CAJ | 학술논문

医学发展和人口老龄化导致目前接受非心脏手术的高龄和心脏病患者日益增多。而心血管并发症是非心脏手术后的主要并发症。术后心血管并发症发病率高危害大，是围术期并发症和病死率增加的重要原因，直接决定了手术的成败。因而对心血管风险进行准确评估和预测，减少术后心血管并发症，降低手术风险并改善患者预后，是当前医学领域的重要研究课题。通过研究发现了风险独立预测因子并构建评估体系，一些全新的高敏生化指标及无创检测也展示出良好的预测价值和应用前景。
의학발전화인구노령화도치목전접수비심장수술적고령화심장병환자일익증다。이심혈관병발증시비심장수술후적주요병발증。술후심혈관병발증발병솔고위해대，시위술기병발증화병사솔증가적중요원인，직접결정료수술적성패。인이대심혈관풍험진행준학평고화예측，감소술후심혈관병발증，강저수술풍험병개선환자예후，시당전의학영역적중요연구과제。통과연구발현료풍험독립예측인자병구건평고체계，일사전신적고민생화지표급무창검측야전시출량호적예측개치화응용전경。
With the development of medicine and aging of population ,the number of elderly patients with heart disease undergoing noncardiac surgeries is on the rise.The cardiovascular complications are the main complications after noncardiac surgeries.The high morbidity of cardiovascular complications after surgery can cause serious harm to patients and directly determine the success of surgery .Therefore evaluating and predic-ting the cardiovascular risk accurately to reduce the postoperative complications and decline the risk of sur-gery and improve the prognosis is an important topic of the current medicine research.The independent pre-dictors were found and the risk assessment system was built through the study.Some new high sensitive bio-chemical indexes and noninvasive test also showed good prediction value and application prospect .