摘要
随着人口老龄化趋势加剧,成人心脏手术患者围手术期药物管理的复杂性日益凸显。针对当前国内系统性用药管理指南缺失、药物相互作用风险认知欠缺以及治疗衔接方案不明确等临床问题,中国心胸血管麻醉学会心血管麻醉分会基于循证医学原则,参考国内外最新循证证据,制定了《成人心脏手术围手术期用药专家共识(2025版)》。本共识围绕成人心脏手术前、术中和术后三个阶段的核心治疗药物类别及不良事件预防策略,重点评估药物药代动力学特性、围手术期停药/续用风险及潜在副作用,强调术前需全面采集用药史,建议临床决策应结合临床依据及个体化风险综合评估。本共识旨在为麻醉、外科、药学及护理团队提供标准化用药指导,通过优化围手术期用药决策,降低药物相关并发症发生率,提高手术安全性,改善患者长期预后,同时推动多学科协作管理模式发展,为未来精细化指南制定奠定基础。
The complexity of perioperative medication management for adult cardiac surgery has become increasingly prominent with population aging.To address current clinical challenges in China,the Cardiovascular Anesthesia Branch of Chinese Society of Cardiothoracic Anesthesia has developed this expert consensus based on evidence-based medicine principles and the latest evidence.This consensus focuses on the core categories of therapeutic drugs and strategies for preventing adverse events in the pre-,intra-and post-operative periods of adult cardiac surgery,emphasizes the evaluation of pharmacokinetic characteristics,perioperative risks associated with drug discontinuation and resumption,and potential side effects,and highlights the necessity of obtaining a comprehensive medication history before surgery and advocates for clinical decision-making that guided by evidence combined with individualized risk assessment.This consensus aimed to provide standardized medication guidance for anesthesia,surgical,pharmacy and nursing teams,sought to decrease the incidence of drug-related complications,enhance surgical safety and improve long-term prognosis by optimizing perioperative medication decisions,and furthermore promoted a multidisciplinary collaborative management model to lay the foundation for the development of refined guidelines in the future.
作者
中国心胸血管麻醉学会心血管麻醉分会《成人心脏手术围手术期用药专家共识(2025版)》工作组
武庆平
雷翀
王磊
张泽菲
Cardiovascular Anesthesia Branch of Chinese Society of Cardiothoracic Anesthesia,Task Force on"Expert consensus on perioperative medication management in adult cardiac surgery(2025 edition)";Wu Qingping;Lei Chong(不详;Department of Anesthesiology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Anesthesiology and Perioperative Medicine,The First Affiliated Hospital of Air Force Medical University,Xi′an 710032,China)
出处
《中华麻醉学杂志》
北大核心
2025年第8期923-936,共14页
Chinese Journal of Anesthesiology
关键词
心脏外科手术
围手术期
药物疗法管理
成年人
专家共识
Cardiac surgical procedures
Perioperative period
Medication therapy management
Adult
Expert consensus
