【摘要】 目的 分析某院外科≥60岁患者围手术期对内科协同诊治的需求，为围手术期老年患者会诊模式提供参考。方法 回顾性分析某院2021年1月1日-2022年12月31日外科发起的≥60岁围手术期患者内科会诊7705人次的会诊具体需求。结果 总申请内科会诊率是21.0%，其中申请心血管科、内分泌科和内科综合科会诊累计占87.5%。术前申请会诊与术后申请会诊比为2.7:1，急诊手术较多的神经外科会诊率为63.2%，择期手术较多的矫形骨科会诊率为11.1%。术后消化内科会诊需求为7.3%，术前为2.0%。术前、术后经过会诊的患者分别有0.21%和0.96%的风险有院内不良结局。结论 对于老年患者，内科早期介入，并将围手术期内科服务系统化和规范化会是提高手术安全性和改善术后预后的重要途径。更多还原

【Abstract】 Objectives To analyze the need for collaborative medical treatment in patients over 60 years old in surgical departments during perioperative period, and provide a reference for the consultation model for elderly patients during the perioperative period Methods A retrospective analysis was conducted on the specific consultation demands of 7,705 consultations for patients over 60 years old who underwent surgery and received internal medical consultations at a certain hospital from January 1 st, 2021 to December 31 st, 2022. Results The total consultation rate of patients aged 60 and above in all surgical departments was 21.0%, and the demand for consultation in cardiovascular, endocrinology and general internal medicine accounted for 87.5%. Preoperative consultation: Postoperative consultation was 2.7:1, the proportion of emergency surgery departments applying for consultation was significantly higher than that of elective surgery departments, and the departments with the biggest difference were neurosurgery and orthopedics, 63.2% and 11.1%, respectively. The demand for postoperative consultation in the department of gastroenterology has increased compared to that before surgery, rising from 2.0% before surgery to 7.3% after surgery. The risk of in-hospital adverse outcomes for patients who received consultations before and after surgery was 0.21% and 0.96% respectively. Conclusions For elderly patients, early intervention by internal medicine was necessary, systematization and standardization of perioperative medical services was an important way to improve surgical safety and postoperative prognosis.更多还原