衰弱评估在急诊手术患者中的应用进展
Advances in Frailty Assessment for Emergency Surgery Patients
DOI: 10.12677/acm.2026.161058, PDF,   
作者: 张云天*, 金菊英#:重庆医科大学附属第一医院麻醉科,重庆
关键词: 衰弱急诊外科手术老年人术前评估风险因素Frailty Emergency Surgical Procedures Aged Preoperative Care Risk Factors
摘要: 急诊手术患者常伴有多病共存、生理储备下降而呈现较高衰弱发生率,导致围术期麻醉风险增加。术前衰弱评估对识别高危患者与风险分层、优化围术期管理策略尤为重要。本综述系统梳理了适用于急诊手术场景的衰弱评估工具,并分析其应用特点与预测效能。尽管这些工具在急诊环境中具有重要应用价值,仍普遍存在操作复杂、依赖完整临床信息及人群适应性有限等局限。未来可重点发展融合机器学习技术的整合型评估工具,以提升早期识别与精准管理能力,从而改善患者预后。
Abstract: Frailty is highly prevalent among emergency surgery patients, often associated with multiple comorbidities and decreased physiological reserve, leading to increased perioperative anesthetic risks. Preoperative frailty assessment is crucial for identifying high-risk patients, stratifying risk, and optimizing perioperative management strategies. This review systematically examines frailty assessment tools applicable to emergency surgical settings and analyzes their practical characteristics and predictive performance. Although these tools hold significant clinical value in emergency environments, they generally face limitations such as assessment complexity, reliance on complete clinical information, and limited population adaptability. Future efforts should prioritize the development of integrated assessment tools that incorporate machine learning technology to enhance early detection and precision management, thereby improving patient outcomes.
文章引用:张云天, 金菊英. 衰弱评估在急诊手术患者中的应用进展[J]. 临床医学进展, 2026, 16(1): 424-431. https://doi.org/10.12677/acm.2026.161058

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