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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 733
    [catid] => 25
    [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/733.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] => https://oss.wanfangdata.com.cn/Catalog/List?fileId=perio_xhyx202105010&transaction=%7B%22id%22%3Anull%2C%22transferOutAccountsStatus%22%3Anull%2C%22transaction%22%3A%7B%22id%22%3A%221742893897098481664%22%2C%22status%22%3A1%2C%22createDateTime%22%3Anull%2C%22payDateTime%22%3A1704373261128%2C%22authToken%22%3Anull%2C%22user%22%3A%7B%22accountType%22%3A%22Group%22%2C%22key%22%3A%22ldxysy%22%7D%2C%22transferIn%22%3A%7B%22accountType%22%3A%22Income%22%2C%22key%22%3A%22PeriodicalFulltext%22%7D%2C%22transferOut%22%3A%7B%22GTimeLimit.ldxysy%22%3A3%7D%2C%22turnover%22%3A3%2C%22productDetail%22%3A%22perio_xhyx202105010%22%2C%22productTitle%22%3Anull%2C%22userIP%22%3A%22117.157.14.84%22%2C%22organName%22%3Anull%2C%22memo%22%3Anull%2C%22webTransactionRequest%22%3Anull%2C%22signature%22%3A%22Y3XQavv8O9cgqmr7MhcjiiRWGb4%2BXO5vFWdjwIv4o%2FdbQB4NDb5sxDEaWlLE3rdnuCPNwZ%2FIDMag%5CnQKW6YJNzijIifaWlYe4m0OT62bckKVQxSH8hhYMZiV%2FPxMaHHhxeZKLmtvLlgW7J5vT7aPBR6tTf%5CnNgJpEH7pSX0NIAQIV1I%3D%22%2C%22delete%22%3Afalse%2C%22orderUser%22%3A%22ldxysy%22%2C%22orderChannel%22%3A%22pc%22%2C%22orderTurnover%22%3A3%2C%22payTag%22%3Anull%7D%2C%22isCache%22%3Afalse%7D
    [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 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)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
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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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    [uid] => 1
    [author] => 系统管理员
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    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:26
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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
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    [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)
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    							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