{"id":4460,"date":"2023-09-24T23:37:17","date_gmt":"2023-09-24T15:37:17","guid":{"rendered":"https:\/\/tinapoint.com\/?p=4460"},"modified":"2023-09-25T09:07:24","modified_gmt":"2023-09-25T01:07:24","slug":"doac-score","status":"publish","type":"post","link":"https:\/\/tinapoint.com\/doac-score\/","title":{"rendered":"DOAC score\uff1a\u6bd4HAS-BLES\u66f4\u6e96\u78ba\u7684\u51fa\u8840\u9810\u6e2c\u91cf\u8868\uff01"},"content":{"rendered":"\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_50 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\">\u5167\u5bb9\u76ee\u9304<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\" role=\"button\"><label for=\"item-663b7acadc31d\" aria-hidden=\"true\"><span style=\"display: flex;align-items: center;width: 35px;height: 30px;justify-content: center;direction:ltr;\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/label><input  type=\"checkbox\" id=\"item-663b7acadc31d\"><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/tinapoint.com\/doac-score\/#HAS-BLED_score_%EF%BC%88%E5%BF%83%E6%88%BF%E9%A1%AB%E5%8B%95_warfarin%EF%BC%89\" title=\"HAS-BLED score \uff08\u5fc3\u623f\u986b\u52d5 + warfarin\uff09\">HAS-BLED score \uff08\u5fc3\u623f\u986b\u52d5 + warfarin\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/tinapoint.com\/doac-score\/#RIETE_score%EF%BC%88%E9%9D%9C%E8%84%88%E6%A0%93%E5%A1%9E_warfarin%EF%BC%89\" title=\"RIETE score\uff08\u975c\u8108\u6813\u585e+ warfarin\uff09\">RIETE score\uff08\u975c\u8108\u6813\u585e+ warfarin\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/tinapoint.com\/doac-score\/#DOAC_score%EF%BC%88%E5%BF%83%E6%88%BF%E9%A1%AB%E5%8B%95_NOAC%EF%BC%89\" title=\"DOAC score\uff08\u5fc3\u623f\u986b\u52d5 + NOAC\uff09\">DOAC score\uff08\u5fc3\u623f\u986b\u52d5 + NOAC\uff09<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/tinapoint.com\/doac-score\/#%E7%B5%90%E8%AA%9E\" title=\"\u7d50\u8a9e\">\u7d50\u8a9e<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"HAS-BLED_score_%EF%BC%88%E5%BF%83%E6%88%BF%E9%A1%AB%E5%8B%95_warfarin%EF%BC%89\"><\/span><strong>HAS-BLED score \uff08\u5fc3\u623f\u986b\u52d5 + warfarin\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u5fc3\u623f\u986b\u52d5\u65cf\u7fa4\u9700\u8981\u670d\u7528\u6297\u51dd\u8840\u5291\u9810\u9632\u4e2d\u98a8\u3002<\/p>\n\n\n\n<p>\u4f46\u6297\u51dd\u8840\u5291\u9867\u540d\u601d\u7fa9\uff0c\u9810\u9632\u4e2d\u98a8\u7684\u540c\u6642\u53c8\u6703\u589e\u52a0\u51fa\u8840\u98a8\u96aa\uff0c\u64fe\u4eba\u7684\u5f88 XD<\/p>\n\n\n\n<p>\u904e\u53bb\u6709\u7814\u7a76\u51fa\u4e00\u4e9b\u51fa\u8840\u98a8\u96aa\u91cf\u8868\uff0c\u53ef\u4ee5\u5148\u7b97\u7b97\u75c5\u4eba\u7684\u51fa\u8840\u98a8\u96aa\u662f\u9ad8\u662f\u4f4e\uff0c\u6700\u6709\u540d\u7684\u5c31\u662f HAS-BLED score\u3002<\/p>\n\n\n\n<p>\u4f46\u4f60\u77e5\u9053\u55ce\uff1f<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">HAS-BLED score<\/mark><\/strong> \u539f\u672c\u662f\u5efa\u8b70\u7528\u65bc\u300c<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u4f7f\u7528 warfarin \u7684\u5fc3\u623f\u986b\u52d5 (atrial fibrillation)<\/mark><\/strong>\u300d\u65cf\u7fa4\uff0c\u56e0\u70ba\u65b9\u4fbf\u8a18\u61b6\uff0c\u6642\u5e38\u64f4\u5927\u89e3\u91cb\u65bc