神经外科患者围手术期衰弱的研究进展  

Research progress on perioperative frailty in patients undergoing neurosurgery

作　　者：王昕馨 范议方[1] 韩如泉[1] Wang Xinxin;Fan Yifang;Han Ruquan(Department of Anesthesiology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院麻醉科,100070

出　　处：《国际麻醉学与复苏杂志》2021年第7期757-761,共5页International Journal of Anesthesiology and Resuscitation

摘　　要：衰弱是一种以生理储备减少为特征的多系统综合征,常见于高龄手术人群,并与术后不良预后相关。围手术期对衰弱进行评估是指导临床决策、降低围手术期风险的有效方法,但衰弱在神经外科领域尚未获得足够的关注。文章总结了现阶段临床常用的衰弱评估方法,对颅脑神经外科衰弱的研究进展进行综述,以进一步优化老年神经外科患者的围手术期管理。目前对于神经外科衰弱的研究还存在较大的异质性,未来还需要更多研究进一步探索适合神经外科患者的衰弱评估方法和有效的围手术期干预措施。Frailty is a multidimensional syndrome characterized by decreased reserves,which is prevalent in elderly surgical population and associated with poor postoperative prognosis.Preoperative frailty assessment is an effective method to guide clinical decision-making and reduce the perioperative risk.But frailty has not attracted sufficient attention in neurosurgery.This article summarizes the common methods for clinical frailty assessment and reviews the progress on frailty in cranial neurosurgery,so as to optimize the perioperative management of elderly neurosurgery patients.At present,there is still considerable heterogeneity in the studies concerning neurosurgical frailty.In the future,more studies are required to further explore the frailty assessment methods and effective perioperative interventions suitable for neurosurgery patients.

关 键 词：衰弱 颅脑神经外科 围手术期 

分 类 号：R651.1[医药卫生—外科学]