非心脏手术围术期心血管事件风险预测模型研究进展  

Research progress in risk prediction models for perioperative cardiovascular events in non-cardiac surgery

作　　者：赵梦林 祖凌云[1] 高炜[1] ZHAO Meng-lin;ZU Ling-yun;GAO Wei(Department of Cardiology,Institute of Vascular Medicine,Peking University Third Hospital,NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides,Key Laboratory of MolecularCardiovascular Science,Ministry of Education,Beijing Key Laboratory of Cardiovascular Receptors Research,Beijing 100191,China)

机构地区：[1]北京大学第三医院心内科血管医学研究所国家卫生健康委员会心血管分子生物学与调节肽重点实验室分子心血管学教育部重点实验室心血管受体研究北京市重点实验室,北京100191

出　　处：《中国医学前沿杂志（电子版）》2019年第3期14-19,共6页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：北京大学第三医院临床重点项目(BYSY2018014)

摘　　要：随着人口老龄化及医疗技术的发展,经历外科手术的患者数量逐年增长。围术期心血管事件是外科手术患者出现围术期并发症和死亡的主要原因,直接影响其预后。术前准确评估心血管事件风险并采取有效的干预措施可直接降低围术期心脏事件发生率。风险预测模型是整合了多种危险因素的评分系统,可以有效评估围术期心血管事件风险。本文将结合国外最新指南及相关研究进展就非心脏手术围术期心血管事件风险预测模型展开综述。With the aging of the population and the development of medical technology,the number of patients undergoing surgery has increased annually.Perioperative cardiovascular events are the main cause of perioperative complications and death occurred in surgical patients,which directly affects their prognosis.Accurate assessment of cardiovascular risk and application of effective interventions before surgery can directly reduce the incidence of perioperative cardiac events.The risk prediction model is a scoring system that integrates multiple risk factors to more effectively assess the incidence of perioperative cardiovascular events.This article will combine the latest foreign guidelines and related research progress to review the risk prediction model of perioperative cardiovascular events in non-cardiac surgery.

关 键 词：围术期 心血管事件 风险指数 Golman指数 Lee指数 NSQIP手术风险计算器 

分 类 号：R619[医药卫生—外科学]