患者依从性与华法林抗凝出血并发症分析

目的 探讨从患者因素提高口服华法林抗凝出血的安全性.方法 收集2005年1月-2011年10月该院收治的115例因各种原因引起的动静脉血栓病需长期口服华法林抗凝病人记录1年并发症,根据患者完全、部分、无依从性分3组,分别分析其并发症的发生.结果 依从性好于坏影响患者出血并发症发生率.结论 长期口服华法林抗凝病人须严格遵照医生医嘱进行随访、监测INR监测及调整用量,以确保安全防止并发症发生.

The Analysis of the Correlation Between Patient Obedience and Warfarin Anticoagulation Bleeding Complications

Objective To study how to increase the safety of oral warfarin auticoagulation from the aspect of patients. Methods 115 cases of patients who had arterial and venous thrombosis caused by various reasons and needed long-term oral warfarin anticoagulation from January, 2005 to October, 2011 were selected as the subjects. The complications occurred in one year of them were recorded. They were divided into 3 groups according to the degree of their obedience, complete obedience patients group, partial obedience patients group and no obedience patients group. The reasons that caused the disease of the g~oups were analyzed respectively. Results Good or bad obedience of patients influence the incidence of bleeding complications. Conclusion Long-term oral warfarin anticoagulant patients should strictly follow the doctor＇s orders for follow-up, monitor INR and adjust the dosage so as to ensure the safety of the patients and prevent the incidence of complications.