推动中国老年患者麻醉与围手术期管理的创新与实践

Campaigning the innovation and practice of anesthesia and perioperative management for elderly patients in China

中国老龄化人群正在快速增加,而由于担心麻醉及手术后高并发症发生率和死亡率,使得具有外科适应证的老年患者接受麻醉的比例相对偏低。在过去5年里,中国麻醉医师在以下几个方面做了很多工作,力图最大程度地改变这种现状:(1)建立老年患者麻醉与多学科评估及优化体系,以期改善老年患者的术前功能状态,加速患者术后康复进程;(2)发布基于国内外麻醉医师的高水平临床研究的老年患者围手术期管理多学科专家共识,以期提高中国老年患者的临床实践水平;(3)开展多种形式的线上老年患者疑难危重病例讨论会,以提高老年患者麻醉与围手术期管理的临床诊疗水平;(4)创新老年患者,特别是高龄患者麻醉的临床实践方法和管理路径,以适应当前加速术后康复医学的临床实践需要。

The aged population in China is rapidly increasing,but there is a relative lower anesthesia rate with surgical indication for elderly patients because of worry for higher morbidity and mortality.In past five years,Chinese anesthesiologists have made the tremendous efforts to change this situation in as follow aspects.Firstly,establishing the anesthesia and multidisciplinary evaluation system for elderly patients to improve preoperative functional status,and accelerating the postoperative rehabilitation process.Secondly,releasing the publications of perioperative experts consensus for elderly patients based on the high level clinical researches to highlight clinical practice in China.Thirdly,implementing online virtual MDT discussion of anesthesia and perioperative management for critical elderly patients to improve perioperative diagnosis and treatment level.Fourthly,making the innovation of clinical practice and management pathway to adopt to the ERAS′clinical requests for elderly patients,especially advanced aged patients.