NOAC \u7684\u65cf\u7fa4\u3002<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>HAS-BLED \u6709\u8da3\u7684\u5730\u65b9\u662f\uff0c<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-cyan-blue-color\">\u8868\u4e2d\u4e09\u500b\u85cd\u8272\u9805\u76ee\u7d93\u904e\u6cbb\u7642\u5f8c\uff0c\u53ef\u4ee5\u964d\u4f4e\u51fa\u8840\u98a8\u96aa\u5206\u6578<\/mark><\/strong>\uff0c\u6bd4\u5982\u9ad8\u8840\u58d3\u7d93\u904e\u6cbb\u7642\uff0c\u8b93 SBP\uff1c160mmHg\uff0c\u5c31\u53ef\u4ee5\u62ff\u6389\u4e00\u5206\u56c9~<\/p>\n\n\n\n<p>3 \u5206\u4ee5\u4e0a\u5b9a\u7fa9\u70ba\u300c\u9ad8\u51fa\u8840\u98a8\u96aa\u300d\u3002<\/p>\n\n\n\n<p>\u4f46\u548c CHA2DS2-VASc \u5206\u6578\u6703\u6c7a\u5b9a\u6297\u51dd\u8840\u5291\u7528\u85e5\u8207\u5426\u4e0d\u540c\uff0c<strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-vivid-red-color\">\u5373\u4f7f\u662f\u9ad8\u51fa\u8840\u98a8\u96aa\uff0c\u4e5f\u4e0d\u5efa\u8b70\u56e0\u6b64\u505c\u7528\u6297\u51dd\u8840\u85e5\u7269<\/mark><\/strong>\uff0c\u53ea\u662f\u544a\u8a34\u6211\u5011\u8981\u66f4\u52a0\u6ce8\u610f\u75c5\u4eba\u7528\u85e5\u5f8c\u7684\u526f\u4f5c\u7528\u800c\u5df2\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1023\" height=\"578\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-1.jpg\" alt=\"\" class=\"wp-image-4467\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-1.jpg 1023w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-1-300x170.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-1-768x434.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-1-585x331.jpg 585w\" sizes=\"(max-width: 1023px) 100vw, 1023px\" \/><figcaption class=\"wp-element-caption\">\u5fc3\u623f\u986b\u52d5+ warfarin \u51fa\u8840\u98a8\u96aa\u9810\u6e2c\uff1aHAS-BLED score<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"box\"><strong>\u88dc\u5145\u8cc7\u6599\uff1a<a href=\"https:\/\/anticoagulationtoolkit.org\/providers\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/anticoagulationtoolkit.org\/providers\" rel=\"noreferrer noopener\">Anticoagulation Provider ToolKit<\/a><\/strong><\/p>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/guideline-list\/\">\u3010\u4e0d\u65b7\u66f4\u65b0\u3011\u5fc3\u8840\u7ba1\u75be\u75c5\u6cbb\u7642\u6307\u5f15\u4e00\u89bd\u8868\uff08\u66f4\u65b0\u81f32023\u5e746\u6708\uff09<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"RIETE_score%EF%BC%88%E9%9D%9C%E8%84%88%E6%A0%93%E5%A1%9E_warfarin%EF%BC%89\"><\/span><strong>RIETE score\uff08\u975c\u8108\u6813\u585e+ warfarin\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>VTE\uff0c\u4e5f\u5c31\u662f\u975c\u8108\u6813\u585e\u4e8b\u4ef6\u8005\u670d\u7528 warfarin\uff0c\u6709\u53e6\u4e00\u500b\u51fa\u8840\u98a8\u96aa\u9810\u6e2c\u56e0\u5b50\uff1aRIETE score\u3002<\/p>\n\n\n\n<p>4.5 \u5206\u4ee5\u4e0a\u5b9a\u7fa9\u70ba\u300c\u9ad8\u51fa\u8840\u98a8\u96aa\u300d\u3002<\/p>\n\n\n\n<p>\u4f46\u8aaa\u5be6\u969b\u7684&#8230;&#8230; \u6211\u9084\u771f\u6c92\u4f7f\u7528\u904e\u9019\u500b\u5206\u6578\u91cf\u8868 XD<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1023\" height=\"578\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-2.jpg\" alt=\"\" class=\"wp-image-4468\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-2.jpg 1023w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-2-300x170.