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] =>
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[inputtime] => 2024-01-11 15:13:26
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[xzl] => 0
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[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] =>
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[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
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[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
(
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[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
(
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[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
(
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[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
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[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