylaxis increase the risk for infectious complications after total hip replacement?全髋关节置换术后,血栓预防措施会增加感染并发症的风险吗?
Vasa. 1985;14(3):269-71.
5
The effect of intravenous fixed-dose heparin during total hip arthroplasty on the incidence of deep-vein thrombosis. A randomized, double-blind trial in patients operated on with epidural anesthesia and controlled hypotension.全髋关节置换术中静脉注射固定剂量肝素对深静脉血栓形成发生率的影响。一项针对接受硬膜外麻醉和控制性低血压手术患者的随机双盲试验。
J Bone Joint Surg Am. 1990 Dec;72(10):1456-61.
6
Prevention of deep-vein thrombosis and pulmonary embolism after total hip replacement. Comparison of low-molecular-weight heparin and unfractionated heparin.全髋关节置换术后深静脉血栓形成和肺栓塞的预防。低分子量肝素与普通肝素的比较。
J Bone Joint Surg Am. 1991 Apr;73(4):484-93.
7
Prevention of thromboembolism in 190 hip arthroplasties. Comparison of LMW heparin and placebo.190例髋关节置换术中血栓栓塞的预防。低分子量肝素与安慰剂的比较。
Acta Orthop Scand. 1991 Feb;62(1):33-8. doi: 10.3109/17453679108993088.
8
Hematomas and subcutaneous suture techniques in total hip replacement. An ultrasound study.全髋关节置换术中的血肿与皮下缝合技术。一项超声研究。
Arch Orthop Trauma Surg. 1991;111(1):51-2. doi: 10.1007/BF00390195.
9
Blood loss in total hip replacement. A retrospective study.全髋关节置换术中的失血。一项回顾性研究。
Arch Orthop Trauma Surg. 1991;111(1):34-8. doi: 10.1007/BF00390191.
10
Low-molecular-weight heparin (enoxaparin) vs dextran 70. The prevention of postoperative deep vein thrombosis after total hip replacement. The Danish Enoxaparin Study Group.低分子量肝素(依诺肝素)与右旋糖酐70。全髋关节置换术后深静脉血栓形成的预防。丹麦依诺肝素研究组。
Arch Intern Med. 1991 Aug;151(8):1621-4. doi: 10.1001/archinte.151.8.1621.