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-2-768x434.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-2-585x331.jpg 585w\" sizes=\"(max-width: 1023px) 100vw, 1023px\" \/><figcaption class=\"wp-element-caption\">\u975c\u8108\u6813\u585e\u4e8b\u4ef6+ warfarin \u51fa\u8840\u98a8\u96aa\u9810\u6e2c\uff1aRIETE score<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/pharmacist-clinic\/\">\u85e5\u5e2b\u9580\u8a3a\u7518\u82e6\u8ac7\uff1f\u6297\u51dd\u8840\u85e5\u5e2b\u9580\u8a3a\u5efa\u7f6e\u7d93\u9a57\u5206\u4eab<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"DOAC_score%EF%BC%88%E5%BF%83%E6%88%BF%E9%A1%AB%E5%8B%95_NOAC%EF%BC%89\"><\/span><strong>DOAC score\uff08\u5fc3\u623f\u986b\u52d5 + NOAC\uff09<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>2023 \u5e74 9 \u6708 Circulation \u671f\u520a\u767c\u8868\uff08<span style=\"text-decoration: underline;\"><a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.123.064556\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.123.064556\" rel=\"noreferrer noopener\">\u9ede\u6211\u958b\u555f<\/a><\/span>\uff09\uff0c\u6839\u64da RE-LY \u7814\u7a76\u7684\u75c5\u4eba\u7279\u6027\uff0c\u767c\u5c55\u51fa DOAC \u5206\u6578\u91cf\u8868\uff0c\u53ef\u4ee5\u6709\u6548\u9810\u6e2c\u75c5\u4eba\u7684\u91cd\u5927\u51fa\u8840\u4e8b\u4ef6\u98a8\u96aa\u3002<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u91cf\u8868\u5305\u542b 10 \u500b\u9805\u76ee\uff0c\u5206\u6578\u4ecb\u65bc 0-10 \u5206\uff0c\u52a0\u7e3d\u8d85\u904e 10 \u5206\u8005\u4ee5 10 \u5206\u8a08\u7b97\uff0c\u5206\u6578\u8d8a\u9ad8\u8005\u51fa\u8840\u98a8\u96aa\u8d8a\u9ad8\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1024\" height=\"579\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-3.jpg\" alt=\"\" class=\"wp-image-4463\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-3.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-3-300x170.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-3-768x434.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-3-585x331.jpg 585w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">\u6bd4 HAS-BLES \u66f4\u6e96\u7684\u51fa\u8840\u9810\u6e2c\u91cf\u8868\uff1aDOAC score<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group list\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>C statistics \u662f\u7528\u4f86\u8a55\u4f30\u6a21\u578b\u7684\u9810\u6e2c\u80fd\u529b\uff0c\u5373\u9810\u6e2c\u7d50\u679c\u8207\u5be6\u969b\u7d50\u679c\u76f8\u4e00\u81f4\u7684\u6bd4\u4f8b\uff0c\u7bc4\u570d\u4ecb\u65bc 0.5-1.0\uff1a<\/p>\n\n\n\n<ul>\n<li>0.5 \u8868\u793a\u5b8c\u5168\u96a8\u6a5f\uff0c\u8a72\u6a21\u578b\u7121\u4efb\u4f55\u9810\u6e2c\u80fd\u529b<\/li>\n\n\n\n<li>0.5-0.7 \u70ba\u8f03\u4f4e\u7684\u6e96\u78ba\u5ea6<\/li>\n\n\n\n<li>0.71-0.9 \u70ba\u4e2d\u7b49\u6e96\u78ba\u5ea6<\/li>\n\n\n\n<li>\uff1e0.9 \u70ba\u9ad8\u6e96\u78ba\u5ea6<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>DOAC score \u65bc RE-LY \u7814\u7a76\u65cf\u7fa4\u7684 C statistics \u70ba 0.72\uff0c\u8868\u793a\u6709\u4e2d\u7b49\u6e96\u78ba\u5ea6\u3002<\/p>\n\n\n\n<p>DOAC