作　　者： (王晓明）; (刘艳）;

机构地区： 第四军医大学西京医院老年病科,西安710032

出　　处： 《中华烧伤杂志》 2017年第9期533-536,共4页

摘　　要： 随着我国人口老龄化进程加剧，社会人口老龄化已成为国家重大公共问题，而老年人的健康问题是重要的社会问题。老年人由于机体各组织器官功能自然衰退、多种慢性疾病共存、多重用药以及老年综合征等表现，使得老年疾病的临床特点、诊疗过程更加复杂，大大增加了其对医疗资源的需求与医疗成本支出，给社会造成了极大的负担。因此，如何提升对老年疾病的综合诊疗水平，提高老年人的健康与生活质量、降低不必要的医疗开支是我国目前医疗服务体系亟待解决的重大问题。 In this commentary article, we introduce the definition, evaluative contents and methods of comprehensive geriatric assessment （CGA）, as well as its successful application in Western countries. CGA is a multidisciplinary diagnosis and treatment process that identifies medical, psychosocial, and functional capabilities of elderly adults to develop plans including overall treatment, nursing, and follow-up to maximize overall health with aging. How to change this situation has become an important challenge due to the significant increase in postoperative complications, mortality, and treatment costs for elderly patients with surgical diseases. Current clinical evidence from Western countries supports that CGA can significantly improve recovery of function, reduce complications and mortality, greatly cut down medical cost, and improve medical utility of elderly pa- tients with burn, trauma, and surgical diseases. Therefore, we advocate that CGA should be routinely used in elderly inpatients before non-cardiac surgical operation in our country.

关 键 词： 老年人 住院 疾病 老年综合评估