摘要
随着人口老龄化及医疗技术的进步,接受手术治疗的老年患者日益增多。心血管事件是非心脏手术术后死亡的主要原因之一,围手术期心血管事件发病率高且危害性大,严重影响患者预后。近年来,越来越多的研究聚焦于老年患者围手术期心血管事件的防治,对围手术期心血管事件风险进行评估并采取有效的干预措施,可有效降低心血管事件的发生率,改善老年患者预后。本文从术前、术中、术后,以及围手术期用药4个角度就老年患者非心脏手术围手术期心血管风险评估管理进行论述,以期为临床实践提供帮助。
With aging of population and improvement of medical technology,the number of elderly patients receiving surgical treatment is increasing.Cardiovascular events after noncardiac surgery are one of the leading causes of death.Perioperative cardiovascular events have a high risk and incidence rate,thus severely affecting the prognosis of patients.In recent years,a growing number of studies have focused on the prevention and treatment of perioperative cardiovascular events in elderly patients.Assessing the risk of perioperative cardiovascular events and using effective interventions can effectively reduce the incidence of cardiovascular events and improve the prognosis of elderly patients.This article discusses cardiovascular risk assessment and management in elderly patients during noncardiac surgeries from the perspective of preoperative,intraoperative,postoperative periods,and perioperative medication used to provide assistance to clinical practice.
作者
张凯
米卫东
李皓
Zhang Kai;Mi Wei-Dong;Li Hao(Department of Anesthesiology,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2023年第11期1260-1266,共7页
Medical Journal of Chinese People's Liberation Army
基金
国家重点研发计划(2018YFC2001900)
北京市科技新星项目(Z211100002121171)。
关键词
老年患者
非心脏手术
围手术期管理
心血管
风险评估
elderly patients
noncardiac surgery
perioperative management
cardiovascular
risk assessment
