衰弱与老年心脏手术关系的研究进展  

Advances in the relationship between frailty and cardiac surgery in elderly patients

作　　者：向玉萍 曾玲[1] 罗天会[1] 钱永军[2] XIANG Yuping;ZENG Ling;LUO Tianhui;QIAN Yongjun(Department of Thoracic Surgery ICU,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Department of Cardiovascular Surgery,National Clinical Research Center for Geriatrics,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西医院重症医学科胸外ICU,成都610041 [2]国家老年疾病临床医学研究中心四川大学华西医院心脏大血管外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2020年第2期218-222,共5页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：国家“十三五”重点研发专项基金（2016YFC1302003）;四川省科技计划重点研发项目（2017SZ0056）;国家老年疾病临床医学研究中心（四川大学华西医院）立项资助课题（Z2018B19）;四川省干部保健科研课题（川干研2019-101）

摘　　要：衰弱是老年人多个生理系统储备功能减退,致机体易损性增加及维持自体稳态能力降低的一种老年综合征。近年来,众多研究已证实将衰弱作为老年心脏手术患者的术前评估可预测其术后再入院、不良心血管事件及死亡等不良预后。该文就衰弱的概念、衰弱与心脏手术的关系、老年心脏手术患者合并衰弱的评估及干预策略等进行系统综述,旨在为老年心脏手术患者的危险分层及围术期管理提供决策依据。Frailty is a syndrome characterized by vulnerability to stressors due to loss of physiological reserve.In recent years,many researches have confirmed that frailty is a risk factor for postoperative complications of cardiac surgery,such as readmission,adverse cardiovascular events,and death in elderly patients.This paper reviews the concept of frailty,the relationship between frailty and cardiac surgery,the frailty assessment and intervention strategy in perioperative period,aimed at providing decision making basis for the risk stratification and perioperative management of cardiac surgery in elderly patients.

关 键 词：衰弱 老年 心脏手术 评估 

分 类 号：R654.2[医药卫生—外科学]