score \u9084\u5728\u5176\u4ed6\u4e09\u500b\u7814\u7a76\u9032\u884c\u9a57\u8b49\uff0c\u4e26\u4e14\u8207 HAS-BLED score \u6bd4\u8f03\uff0c\u90fd\u53ef\u4ee5\u770b\u5230\u66f4\u597d\u7684\u9810\u6e2c\u529b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1025\" height=\"579\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-4.jpg\" alt=\"\" class=\"wp-image-4464\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-4.jpg 1025w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-4-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-4-768x434.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-4-585x330.jpg 585w\" sizes=\"(max-width: 1025px) 100vw, 1025px\" \/><figcaption class=\"wp-element-caption\">DOAC score \u51fa\u8840\u98a8\u96aa\u9810\u6e2c\u80fd\u529b\u6bd4 HAS-BLED \u597d<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>\u6839\u64da DOAC score \u8a55\u51fa\u4f86\u7684\u5206\u6578\uff0c\u82e5\u5c6c\u65bc\u300c\u975e\u5e38\u9ad8\u300d\u51fa\u8840\u98a8\u96aa\uff0c\u5728\u4ee5\u4e0b\u56db\u500b\u7814\u7a76\u4e2d\u7684\u4e00\u5e74\u91cd\u5927\u51fa\u8840\u4e8b\u4ef6\u767c\u751f\u7387\u4ecb\u65bc 3.7\uff5e13.9%\uff0c\u5176\u9918\u8acb\u898b\u4e0b\u5716\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1024\" height=\"579\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-6.jpg\" alt=\"\" class=\"wp-image-4473\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-6.jpg 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-6-300x170.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-6-768x434.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-6-585x331.jpg 585w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">DOAC score \u8207\u51fa\u8840\u98a8\u96aa\u95dc\u806f<\/figcaption><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>DOAC score \u4fdd\u7559\u5927\u90e8\u5206 HAS-BLES score \u7684\u9805\u76ee\uff0c\u4e26\u4e14\u5c07\u5e74\u9f61\u3001\u814e\u529f\u80fd\u3001\u6297\u8840\u5c0f\u677f\u85e5\u7269\u6578\u91cf\u5206\u5c64\uff0c\u62ff\u6389\u8207 NOAC \u7121\u95dc\u7684 INR \u9805\u76ee\uff0c\u9084\u984d\u5916\u8003\u616e\u5230\u5176\u4ed6\u5171\u75c5\u75c7\uff0c\u98f2\u9152\u7684\u5371\u96aa\u56e0\u5b50\u88ab\u79fb\u9664\u4e86\uff0c\u7684\u78ba\u7b97\u662f\u6eff\u5927\u7684\u6539\u52d5\u3002<\/p>\n\n\n\n<p>\u88dc\u5145\u8cc7\u6599\u9084\u770b\u5230\u5169\u500b\u6709\u8da3\u7684\u5716\u3002<\/p>\n\n\n\n<p>\u4f5c\u8005\u53bb\u770b DOAC score \u5206\u5225\u5c0d\u61c9\u7684 HAS-BLED \u548c CHA2DS2-VASc \u5206\u5e03\u5716\uff0c\u7684\u78ba\u8da8\u52e2\u76f8\u4f3c\u3002<\/p>\n\n\n\n<p>\u4f46\u4ee5 HAS-BLED score 2 \u5206\u7684\u65cf\u7fa4\u4f86\u8aaa\uff0c\u6539\u70ba DOAC score \u8a55\u5206\u5f8c\u6703\u5206\u5e03\u65bc 2-10 \u5206\u7684\u7bc4\u570d\uff0c\u4e5f\u662f\u843d\u5dee\u6eff\u5927\u7684 XD<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1025\" height=\"579\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-5.jpg\" alt=\"\" class=\"wp-image-4465\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-5.jpg 1025w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-5-300x169.jpg 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-5-768x434.jpg 