Abstract: Due to the distinct pathophysiological features of the elderly，geriatric care has always been a particular concern of healthcare and other fields.Most elderly patients need physical，psychological，social and other types of care，so comprehensive understanding of their health status is a key basis for satisfying their healthcare needs via delivering the appropriate management.Comprehensive Geriatric Assessment （CGA） is widely used in recent years to assess the health conditions of the elderly from multiple perspectives，including medical，physical，cognitive，psychological，social，environmental and other components，so as to perform the diagnosis and deliver appropriate treatment.The method includes both overall assessment and targeted interventions，and advocates multidisciplinary management，fully embodying the modern health concept of holistic health.Early performing CGA and giving interventions，can delay the decline of the body function of the elderly to various degrees，shorten the hospitalization time，reduce the admission rate and mortality，and also can provide important reference for both health management and medical care.We reviewed the application of CGA in clinical practice，including the evaluation contents，application methods，application scope and limitations of CGA in different situations，providing clinical assistance for healthcare professionals.

Key words: Aged, Comprehensive geriatric assessment, Progress

摘要： 由于老年患者特殊的病理、生理特点，其医疗照护一直是社会和医务界关注的重点。大多数老年患者存在躯体功能、心理、社会等多方面的医疗需求，全面了解老年患者的健康状况是满足其医疗照护需求、为其提供最佳诊疗方案的关键。老年综合评估（CGA）是近年来在国内外广泛应用的从医疗、躯体功能、认知心理及社会、环境因素等多角度检测评估老年人健康功能水平的一种诊疗方式，既包含对老年患者的整体评估又包括相应的针对性干预措施，倡导多学科合作，充分体现整体健康功能的现代医学理念。CGA在临床上的早期应用和干预，在一定程度上能够延缓老年人机体功能衰退、缩短住院时间、降低入院率及病死率，为老年人的健康管理和医疗照护提供重要参考信息。本文对CGA的临床应用进展进行综述，总结了CGA在不同诊疗场所及疾病中的评估内容、应用方法、适用范围及使用限制，以协助医务人员在临床中应用CGA。

关键词: 老年人, 老年综合评估, 进展