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[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
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[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] =>
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[zjfj] =>
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[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] =>
)
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] =>
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[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/748.html
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[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:27
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[xzl] => 0
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[zjfj] =>
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[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
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[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] => 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] =>
)
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] =>
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[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/750.html
[link_id] => 0
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[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:27
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[displayorder] => 0
[nrjc] => 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] => 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] =>
)
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] =>
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[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
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[xzl] => 0
[dzl] => 0
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[zjfj] =>
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[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] =>
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[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
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[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
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[xzl] => 0
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[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] =>
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[hits] =>
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[status] => 9
[url] => https://www.anes-guide.com/show/754.html
[link_id] => 0
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[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:27
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[displayorder] => 0
[nrjc] => 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] => 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] =>
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[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
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[displayorder] => 0
[nrjc] => Array
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[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] => 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] =>
)
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