国外华法林抗凝管理模式现状及对我国抗凝管理的启示

Current status of warfarin anticoagulation management service in foreign countries and its enlightenment to China

华法林是临床上广泛应用的口服抗凝药物,设立抗凝门诊服务对华法林的规范化应用有着非常重要的作用。近年来,国外药师在医疗保健机构的推动下参与到抗凝管理中,结合新技术的开展应用形成系统化的抗凝服务体系,取得良好效果。而我国借鉴国外的模式和经验,已在部分医院建立了抗凝门诊,并取得一定成果。但抗凝门诊尚处于初步阶段,结合我国内地的实际情况开展适合我国国情的抗凝管理依然面临考验。本文通过综述国外抗凝门诊的模式现状及应用发展,旨在为中国内地抗凝门诊模式的完善提供借鉴。

Warfarin is an oral anticoagulant widely used in clinic and it is very important to establish the anti- coagulation outpatient service for the standardized application of warfarin. In recent years, foreign pharmacists participated in anticoagulant management driven by health care institutions, combined with the application of new technologies to form a systematic service system, and achieved good results. Drawing lessons from foreign models and experiences, we have established anticoagulation clinics in some hospitals in our country and achieved some results. However, as it is still in its preliminary stage, anticoagulant management suited to the national conditions of our country is still facing the test in light of the actual situation in the mainland of China. This article summarizes the current situation and application development of anticoagulant clinic in foreign countries, and aims to provide reference for the improvement of anticoagulation clinic in mainland of China.