老年患者非心脏手术围手术期心血管不良事件的危险因素  

Risk factors for adverse cardiovascular events in elderly patients with non-cardiac surgery during the perioperative period

作　　者：刘莹珠 张登文[2] 王晟 Liu Yingzhu;Zhang Dengwen;Wang Sheng(College of the First Clinical Medicine,Guangdong Medical University,Zhanjiang 524002,China;Department of Anesthesiology,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Guangzhou 510080,China;Department of Anesthesiology,Nyingchi People's Hospital,Tibet Autonomous Region,Nyingchi 860000,China)

机构地区：[1]广东医科大学第一临床医学院,湛江524002 [2]广东省人民医院(广东省医学科学院)麻醉科,广州510080 [3]西藏自治区林芝市人民医院麻醉科,860000

出　　处：《国际麻醉学与复苏杂志》2021年第9期987-993,共7页International Journal of Anesthesiology and Resuscitation

基　　金：国家重点研发计划(2018YFC2001803);广东省医学科研基金(A2020038)。

摘　　要：随着医疗技术的发展,非心脏手术量日渐增加,且手术患者趋于老龄化。老年患者常合并多种慢性疾病,在围手术期更易发生各种类型的不良事件。其中围手术期心血管不良事件发生率高、危害大,是引起非心脏手术后30 d内死亡的重要原因。影响老年患者围手术期心血管不良事件发生的因素众多,文章从术前评估准备、术中管理和术后监测三个阶段,对可能诱发老年患者围手术期心血管不良事件的各项危险因素进行综述,为老年患者围手术期麻醉管理和相关临床研究提供参考。With the development of medical techniques,the number of non-cardiac surgery is on the rise and surgical patients tend to elderly people.These patients often suffer with multiple chronic diseases,and more likely to present various adverse events during the perioperative period.In particular,perioperative adverse cardiovascular events,with a high incidence and bad impacts,are the major cause of death within 30 days after non-cardiac surgery.Risk factors influencing the occurrence of perioperative adverse cardiovascular events for elderly patients are numerous.This article will review the risk factors that induce perioperative adverse cardiovascular events for elderly patients from three stages:preoperative evaluation and preparation,intraoperative management and postoperative monitoring.Furthermore,it provides reference for perioperative anesthesia management and related clinical research in elderly patients.

关 键 词：老年人 非心脏手术 心血管系统 不良事件 危险因素 

分 类 号：R614[医药卫生—麻醉学]