Array
(
    [id] => 710
    [catid] => 38
    [title] => 中国加速康复外科临床实践指南(2021):(三) 胰腺外科手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/710.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:25
    [updatetime] => 2024-01-11 15:13:25
    [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] => 应制定并执行量化的出院标准。(证据等级:低;推荐强度:强推荐)
    [znzldj] => C
    [_inputtime] => 1704957205
    [_updatetime] => 1704957205
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										应制定并执行量化的出院标准。(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] => 711
    [catid] => 25
    [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/711.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:25
    [updatetime] => 2024-01-11 15:13:25
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://oss.wanfangdata.com.cn/Catalog/List?fileId=perio_xhyx202105009&transaction=%7B%22id%22%3Anull%2C%22transferOutAccountsStatus%22%3Anull%2C%22transaction%22%3A%7B%22id%22%3A%221742893790714155008%22%2C%22status%22%3A1%2C%22createDateTime%22%3Anull%2C%22payDateTime%22%3A1704373235764%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_xhyx202105009%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%22DVzf3s1f%2FUHcCop8RP53Ad8ogC4cvhJawqHPFyRFZD8sixHLhhuHeYRomxoYRn8rCsGczAtJaMNr%5CnaC98gxzl6pXO7ATo5CnpAsaGEkcGlrcJVHGoGF5cLiKUPbWbyogazctKR77Ag1PfuiN2fHuZ%2BYuJ%5CnGPL5VpF9JdvK8TAQzDI%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] => 采用多种形式向病人介绍围手术期的各项治疗措施,以提高其对治疗的依从性。(证据等级:低;推荐强度:强推荐)
    [znzldj] => C
    [_inputtime] => 1704957205
    [_updatetime] => 1704957205
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										采用多种形式向病人介绍围手术期的各项治疗措施,以提高其对治疗的依从性。(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] => 712
    [catid] => 26
    [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/712.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:25
    [updatetime] => 2024-01-11 15:13:25
    [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] => 术前应常规进行营养风险筛查与评估,对营养状况较差的病人给予合理的术前营养治疗,首选口服营养补充剂或肠内营养,必要时联合肠外营养。(证据等级:低;推荐强度:强推荐)
    [znzldj] => C
    [_inputtime] => 1704957205
    [_updatetime] => 1704957205
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术前应常规进行营养风险筛查与评估,对营养状况较差的病人给予合理的术前营养治疗,首选口服营养补充剂或肠内营养,必要时联合肠外营养。(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] => 713
    [catid] => 26
    [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/713.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:25
    [updatetime] => 2024-01-11 15:13:25
    [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] => 减重术前至少2周低热量饮食(1000~1200kcal/d)或极低热量饮食(400~800kcal/d)。(证据等级:中;推荐强度:强推荐)
    [znzldj] => C
    [_inputtime] => 1704957205
    [_updatetime] => 1704957205
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										减重术前至少2周低热量饮食(1000~1200kcal/d)或极低热量饮食(400~800kcal/d)。(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] => 714
    [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/714.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:25
    [updatetime] => 2024-01-11 15:13:25
    [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] => 围术期需加强对2型糖尿病患者的血糖监测,以血糖浓度7.8~10.0mmol/L为控制目标,对超过者优先给予胰岛素治疗。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957205
    [_updatetime] => 1704957205
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										围术期需加强对2型糖尿病患者的血糖监测,以血糖浓度7.8~10.0mmol/L为控制目标,对超过者优先给予胰岛素治疗。(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] => 715
    [catid] => 26
    [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/715.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:25
    [updatetime] => 2024-01-11 15:13:25
    [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] => 术前肺功能评估和肺功能训练、戒烟、戒酒等有助于减少术后并发症;运动预康复可改善心肺功能,提高对手术的耐受性。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957205
    [_updatetime] => 1704957205
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术前肺功能评估和肺功能训练、戒烟、戒酒等有助于减少术后并发症;运动预康复可改善心肺功能,提高对手术的耐受性。(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] => 716
    [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/716.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:25
    [updatetime] => 2024-01-11 15:13:25
    [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] => 对合并幽门梗阻的胃肿瘤患者,应通过管饲或肠外营养及时纠正患者内环境紊乱及营养不良。(证据等级: 中;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957205
    [_updatetime] => 1704957205
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										对合并幽门梗阻的胃肿瘤患者,应通过管饲或肠外营养及时纠正患者内环境紊乱及营养不良。(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] => 717
    [catid] => 28
    [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/717.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:25
    [updatetime] => 2024-01-11 15:13:25
    [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] => 麻醉诱导前6h禁食,2h禁饮,胃排空延迟或胃肠运动障碍及急诊手术的患者除外。不建议术前机械性肠道准备。(证据等级: 强;推荐强度: 强推荐)
    [znzldj] => C
    [_inputtime] => 1704957205
    [_updatetime] => 1704957205
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										麻醉诱导前6h禁食,2h禁饮,胃排空延迟或胃肠运动障碍及急诊手术的患者除外。不建议术前机械性肠道准备。(证据等级: 强;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] => 662
    [catid] => 83
    [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/662.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:24
    [updatetime] => 2024-01-11 15:13:24
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2022
    [guojia] => French Society of Anaesthesia and Intensive Care M
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => It is probably recommended that cardiac surgery patients be admitted to a critical care unit (intensive care and/or intermediate care) for postoperative recovery to reduce the occurrence of postoperative complications.(GRADE 2+ STRONG AGREEMENT)
    [laiyuan] => 推荐将心脏外科手术患者入住重症监护病房(特级监护和/或中级监护)进行术后恢复,以减少术后并发症的发生。(GRADE 2+ STRONG AGREEMENT)
    [znzldj] => B
    [_inputtime] => 1704957204
    [_updatetime] => 1704957204
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐将心脏外科手术患者入住重症监护病房(特级监护和/或中级监护)进行术后恢复,以减少术后并发症的发生。(GRADE 2+ STRONG AGREEMENT)										
										   It is probably recommended that cardiac surgery patients be admitted to a critical care unit (intensive care and/or intermediate care) for postoperative recovery to reduce the occurrence of postoperative complications.(GRADE 2+ STRONG AGREEMENT)										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2022
    								国家:French Society of Anaesthesia and Intensive Care M
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 663
    [catid] => 80
    [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/663.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:13:24
    [updatetime] => 2024-01-11 15:13:24
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2022
    [guojia] => French Society of Anaesthesia and Intensive Care M
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => It is not recommended to use gabapentin as part of the multimodal analgesic strategy to reduce the occurrence of postoperative complications after cardiac surgery.(GRADE 1- STRONG AGREEMENT)
    [laiyuan] => 不建议将加巴喷丁作为多模式镇痛策略的一部分,以减少心脏手术后并发症的发生。(GRADE 1- STRONG AGREEMENT)
    [znzldj] => B
    [_inputtime] => 1704957204
    [_updatetime] => 1704957204
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										不建议将加巴喷丁作为多模式镇痛策略的一部分,以减少心脏手术后并发症的发生。(GRADE 1- STRONG AGREEMENT)										
										   It is not recommended to use gabapentin as part of the multimodal analgesic strategy to reduce the occurrence of postoperative complications after cardiac surgery.(GRADE 1- STRONG AGREEMENT)										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2022
    								国家:French Society of Anaesthesia and Intensive Care M