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综述

抗Xa因子活性检测在血液透析患者低分子肝素抗凝中的应用进展

  • 王振兴 ,
  • 徐冷楠 ,
  • 党心 ,
  • 付沛颉 ,
  • 毛永辉
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  • 北京医院国家老年医学中心北京大学医学部第五临床医学院肾内科

收稿日期: 2021-11-08

  修回日期: 2021-12-05

  网络出版日期: 2022-05-12

基金资助

中央高校基本科研业务(BJ-2020-056)

Application of anti-Xa factor activity assay in low molecular weight heparin anticoagulation in hemodialysis patients 

  • WANG Zhen-Xing ,
  • XU Leng-Nan ,
  • DANG Xin ,
  • FU Pei-Jie ,
  • MAO Yong-Hui
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  • 1Department of Nephrology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric medicine, Chinese Academy of Medical Sciences, Beijing 100005, China

Received date: 2021-11-08

  Revised date: 2021-12-05

  Online published: 2022-05-12

Supported by

Fees for basic scientific research in the central university of Peking Union Medical College

摘要

低分子肝素(low molecular weight heparin,LMWH)是普遍应用的抗凝剂之一,临床常通过抗Xa因子活性来监测其抗凝效应以及评估出血风险,合理的抗Xa因子活性区间在临床指南也都有相应推荐。而具体到血液透析患者中,使用LMWH抗凝时抗Xa因子的监测目标范围尚未形成共识,本综述主要论述抗Xa因子活性检测在血液透析LMWH抗凝中的应用价值,以及具体监测策略的研究进展。

本文引用格式

王振兴 , 徐冷楠 , 党心 , 付沛颉 , 毛永辉 . 抗Xa因子活性检测在血液透析患者低分子肝素抗凝中的应用进展[J]. 中国血液净化, 2022 , 21(05) : 365 -368 . DOI: 10.3969/j.issn.1671-4091.2022.05.014

Abstract

Low molecular weight heparin (LMWH) is one of the commonly used anticoagulants. Its anticoagulation effect and bleeding risk are often monitored by the anti-Xa factor activity. Appropriate anti-Xa factor activity range is also recommended in clinical guidelines. As for hemodialysis patients using LMWH, there is no consensus about the target range of anti-Xa factor activity. This review mainly discusses the value of anti-Xa factor activity assay in LMWH anticoagulation for hemodialysis and the recent progresses in its specific monitoring strategies.

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