疾病监测与控制2023,Vol.17Issue(6):426-429,434,5.DOI:10.19891/j.issn1673-9388.(2023)06-0426-05
贝叶斯法精准调整华法林剂量的案例报告1例及文献分析
A CASEREPORT OF PRECISE DOSE ADJUSTMENT OF WARFARIN USING BAYESIAN METHOD AND LITERATURE REVIEW
摘要
Abstract
Objective To explore the effect of clinical pharmacists applying Bayesian method to adjust the medication management of warfarin in hospitalized patients and review the literature.Methods The case of a patient with atrial fibrillation and pulmonary embolism treated with warfarin dose adjustment by Bayesian method was analyzed,and the related literature at home and abroad was reviewed and analyzed.Results In this study,a clinical pharmacist participated in the drug treatment of a patient with atrial fibrillation and pulmonary embolism,and the Bayesian method was used to adjust the dose of warfarin.The Bayesian method was used to adjust the dose of warfarin in patients taking warfarin,and the dose was evaluated individually,and the risk of thrombosis and bleeding events was reduced.The Bayesian method uses the maximum a posterior-estimation method to predict the dose of warfarin,which can accurately guide individualized medication and can be used in clinical practice.Con-clusions Using the Bayesian method to predict and adjust the dose of warfarin,to give patients individualized medication guid-ance,to achieve homogeneous pharmaceutical care inside and o utside the hospital,and to explore a new model of pharmaceutical care by clinical pharmacists.关键词
华法林/贝叶斯法/心房颤动/肺栓塞/临床药师Key words
Warfarin/Bayesian method/Atrial fibrillation/Pulmonary embolism/Clinical pharmacist分类
医药卫生引用本文复制引用
王媛,闫彤,李若柠,郭展立,冬颖,李占军,孙建军..贝叶斯法精准调整华法林剂量的案例报告1例及文献分析[J].疾病监测与控制,2023,17(6):426-429,434,5.基金项目
国家自然科学基金项目(81960770) (81960770)
内蒙古自治区卫生健康科技计划项目(202202184) (202202184)
内蒙古自治区"草原英才"工程青年创新人才(一层次)支持项目(Q2022084) (一层次)
内蒙古医科大学重点项目(YKD2023ZD002) (YKD2023ZD002)
内蒙古自治区高等学校研究项目(NJZY20273) (NJZY20273)
内蒙古自治区高等学校科学研究项目(NJZY22623) (NJZY22623)