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Array ( [id] => 841 [catid] => 39 [title] => 加速康复外科中国专家共识暨路径管理指南(2025):胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/841.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 胰腺外科手术中采用肺保护性通气策略。(证据级别:高;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
胰腺外科手术中采用肺保护性通气策略。(证据级别:高;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 842 [catid] => 35 [title] => 加速康复外科中国专家共识暨路径管理指南(2026):胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/842.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 全身应用阿片类药物和∕或非甾体抗炎药,联合椎管内麻醉或周围神经阻滞或切口浸润是此类病人有效的术后镇痛方法,应充分权衡各种方法和药物的收益与风险。(证据级别:高;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
全身应用阿片类药物和∕或非甾体抗炎药,联合椎管内麻醉或周围神经阻滞或切口浸润是此类病人有效的术后镇痛方法,应充分权衡各种方法和药物的收益与风险。(证据级别:高;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 843 [catid] => 37 [title] => 加速康复外科中国专家共识暨路径管理指南(2027):胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/843.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 围术期采用合理的措施预防术后恶心呕吐。 高危病人(>3个危险因素)应采取多模式预防术后恶心呕吐(证据级别:低;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
围术期采用合理的措施预防术后恶心呕吐。 高危病人(>3个危险因素)应采取多模式预防术后恶心呕吐(证据级别:低;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 844 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南(2028):胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/844.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 无预防胰十二指肠切除术术后胃排空延迟的明确措施。应用硬膜外麻醉、维持液体出入量平衡、早期进食有助于术后肠功能的恢复。 减少胰瘘等腹部并发症有助于降低继发性胃排空延迟的发生率。(证据级别:低;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
无预防胰十二指肠切除术术后胃排空延迟的明确措施。应用硬膜外麻醉、维持液体出入量平衡、早期进食有助于术后肠功能的恢复。 减少胰瘘等腹部并发症有助于降低继发性胃排空延迟的发生率。(证据级别:低;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 845 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南(2029):胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/845.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术后宜早期进食,对肠内营养不能满足需求或因并发症不能行肠内营养的病人,可结合肠外营养。(证据级别:中;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
术后宜早期进食,对肠内营养不能满足需求或因并发症不能行肠内营养的病人,可结合肠外营养。(证据级别:中;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 846 [catid] => 25 [title] => 加速康复外科中国专家共识暨路径管理指南(2018):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/846.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => http://120.26.162.1:5002/Paper/Search?type=&q=%E5%8A%A0%E9%80%9F%E5%BA%B7%E5%A4%8D%E5%A4%96%E7%A7%91%E4%B8%AD%E5%9B%BD%E4%B8%93%E5%AE%B6%E5%85%B1%E8%AF%86%E6%9A%A8%E8%B7%AF%E5%BE%84%E7%AE%A1%E7%90%86%E6%8C%87%E5%8D%97%282018%29%3A%E7%BB%93%E7%9B%B4%E8%82%A0%E6%89%8B%E6%9C%AF%E9%83%A8%E5%88%86&searchType=pt [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 应常规对病人进行术前咨询与指导。(证据级别:低;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
应常规对病人进行术前咨询与指导。(证据级别:低;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 847 [catid] => 25 [title] => 加速康复外科中国专家共识暨路径管理指南(2019):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/847.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前预康复是ERAS的重要措施之一。(证据级别:低;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
术前预康复是ERAS的重要措施之一。(证据级别:低;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 848 [catid] => 266 [title] => 加速康复外科中国专家共识暨路径管理指南(2020):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/848.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 根据具体情况选择术前肠道准备的方式,行机械性肠道准备时应联合口服抗生素。(证据级别:中;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
根据具体情况选择术前肠道准备的方式,行机械性肠道准备时应联合口服抗生素。(证据级别:中;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 849 [catid] => 28 [title] => 加速康复外科中国专家共识暨路径管理指南(2021):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/849.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 择期无胃肠梗阻的病人,麻醉诱导前6h可进食不含油炸、脂肪及肉类的固体食物,2h可口服清流质。(证据级别:中;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
择期无胃肠梗阻的病人,麻醉诱导前6h可进食不含油炸、脂肪及肉类的固体食物,2h可口服清流质。(证据级别:中;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 850 [catid] => 27 [title] => 加速康复外科中国专家共识暨路径管理指南(2022):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/850.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前不常规使用镇静药物。(证据级别:高;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
术前不常规使用镇静药物。(证据级别:高;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读