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Array ( [id] => 726 [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/726.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] => 胃手术中不常规预防性使用鼻胃管;如需使用,术中留置,术后24h内拔除;术后胃瘫和排空障碍患者需留置鼻胃管治疗。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
胃手术中不常规预防性使用鼻胃管;如需使用,术中留置,术后24h内拔除;术后胃瘫和排空障碍患者需留置鼻胃管治疗。(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] => 727 [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/727.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] => 对于无潜在并发症的患者术后早期恢复经口进食安全可行,有助于术后加速康复,推荐应用成品营养制剂以保证蛋白质摄入。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
对于无潜在并发症的患者术后早期恢复经口进食安全可行,有助于术后加速康复,推荐应用成品营养制剂以保证蛋白质摄入。(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] => 728 [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/728.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] => 术前使用Caprini量表进行DVT风险评估并采取相应的预防措施;患者术后应早期下床活动,对Caprini评分低危及以上风险的患者,通过术后凝血指标检测综合评估血栓风险,个体化应用机械性和/或药物性抗凝治疗措施。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
术前使用Caprini量表进行DVT风险评估并采取相应的预防措施;患者术后应早期下床活动,对Caprini评分低危及以上风险的患者,通过术后凝血指标检测综合评估血栓风险,个体化应用机械性和/或药物性抗凝治疗措施。(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] => 729 [catid] => 37 [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/729.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] => 采用多模式镇痛,联合用药缓解术后恶心、呕吐。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
采用多模式镇痛,联合用药缓解术后恶心、呕吐。(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] => 730 [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/730.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] => 术后定期检测血红蛋白及便隐血,早期进食,对于胃手术后患者(全胃切除术除外),静脉输注标准剂量质子泵抑制剂,每12h 1次,至少连续3d。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
术后定期检测血红蛋白及便隐血,早期进食,对于胃手术后患者(全胃切除术除外),静脉输注标准剂量质子泵抑制剂,每12h 1次,至少连续3d。(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] => 731 [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/731.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] => 在确保手术质量的前提下,无需常规预防性留置腹腔引流管;术后1~2d拔除导尿管。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
在确保手术质量的前提下,无需常规预防性留置腹腔引流管;术后1~2d拔除导尿管。(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] => 732 [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/732.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] => 制订以保障患者安全为基础的、可量化的、具有可操作性的出院标准。(证据等级: 低;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
制订以保障患者安全为基础的、可量化的、具有可操作性的出院标准。(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
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推荐意见
采用多 学 科 协 作 ( multi-disciplinary team,MDT)形式对患者进行有针对性的术前咨询与指导,尤其是对于拟行肠造口的患者,需行包括造口护理及其相关并发症处理等内容的宣教,以缓解患者焦虑紧张情绪,提高依从性。(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] => 734 [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/734.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] => 全面评估和改善患者术前营养及器官系统功能状态,减轻焦虑、调整睡眠。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
全面评估和改善患者术前营养及器官系统功能状态,减轻焦虑、调整睡眠。(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] => 735 [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/735.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] => 术前康复训练是ERAS的重要措施;术前针对性康复训练有助于提高功能储备,降低术后并发症,促进患者术后康复;预康复措施应贯穿至围术期全程。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
术前康复训练是ERAS的重要措施;术前针对性康复训练有助于提高功能储备,降低术后并发症,促进患者术后康复;预康复措施应贯穿至围术期全程。(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