• 摘要: 血栓栓塞性疾病是全球主要疾病之一,低分子肝素(low molecular weight heparins,LMWHs)作为抗凝药物在预防和治疗血栓栓塞性疾病中发挥重要作用,但在临床应用中仍存在诸多不合理。为此,中国药师协会精准药学工作委员会组织多学科专家,基于国内外最新循证证据,采用GRADE分级系统,制定本共识,旨在规范LMWHs的合理应用。本共识内容涵盖 LMWHs 的药学特征、临床应用、主要不良反应的处置、与其他药物的联用以及药学监护等5个方面,确定了14个临床问题,并形成了37条推荐意见,旨在为临床医生、药师及相关专业人员提供全面的指导,以促进 LMWHs 的规范化使用,保障患者用药安全,改善患者预后。

       

      Abstract: Thromboembolic diseases represent a leading global disease burden. Low molecular weight heparins(LMWHs), as anticoagulants, play a critical role in the prevention and treatment of these conditions. However, there are numerous instances of irrational use of LMWHs in clinical practice. To address this issue, the Precision Pharmacology Committee of the Chinese Pharmacists Association convened multidisciplinary experts to develop this consensus. Based on the latest domestic and international evidence, and utilizing the GRADE methodology, this consensus was developed to standardize the rational use of LMWHs. The consensus comprehensively addresses the pharmacological properties of LMWHs, clinical applications, management of adverse reactions, drug interactions, and pharmaceutical care, providing clinicians, pharmacists, and related healthcare professionals with evidence-based guidance. It has identified 14 clinical issues and formed 37 recommendations. This initiative aims to promote standardized application of LMWHs, ensure medication safety, and improve clinical outcomes.

       

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