Array
(
    [id] => 736
    [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/736.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] => 术前采用Caprini评分对结直肠癌手术患者进行VTE风险评估;通过机械性措施预防VTE直至出院;对中高危患者建议采用机械联合围术期药物预防VTE。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术前采用Caprini评分对结直肠癌手术患者进行VTE风险评估;通过机械性措施预防VTE直至出院;对中高危患者建议采用机械联合围术期药物预防VTE。(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] => 737
    [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/737.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] => 根据具体情况选择术前肠道准备的方式,行机械性肠道准备时建议联合口服抗生素。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										根据具体情况选择术前肠道准备的方式,行机械性肠道准备时建议联合口服抗生素。(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] => 738
    [catid] => 28
    [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/738.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] => 择期无消化道梗阻的患者,麻醉诱导前6h可进食不含油炸、脂肪及肉类的固体食物,术前2h可口服无渣碳水化合物饮料。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										择期无消化道梗阻的患者,麻醉诱导前6h可进食不含油炸、脂肪及肉类的固体食物,术前2h可口服无渣碳水化合物饮料。(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] => 739
    [catid] => 27
    [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/739.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] => 术前不常规使用镇静药物,中重度焦虑患者建议选用药物治疗或专科治疗。(证据等级: 高;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术前不常规使用镇静药物,中重度焦虑患者建议选用药物治疗或专科治疗。(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] => 740
    [catid] => 27
    [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/740.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] => 结直肠手术应在手术前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] => 
)
                
    						
    							推荐意见
									
										结直肠手术应在手术前30~60min预防性静脉输注抗生素。(证据等级: 高;推荐强度: 强推荐)										
										   										
									 
    							
    								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] => 741
    [catid] => 29
    [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/741.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] => 采用全身麻醉复合局部麻醉,推荐短效全身麻醉药,维持适宜的麻醉深度。规范应用气腹技术,对于预估术野暴露困难的腹腔镜手术实施深肌松管理,加强气腹期间镇静、镇痛、循环、呼吸与肌松监测,实施肌松药拮抗[①应用短效麻醉药(证据等级:低;推荐强度:强推荐);②使用脑功能监
测(证据等级:高;推荐强度:强推荐);③深肌松降低腹腔镜术中腹内压(证据等级:中;推荐强度:一般性推荐);④监测肌松水平并完全拮抗(证据等级:高;推荐强度:强推荐)]。
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										采用全身麻醉复合局部麻醉,推荐短效全身麻醉药,维持适宜的麻醉深度。规范应用气腹技术,对于预估术野暴露困难的腹腔镜手术实施深肌松管理,加强气腹期间镇静、镇痛、循环、呼吸与肌松监测,实施肌松药拮抗[①应用短效麻醉药(证据等级:低;推荐强度:强推荐);②使用脑功能监
测(证据等级:高;推荐强度:强推荐);③深肌松降低腹腔镜术中腹内压(证据等级:中;推荐强度:一般性推荐);④监测肌松水平并完全拮抗(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] => 742
    [catid] => 37
    [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/742.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] => 多模式防治PONV。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										多模式防治PONV。(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] => 743
    [catid] => 39
    [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/743.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] => 对于术后吻合口漏高风险患者,建议行转流性肠造口。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										对于术后吻合口漏高风险患者,建议行转流性肠造口。(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] => 744
    [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/744.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] => 择期结直肠手术后无须常规留置鼻胃管。(证据等级: 高;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										择期结直肠手术后无须常规留置鼻胃管。(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] => 745
    [catid] => 34
    [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/745.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] => 术中常规监测体温并采取必要的体温调节措施。(证据等级: 高;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957206
    [_updatetime] => 1704957206
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术中常规监测体温并采取必要的体温调节措施。(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