• 四川大學(xué)華西醫(yī)院 心血管外科,成都 610041;

目的 建設(shè)符合中國人自身凝血特點(diǎn)的心臟瓣膜置換術(shù)后抗凝治療注冊數(shù)據(jù)庫,填補(bǔ)我國心臟瓣膜病臨床研究在此領(lǐng)域的空白,并提供科學(xué)、客觀的基礎(chǔ)數(shù)據(jù)和信息交流平臺?!》椒ā〔捎萌珖嘀行?、前瞻性、隊列臨床研究方法,建立以互聯(lián)網(wǎng)為平臺的中國人心臟瓣膜置換術(shù)后抗凝治療數(shù)據(jù)庫。由全國36家心臟中心參加的國家“十二五”科技支撐計劃課題啟動會制定符合我國心臟瓣膜術(shù)后抗凝患者實(shí)際情況的住院及隨訪病例登記表 (case report form,CRF)。前瞻性納入2011年1月1日至2014年12月31日行心瓣膜置換術(shù)服用華法林抗凝,并接受正規(guī)抗凝監(jiān)測的患者。數(shù)據(jù)庫建設(shè)采用數(shù)據(jù)倉庫技術(shù),具有數(shù)據(jù)監(jiān)測、查詢和統(tǒng)計功能,并定期進(jìn)行數(shù)據(jù)備份和系統(tǒng)更新?!〗Y(jié)果 中國人心臟瓣膜置換術(shù)后抗凝治療數(shù)據(jù)庫鏈接于《中國胸心血管外科臨床雜志》首頁(http://www. zgxxwkzz. com),是全國范圍內(nèi)的互聯(lián)網(wǎng)信息平臺, 2011年1月1日至2012年12月1日已完成全國34家三甲醫(yī)院8 425例心臟瓣膜置換術(shù)后抗凝治療患者的臨床資料注冊,各中心的隨訪工作正在進(jìn)行中?!〗Y(jié)論 我們建立了一個大型多中心、開放式的數(shù)據(jù)庫及網(wǎng)絡(luò)信息平臺,數(shù)據(jù)庫變量設(shè)置符合我國人群心臟瓣膜置換術(shù)后抗凝治療自身臨床特點(diǎn),為今后臨床研究系統(tǒng)性分析提供科學(xué)、客觀的基礎(chǔ)數(shù)據(jù)和保障。

引用本文: 付博,董力,石應(yīng)康,瓣膜病術(shù)后抗凝個體化和低抗凝標(biāo)準(zhǔn)研究課題組. 中國人心臟瓣膜置換術(shù)后抗凝治療數(shù)據(jù)庫建設(shè). 中國胸心血管外科臨床雜志, 2013, 20(1): 3-9. doi: 復(fù)制

