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    [id] => 746
    [catid] => 32
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/746.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
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    [nrjc] => Array
        (
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    [nrsh] => Array
        (
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    [xzl] => 0
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    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 术中建议维持液体近零平衡状态,避免容量负荷过重或不足;高危患者和液体大量丢失(失血量>10mL/kg)的患者,建议采用目标导向液体管理方案。(证据等级: 高;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
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    							推荐意见
									
										术中建议维持液体近零平衡状态,避免容量负荷过重或不足;高危患者和液体大量丢失(失血量>10mL/kg)的患者,建议采用目标导向液体管理方案。(证据等级: 高;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 747
    [catid] => 38
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/747.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 结肠手术后不建议常规留置腹腔引流管;直肠手术后,根据术中情况选择性留置盆腔引流管。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
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    							推荐意见
									
										结肠手术后不建议常规留置腹腔引流管;直肠手术后,根据术中情况选择性留置盆腔引流管。(证据等级: 中;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 748
    [catid] => 38
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/748.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 24h后拔除导尿管。(证据等级: 低;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										24h后拔除导尿管。(证据等级: 低;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 749
    [catid] => 36
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/749.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 多模式镇痛、腹腔镜手术、避免液体负荷过重、避免鼻胃管等综合措施综合措施预防术后肠麻痹。(证据等级: 高;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
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    							推荐意见
									
										多模式镇痛、腹腔镜手术、避免液体负荷过重、避免鼻胃管等综合措施综合措施预防术后肠麻痹。(证据等级: 高;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 750
    [catid] => 26
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/750.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 尽可能保护直肠癌患者肛门功能并进行肛门功能评估,预防或减轻LARS。(证据等级: 低;推荐强度: 一般性推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
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    							推荐意见
									
										尽可能保护直肠癌患者肛门功能并进行肛门功能评估,预防或减轻LARS。(证据等级: 低;推荐强度: 一般性推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 751
    [catid] => 35
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/751.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
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    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 术后采用多模式镇痛方案,尽量减少阿片类药物用量。(证据等级: 高;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术后采用多模式镇痛方案,尽量减少阿片类药物用量。(证据等级: 高;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 752
    [catid] => 35
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/752.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 开腹手术采用硬膜外镇痛。(证据等级: 高;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										开腹手术采用硬膜外镇痛。(证据等级: 高;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 753
    [catid] => 35
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/753.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
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        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 无禁忌证患者,推荐术前及术后早期应用NSAIDs,不宜超过3d;并应警惕相关并发症风险。(证据等级: 高;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										无禁忌证患者,推荐术前及术后早期应用NSAIDs,不宜超过3d;并应警惕相关并发症风险。(证据等级: 高;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 754
    [catid] => 35
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/754.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 腹腔镜手术采用外周神经阻滞镇痛作为多模式镇痛重要措施之一。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										腹腔镜手术采用外周神经阻滞镇痛作为多模式镇痛重要措施之一。(证据等级: 中;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 755
    [catid] => 35
    [title] => 中国加速康复外科临床实践指南(2021):(五) 结直肠外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/755.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:27
    [updatetime] => 2024-01-11 15:13:27
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2021
    [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] => 对于无禁忌证的结直肠手术患者,可联合应用镇痛辅助药物。(证据等级: 低;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957207
    [_updatetime] => 1704957207
    [_nrjc] => 
    [_nrsh] => 
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    							推荐意见
									
										对于无禁忌证的结直肠手术患者,可联合应用镇痛辅助药物。(证据等级: 低;推荐强度: 强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:C
    								年份:2021
    								国家:中华医学会外科学分会;中华医学会麻醉学分会