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胃肠外直接凝血酶抑制剂临床应用专家共识OA

Expert Consensus on the Clinical Application of Parenteral Direct Thrombin Inhibitors

中文摘要英文摘要

随着抗凝药物的不断研发,针对血栓栓塞性疾病的胃肠外直接凝血酶抑制剂(DTIs)也逐渐引起医药学界的广泛关注.共识工作组旨在基于循证医学证据,制订胃肠外 DTIs 的临床推荐意见,进一步规范我国血栓栓塞性疾病防治中胃肠外 DTIs 的合理使用.依照世界卫生组织指南制订标准,通过文献调研、德尔菲法问卷遴选出 20 个临床问题,系统检索国内外数据库并整合当前最佳循证证据.采用推荐分级的评估、制订与评价系统综合评估证据质量,通过3 轮德尔菲调研及专家共识会议形成推荐意见.最终形成《胃肠外直接凝血酶抑制剂临床应用专家共识》,包含 19 条推荐意见.该共识的制订促进了我国胃肠外 DTIs 的规范化应用,为临床医师与药师制定个体化用药方案提供了参考.

With the continuous development of anticoagulant drugs,parenteral direct thrombin inhibitors(DTIs)for thromboembolic diseases have gradually attracted widespread attention in the medical field.The consensus group aim to formulate clinical recommendations for parenteral DTIs based on evidence-based medical evidence,and further standardize the rational use of parenteral DTIs in the prevention and treatment of thromboembolic diseases in China.According to the guidelines of the World Health Organization,20 clinical questions were selected through literature research and Delphi questionnaire survey.Systematic searches of domestic and foreign databases were conducted and the current best evidence-based evidence was integrated.The quality of evidence was comprehensively evaluated using the recommendation grading assessment,formulation and evaluation system,and recommendations were formed through 3 rounds of Delphi surveys and expert consensus meetings.A total of 19 recommendations were formed in the"Expert Consensus on the Clinical Application of Parenteral Direct Thrombin Inhibitors".The formulation of this consensus promotes the standardized application of parenteral DTIs in China and provides a reference for clinicians and pharmacists to formulate individualized medication plans.

中国心胸血管麻醉学会心血管药学分会;成都药学会血栓与止血专委会;边原

医药卫生

胃肠外直接凝血酶抑制剂血栓栓塞临床应用循证用药专家共识

Parenteral direct thrombin inhibitorThromboembolismClinical applicationEvidence-based medicationExpert consensus

《医药导报》 2026 (8)

1293-1314,22

四川省科技厅自然科学基金资助项目(2022NSFSC0818)个体化药物治疗四川省重点实验室开放课题(2021ZD01)四川省食品药品监督管理局项目(2024012)四川省食品药品审查评价及安全监测中心药物警戒开放课题(YWJJ202501).

10.3870/j.issn.1004-0781.2026.08.001

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