1.  董力, 石應(yīng)康. 心臟機(jī)械瓣膜置換術(shù)后抗凝治療. 中國胸心血管外科臨床雜志, 2004, 11 (1):63-67.
2.  常穎, 王一茹. 淺析軍隊醫(yī)院信息系統(tǒng)數(shù)據(jù)倉庫的構(gòu)建. 中國中醫(yī)藥現(xiàn)代遠(yuǎn)程教育, 2011, 09 (9):86-87.
3.  Akins CW, Miller DC, Turina MI, et al. Guidelines for reporting mortality and morbidity after cardiac valve interventions. J Thorac Cardiovasc Surg, 2008, 135 (4):732-738.
4.  Kim YD, Cha MJ, Kim J, et al. Increases in cerebral atherosclerosis according to CHADS2 scores in patients with stroke with nonvalvular atrial fibrillation. Stroke, 2011, 42 (4):930-934.
5.  Grunkemeier GL, Furnary AP. Data variability and validity:the elephant in the room. J Thorac Cardiovasc Surg, 2010, 140 (2):273-275.
6.  Jamieson WR, Edwards FH, Schwartz M, et al. Risk stratification for cardiac valve replacement. National Cardiac Surgery Database. Database Committee of the Society of Thoracic Surgeons. Ann Thorac Surg, 1999, 67 (4):943-951.
7.  陳進(jìn), 石應(yīng)康, 董力. 疾病預(yù)后因素研究設(shè)計在心臟瓣膜置換術(shù)后抗凝治療臨床研究中的應(yīng)用. 中國胸心血管外科臨床雜志, 2011, 18 (4):286-288.
8.  Gogbashian A, Sedrakyan A, Treasure T. EuroSCORE:a systematic review of international performance. Eur J Cardiothorac Surg, 2004, 25 (5):695-700.
9.  Edwards FH, Grover FL, Shroyer AL, et al. The Society of Thoracic  Surgeons National Cardiac Surgery database:current risk assessment. Ann Thorac Surg, 1997, 63 (3):903-908.
10.  Nashef S, Roques F, Michel P, et al. European System for Cardiac Operative Risk Evaluation(EuroSCORE). Eur J Cardiothorac Surg, 1999, 16 (1):9-13.
11.  Li Y, Zheng Z, Hu S, et al. The Chinese coronary artery bypass grafting registry study:analysis of the National multicentre database of 9248 patients. Heart, 2009, 95 (14):1140-1144.
12.  Zheng Z, Li Y, Zhang S, et al. The Chinese coronary artery bypass grafting registry study:how well does the EuroSCORE predict operative risk for Chinese population ? Eur J Cardiothorac Surg, 2009, 35(1):54-58.
13.  Whitlock RP, Sun JC, Fremes SE, et al. Antithrombotic and thrombolytic therapy for valvular disease:Antithrombotic Therapy and Prevention of Thrombosis, 9th ed:American College of Chest  Physicians Evidence-Based Clinical Practice Guidelines. Chest, 2012, 141(2 Suppl):e576S-e600S.
  1. 1.  董力, 石應(yīng)康. 心臟機(jī)械瓣膜置換術(shù)后抗凝治療. 中國胸心血管外科臨床雜志, 2004, 11 (1):63-67.
  2. 2.  常穎, 王一茹. 淺析軍隊醫(yī)院信息系統(tǒng)數(shù)據(jù)倉庫的構(gòu)建. 中國中醫(yī)藥現(xiàn)代遠(yuǎn)程教育, 2011, 09 (9):86-87.
  3. 3.  Akins CW, Miller DC, Turina MI, et al. Guidelines for reporting mortality and morbidity after cardiac valve interventions. J Thorac Cardiovasc Surg, 2008, 135 (4):732-738.
  4. 4.  Kim YD, Cha MJ, Kim J, et al. Increases in cerebral atherosclerosis according to CHADS2 scores in patients with stroke with nonvalvular atrial fibrillation. Stroke, 2011, 42 (4):930-934.
  5. 5.  Grunkemeier GL, Furnary AP. Data variability and validity:the elephant in the room. J Thorac Cardiovasc Surg, 2010, 140 (2):273-275.
  6. 6.  Jamieson WR, Edwards FH, Schwartz M, et al. Risk stratification for cardiac valve replacement. National Cardiac Surgery Database. Database Committee of the Society of Thoracic Surgeons. Ann Thorac Surg, 1999, 67 (4):943-951.
  7. 7.  陳進(jìn), 石應(yīng)康, 董力. 疾病預(yù)后因素研究設(shè)計在心臟瓣膜置換術(shù)后抗凝治療臨床研究中的應(yīng)用. 中國胸心血管外科臨床雜志, 2011, 18 (4):286-288.
  8. 8.  Gogbashian A, Sedrakyan A, Treasure T. EuroSCORE:a systematic review of international performance. Eur J Cardiothorac Surg, 2004, 25 (5):695-700.
  9. 9.  Edwards FH, Grover FL, Shroyer AL, et al. The Society of Thoracic  Surgeons National Cardiac Surgery database:current risk assessment. Ann Thorac Surg, 1997, 63 (3):903-908.
  10. 10.  Nashef S, Roques F, Michel P, et al. European System for Cardiac Operative Risk Evaluation(EuroSCORE). Eur J Cardiothorac Surg, 1999, 16 (1):9-13.
  11. 11.  Li Y, Zheng Z, Hu S, et al. The Chinese coronary artery bypass grafting registry study:analysis of the National multicentre database of 9248 patients. Heart, 2009, 95 (14):1140-1144.
  12. 12.  Zheng Z, Li Y, Zhang S, et al. The Chinese coronary artery bypass grafting registry study:how well does the EuroSCORE predict operative risk for Chinese population ? Eur J Cardiothorac Surg, 2009, 35(1):54-58.
  13. 13.  Whitlock RP, Sun JC, Fremes SE, et al. Antithrombotic and thrombolytic therapy for valvular disease:Antithrombotic Therapy and Prevention of Thrombosis, 9th ed:American College of Chest  Physicians Evidence-Based Clinical Practice Guidelines. Chest, 2012, 141(2 Suppl):e576S-e600S.