关注老年患者的围术期管理

摘要

As the population aging and prolonged life expectancy , there would be more and more surgical operations for the elderly in China.Besides organ dysfunction , the elderly also simultaneously suffered many comorbidities , such as stroke, cardiac ischemic disease, hypertension and diabetes .The specific characteristic of the elderly increases the incidence of postoperative complications and mortality, and presents a big challenge for perioperative management .Anesthesiologists may play important role in improving outcome of the elderly patients by optimizing perioperative management .%随着老龄化进程的加剧和国人预期寿命的延长，会有越来越多的老年患者接受外科手术。但是老年患者因为器官功能的退化常常合并多种疾病，如脑梗死、心脏缺血性疾病、高血压和糖尿病等。复杂的病情会显著增加围术期并发症发生的风险，并给围术期管理带来极大的挑战。麻醉科医师可以通过优化围术期麻醉管理方案改善患者预后。