OBJECTIVE: To evaluate the quality of anticoagulant therapy in patients who took warfarin and provide data supporting for strengthening the management of these patients. METHODS: A retrospective analysis of related clinical data of 214 patients who meet the inclusion criteria was performed. RESULTS: The average time for patients took warfarin was (321.64±189.50) d, average times for tested INR was (12.01±7.03) times in clinic; when anticoagulant therapy, INR<2.0 accounted for 51.96%, 2.0≤INR≤3.0 accounted for 39.13%, and INR>3.0 accounted for 8.91%; patients with target INR≤2.0 accounted for 45.33%, target INR=2.5 accounted for 38.32%, and target INR≥3.0 accounted for 0.93%; the average TTR was (50.80±22.32)%; and there was no statistical significance in the TTR of different ages and diseases (P>0.05). CONCLUSIONS: The anticoagulant therapy in some patients who took warfarin shows poor quality, it needs strengthening the quality management to make it safe and effective.
关键词
华法林抗凝治疗目标范围内时间百分比国际标准化比值质量评价
Keywords
Warfarinanticoagulant therapyTime in therapeutic rangeInternational normalized ratioQuality evaluation