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Array ( [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 [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] => 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 [_nrjc] => [_nrsh] => )
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

阅读
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] => )
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

阅读
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

阅读
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] => )
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

阅读
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] => )
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

阅读
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 ( ) [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

阅读
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

阅读
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 [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] => 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

阅读
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

阅读
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] => )
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

阅读