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/09\/DOAC-score-5-585x330.jpg 585w\" sizes=\"(max-width: 1025px) 100vw, 1025px\" \/><\/figure>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"box\"><strong>\u5ef6\u4f38\u95b1\u8b80\uff1a<a href=\"https:\/\/tinapoint.com\/018-doac-indication-dose\/\">\u3010\u8b80\u66f8\u7b46\u8a18\u3011DOAC\u9069\u61c9\u75c7\u8207\u5291\u91cf\u8abf\u6574\u5168\u653b\u7565<\/a><\/strong><\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E7%B5%90%E8%AA%9E\"><\/span><strong>\u7d50\u8a9e<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>NOAC \u4f7f\u7528\u8005\u7d42\u65bc\u6709\u81ea\u5df1\u7684\u51fa\u8840\u98a8\u96aa\u9810\u6e2c\u91cf\u8868\uff08DOAC score\uff09\uff0c\u4e0d\u7528\u518d\u8e6d warfarin \u7684 HAS-BLED score \u5566\uff01<\/p>\n\n\n\n<p>\u4f46\u662f\u6211\u90fd\u628a HAS-BLED score \u80cc\u719f\u4e86 &#8230;&#8230;<\/p>\n\n\n\n<p>DOAC score \u8b8a\u6210\u5341\u500b\u9805\u76ee\uff0c\u4e0d\u540c\u5e74\u9f61\u7684\u5206\u6578\u9084\u4e0d\u4e00\u6a23\uff0c\u4e5f\u592a\u96e3\u8a18\u4e86\u5427\uff08\u5d29\u6f70 Q_Q\uff09<\/p>\n\n\n\n<div class=\"wp-block-group list\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>\u6211\u5148\u96a8\u4fbf\u53d6\u4e86\u500b\u53e3\u8a23\uff1a<strong><span style=\"text-decoration: underline;\">HAS-BLED-CUN<\/span><\/strong>\uff08HAS-BLED \u54ed\uff09<\/p>\n\n\n\n<ul>\n<li>Hypertension<\/li>\n\n\n\n<li>Antiplatelet use<\/li>\n\n\n\n<li>Stroke\/transient ischemic attack\/embolism history<\/li>\n\n\n\n<li>Bleeding history<\/li>\n\n\n\n<li>Liver disease<\/li>\n\n\n\n<li>Elderly<\/li>\n\n\n\n<li>Diabetes<\/li>\n\n\n\n<li>Creatinine clearance\/estimated glomerular filtration rate (mL\/min)<\/li>\n\n\n\n<li>Underweight (body mass index &lt;18.5 kg\/m2)<\/li>\n\n\n\n<li>Nonsteroidal anti-inflammatory (NSAID) use<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<p>\u770b\u4ee5\u5f8c\u6709\u6c92\u6709\u4eba\u767c\u660e\u66f4\u597d\u8a18\u7684\u53e3\u8a23\u5427\uff5e\uff5e<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group box\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p>\u4f60\u662f\u91ab\u9662\u85e5\u5e2b\u6216\u8b77\u7406\u5e2b\u55ce\uff1f<\/p>\n\n\n\n<p>\u6642\u5e38\u9047\u5230\u75c5\u4eba\u8981\u7d66\u8a31\u591a\u91dd\u5291\u85e5\u54c1\uff0c\u7919\u65bc\u7ba1\u8def\u4e0d\u5920\u9700\u8981\u540c\u6642\u7d66\u85e5 &#8230;&#8230;<\/p>\n\n\n\n<p>\u537b\u4e0d\u77e5\u9053\u9019\u4e9b\u85e5\u7269\u53ef\u4e0d\u53ef\u4ee5\u65c1\u63d2\u4f7f\u7528\u55ce\uff1f<\/p>\n\n\n\n<p>\u5225\u64d4\u5fc3\uff01<\/p>\n\n\n\n<p>\u5c0f\u6db5\u85e5\u5e2b\u6574\u7406\u4e86\u4f4f\u9662\u75c5\u4eba\u5e38\u7528\u7684\u91dd\u5291\u76f8\u5bb9\u6027\u901f\u67e5\u8868\uff0c\u6b61\u8fce\u9ede\u64ca\u4e0b\u5716\u7d22\u53d6\u5594\uff01<\/p>\n<\/div><\/div>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/subscribepage.io\/EPTKCz\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" width=\"1024\" height=\"574\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91dd\u5291\u76f8\u5bb9\u6027\u901f\u67e5\u8868\u5927\u5716-1024x574.png\" alt=\"\" class=\"wp-image-3721\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91dd\u5291\u76f8\u5bb9\u6027\u901f\u67e5\u8868\u5927\u5716-1024x574.png 