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凝血酶抑制剂比伐卢定的临床应用
引用本文:何燕,王良友.凝血酶抑制剂比伐卢定的临床应用[J].中国临床药理学与治疗学,2013,18(3):339-343.
作者姓名:何燕  王良友
作者单位:1. 苏州大学医学部放射医学与防护学院,苏州215123,江苏
2. 苏州中科天马肽工程中心有限公司,苏州215101,江苏
基金项目:江苏省"大学生实践创新训练计划"项目(项目编号:5731504610)
摘    要:比伐卢定是2000年被FDA批准上市的抗凝血药物,它通过直接抑制凝血酶发挥抗凝作用,已被批准应用于PCI/PTCA、HIT/HITTS、ACS等领域。现有研究表明比伐卢定在临床抗凝治疗中有较好的安全性,可以用于常规治疗方案(肝素与糖蛋白IIb/IIIa抑制剂)的替代治疗,而且可以降低出血风险和死亡率。本文主要介绍凝血酶直接抑制剂比伐卢定的药理作用及临床研究,总结分析其安全性及经济效益,并且结合国内临床应用情况,分析其在国内的临床运用前景。

关 键 词:比伐卢定  凝血酶抑制剂  临床研究  经济效益

Inhibitor of thrombin, bivalirudin
HE Yan,WANG Liang-you.Inhibitor of thrombin, bivalirudin[J].Chinese Journal of Clinical Pharmacology and Therapeutics,2013,18(3):339-343.
Authors:HE Yan  WANG Liang-you
Institution:1 Institute of Radiologica! Medicine and Protection, Suzhow University, Suzhou 215123, Jiangsu, China 2 Peptide Engineering Center of Suzhou Zhongke Tianma Co. Ltd,Suzhou 215101 ,Jiangsu, China
Abstract:Bivalirudin was approved by US Food and Drug Administration as a new direct inhibitor of thrombin in 2000, the drug was cur- rently approved the application to PCI / PTCA, HIT / HITTS, ACS etc. Existing research shows bivalirudin have a better security and can be used for the classic treatment regimens ( hep- arin and glycoprotein IIb/IIIa inhibitors ) alter- native treatment, Moreover, it can reduce the risk of bleeding and mortality. This paper analy-sis the mechanism of action, pharmacokinetics, pharmacodynamics, clinical application, safety and cost-effectiveness of bivalirudin. But it lim- ited in application in the domestic market, thus strengthening the clinical trails research is prom- is~ng.
Keywords:Bivalirudin  Direct inhibitor ofthrombin  Clinical trail  Cost-Effectiveness
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