Array ( [id] => 766 [catid] => 291 [title] => Chinese clinical practice guidelines for perioperative blood glucose management [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/766.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] => Guideline Steering Group, the Guideline Developmen [pdf] => [tjyjyw] => [lyyw] => Endocrinologist consultation is recommended for patients with preoperative acute complications or severe chronic complications of diabetes. (1B); for high‐risk patients, coordinating postoperative access to the intensive care unit for the endocrinologists to participate in the management is suggested. (2C) [laiyuan] => 对于术前有糖尿病急性并发症或严重慢性并发症的患者，建议咨询内分泌医生（证据级别：中；推荐强度：强推荐）；对于高风险患者，协调内分泌医生术后进入重症监护室参与管理（证据级别：低；推荐强度：弱推荐）。 [znzldj] => A [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

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Array ( [id] => 718 [catid] => 27 [title] => 中国加速康复外科临床实践指南(2021)：(四) 胃外科手术和减重与代谢外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/718.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:26 [updatetime] => 2024-01-11 15:13:26 [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] => 术前30～60min预防性静脉输注抗生素。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )

Array ( [id] => 719 [catid] => 29 [title] => 中国加速康复外科临床实践指南(2021)：(四) 胃外科手术和减重与代谢外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/719.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:26 [updatetime] => 2024-01-11 15:13:26 [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] => 在个体化、精细化的原则下选择和实施麻醉方案，对患者的影响力求最小化;现有证据尚不足以明确最佳麻醉方案及麻醉药物。（证据等级: 低；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )

Array ( [id] => 720 [catid] => 31 [title] => 中国加速康复外科临床实践指南(2021)：(四) 胃外科手术和减重与代谢外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/720.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:26 [updatetime] => 2024-01-11 15:13:26 [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] => BIS监测可在一定程度上避免术中知晓及麻醉过深，尤其适于老年、虚弱患者。（证据等级:中；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )

Array ( [id] => 721 [catid] => 31 [title] => 中国加速康复外科临床实践指南(2021)：(四) 胃外科手术和减重与代谢外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/721.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:26 [updatetime] => 2024-01-11 15:13:26 [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] => 术中肌松监测，术后可使用肌松拮抗药物，有效避免肌松残余，确保神经肌肉功能的充分恢复，应避免使用长效神经肌肉阻滞药物。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )

Array ( [id] => 722 [catid] => 39 [title] => 中国加速康复外科临床实践指南(2021)：(四) 胃外科手术和减重与代谢外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/722.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:26 [updatetime] => 2024-01-11 15:13:26 [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] => 围术期及时调整水、电解质及酸碱平衡，维持内环境稳定。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )

Array ( [id] => 723 [catid] => 32 [title] => 中国加速康复外科临床实践指南(2021)：(四) 胃外科手术和减重与代谢外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/723.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:26 [updatetime] => 2024-01-11 15:13:26 [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] => 对于高危患者和血容量丢失较多的患者建议采用目标导向液体管理方案;对于高危患者，实施血液管理并维持患者血红蛋白浓度至适当水平，可改善患者预后。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )

Array ( [id] => 724 [catid] => 38 [title] => 中国加速康复外科临床实践指南(2021)：(四) 胃外科手术和减重与代谢外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/724.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:26 [updatetime] => 2024-01-11 15:13:26 [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] => 对于肥胖患者应严格把握气管拔管指征，减少术后肺部并发症并缩短住院时间。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )

Array ( [id] => 725 [catid] => 38 [title] => 中国加速康复外科临床实践指南(2021)：(四) 胃外科手术和减重与代谢外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/725.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:26 [updatetime] => 2024-01-11 15:13:26 [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] => 高危患者适当延长麻醉苏醒期时间，并且给予持续的术后监测和充足的观察时间，同时建议准备终止CPAP治疗的患者在终止前接受美国睡眠医学 会推荐的多导睡眠图(polysomnography，PSG)检查。（证据等级: 中；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )