文章摘要
多病共存患者的围术期麻醉管理:挑战与机遇
Perioperative anesthetic management for patients with multimorbidity: challenges and opportunities
  
DOI:10.12089/jca.2024.11.001
中文关键词: 多病共存  人工智能  围术期  大数据
英文关键词: Multimorbidity  Artificial intelligence  Perioperative period  Big data
基金项目:国家自然科学基金(82372182)
作者单位E-mail
纪木火 210011,南京医科大学第二附属医院麻醉科  
胡小义 210011,南京医科大学第二附属医院麻醉科  
杨建军 郑州大学第一附属医院麻醉与围手术期及疼痛医学部 yjyangjj@126.com 
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中文摘要:
      人口老龄化的加剧导致多病共存问题日益严重,多病共存严重影响患者的生活质量。当前的麻醉管理方法主要针对单一疾病,难以有效应对多病共存的复杂性。本文回顾了多病共存的概念及其研究现状,分析了老龄化、多病共存和衰弱之间的联系,并探讨了多病共存对围术期风险的影响。针对多病共存患者,本文提出了包括术前评估、多学科协作、个性化麻醉方案、术中监测和术后管理在内的围术期管理策略。此外,本文强调了从单一疾病评估转向全面的多病评估框架的重要性,并探讨了利用大数据和人工智能的新型管理模式,以提升手术安全性和改善患者预后。
英文摘要:
      The intensifying aging of the population has led to a growing severity of multimorbidity, significantly impacting patients' quality of life. Current anesthetic management approaches primarily target individual diseases, which struggle to effectively address the complexity of multimorbidity. This article reviews the concept and research status of multimorbidity, analyzes the interconnections among aging, multimorbidity, and frailty, and discusses the influence of multimorbidity on perioperative risks. For patients with multimorbidity, the article proposes perioperative management strategies encompassing preoperative assessment, multidisciplinary collaboration, personalized anesthesia plans, intraoperative monitoring, and postoperative care. Furthermore, the article underscores the shift from single-disease assessments to comprehensive multimorbidity assessment frameworks, and explores novel management models utilizing big data and artificial intelligence to enhance surgical safety and improve patient prognosis.
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