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91dd\u5291\u76f8\u5bb9\u6027\u901f\u67e5\u8868\u5927\u5716-300x168.png 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91dd\u5291\u76f8\u5bb9\u6027\u901f\u67e5\u8868\u5927\u5716-768x431.png 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91dd\u5291\u76f8\u5bb9\u6027\u901f\u67e5\u8868\u5927\u5716-585x328.png 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91dd\u5291\u76f8\u5bb9\u6027\u901f\u67e5\u8868\u5927\u5716.png 1038w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/subscribepage.io\/o1gTEc\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" width=\"1024\" height=\"573\" src=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91ab\u85e5\u7b46\u8a18\u6587\u7ae0\u5927\u5716-1024x573.png\" alt=\"\" class=\"wp-image-3722\" srcset=\"https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91ab\u85e5\u7b46\u8a18\u6587\u7ae0\u5927\u5716-1024x573.png 1024w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91ab\u85e5\u7b46\u8a18\u6587\u7ae0\u5927\u5716-300x168.png 300w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91ab\u85e5\u7b46\u8a18\u6587\u7ae0\u5927\u5716-768x430.png 768w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91ab\u85e5\u7b46\u8a18\u6587\u7ae0\u5927\u5716-585x327.png 585w, https:\/\/tinapoint.com\/wp-content\/uploads\/2023\/04\/\u91ab\u85e5\u7b46\u8a18\u6587\u7ae0\u5927\u5716.png 1038w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>\u5fc3\u623f\u986b\u52d5\u65cf\u7fa4\u9700\u8981\u670d\u7528\u6297\u51dd\u8840\u5291\u9810\u9632\u4e2d\u98a8\uff0c\u4f46\u6297\u51dd\u8840\u5291\u9867\u540d\u601d\u7fa9\uff0c\u9810\u9632\u4e2d\u98a8\u7684\u540c\u6642\u53c8\u6703\u589e\u52a0\u51fa\u8840\u98a8\u96aa\uff0c\u64fe\u4eba\u7684\u5f88&#8230;&#8230; \u6700\u6709\u540d\u7684\u5c31\u662f HAS-BLED score \u91cf\u8868\uff0c\u4e0d\u904e\u4eca\u5e74 Circulation \u767c\u8868\u4e86\u65b0\u7684 DOAC score\uff0c\u5c08\u9580\u7528\u65bc DOAC \u985e\u85e5\u7269\uff0c\u9810\u6e2c\u51fa\u8840\u98a8\u96aa\u7684\u6e96\u78ba\u6027\u66f4\u9ad8\u5594\uff01<\/p>\n","protected":false},"author":1,"featured_media":4466,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[106],"tags":[93],"table_tags":[],"modified_by":"\u5c0f\u6db5\u85e5\u5e2b","_links":{"self":[{"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/posts\/4460"}],"collection":[{"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/comments?post=4460"}],"version-history":[{"count":2,"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/posts\/4460\/revisions"}],"predecessor-version":[{"id":4480,"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/posts\/4460\/revisions\/4480"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/media\/4466"}],"wp:attachment":[{"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/media?parent=4460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/categories?post=4460"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/tags?post=4460"},{"taxonomy":"table_tags","embeddable":true,"href":"https:\/\/tinapoint.com\/wp-json\/wp\/v2\/table_tags?post=4460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}