老年患者非心脏手术围手术期心脏风险评估工具应用进展  

Progress in the application of perioperative cardiac risk assessment tools in elderly patients with non‑cardiac surgery

作　　者：王飞[1] 郝学超 朱涛[1] Wang Fei;Hno Xuechao;Zhu Tao(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院麻醉科,成都610041

出　　处：《国际麻醉学与复苏杂志》2020年第4期396-400,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：随着人口老龄化的发展和麻醉手术技术的提高,接受非心脏手术的老年患者越来越多。围手术期心血管不良事件依然是增加患者病死率和并发症最常见的原因之一。老年患者由于生理功能的退行性改变和并存疾病的增多,加之麻醉和手术的打击,其围手术期心血管不良事件的发生风险明显高于青、中年患者。综合患者基础状况、并存病、手术麻醉方式等多源因素,构建准确易行的评估工具或预测模型,评估老年患者围手术期心血管不良事件的发生风险是国内外研究关注的热点方向。文章对国内外已有的老年非心脏手术患者围手术期心血管风险评估工具的优势、不足及其临床应用和研究进展进行综述。With the growth of the world's older population and the improvement of anesthetic and surgical techniques,an increasing number of elderly patients would like to undergo non‑cardiac surgery.Perioperative cardiovascular adverse events are still the one of most commonly reasons to increase mortality and complications.Elderly patients have an obviously higher risk of cardiovascular adverse events than young and middle‑aged patients,due to degraded physiological function and increased diseases,in addition to the influence of anesthesia and operation.With respect to patient general condition,comorbidity,anesthetic method and other factors,it is a hot research topic at home and abroad to construct an accurate and feasible assessment tool or predictive model to evaluate the risk of cardiovascular adverse events in elderly patients during the perioperative period.The current paper reviews the advantages,disadvantages,clinical application and research progress of domestic and oversea assessment tools to evaluate cardiovascular risks of elderly patients with non‑cardiac surgery.

关 键 词：非心脏手术 心血管风险 老年人 围手术期 风险评估 

分 类 号：R614[医药卫生—麻醉学]