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β受体阻滞剂在非心脏手术围手术期的应用评价
引用本文:李佩雯,丁文惠. β受体阻滞剂在非心脏手术围手术期的应用评价[J]. 中国医院用药评价与分析, 2008, 8(6): 404-406
作者姓名:李佩雯  丁文惠
作者单位:北京大学第一医院心内科,北京市,100034
摘    要:目的:对β受体阻滞剂在非心脏手术围手术期的应用进行评价。方法:检索、综述国内外相关文献。结果及结论:目前对β受体阻滞剂在非心脏手术围手术期应用的获益还存在较大的争议。现有的临床证据倾向于在非心脏手术围手术期应用β受体阻滞剂,高危患者可以减少心血管事件的发生,中危患者无获益,而低危患者甚至存在一定的风险。

关 键 词:非心脏手术  β受体阻滞剂  围手术期

Perioperative Application of β - receptor Blockers in Patients Undergoing Non - cardiac Surgery
LI Pei-wen,DING Wen-hui. Perioperative Application of β - receptor Blockers in Patients Undergoing Non - cardiac Surgery[J]. Evaluation and Analysis of Drug-Use in Hospital of China, 2008, 8(6): 404-406
Authors:LI Pei-wen  DING Wen-hui
Affiliation:(Dept. of Cardiology, The First Hospital of Pekin University, Beijing 100034, China)
Abstract:OBJECTIVE: To evaluate the outcome of perioperative application of β - receptor blockers in patients undergoing non - cardiac surgery. METHODS: The pertinent literature both at home and abroad was reviewed. RESULTS & CONCLUSION: There has been considerable professional debate about the outcome of β - receptor blockers in patients undergoing non - cardiac surgery, but the clinical evidences support the idea that the use of β - receptor blockers in patients undergoing non - cardiac surgery during perioperative period can reduce the risk of cardiovascular events in high risk patients, but it has no effect on middle - risk patients and it can even result in risk for low - risk patients.
Keywords:Non - cardiac surgery  β- receptor blocker  Perioperative period
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