Array ( [id] => 674 [catid] => 72 [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/674.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 recommended to implement a perioperative strategy to prevent postoperative atrial fibrillation by perioperative maintenance or early postoperative introduction of antiarrhythmic drugs, to reduce the risk of postoperative stroke and the length of stay in hospital. In the absence of contraindications, beta-blockers should be used as the first-line therapy.(GRADE 1+ STRONG AGREEMENT) [laiyuan] => 推荐通过围手术期管理或术后早期使用抗心律失常药物等策略预防术后心房颤动的发生，以降低术后卒中风险和缩短住院时间。在无禁忌证的情况下，β受体阻滞剂应作为一线治疗药物。(GRADE 1+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 675 [catid] => 71 [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/675.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 to have a preoperative glycated haemoglobin (HbA1c) level of less than 3 months in patients with diabetes or metabolic syndrome, and to promote a dedicated diabetic approach in case of HbA1c level > 8%, to improve glycaemic control as early as possible before surgery (and if necessary, postponing surgery according to its degree of emergency) and reduce the occurrence of postoperative complications and length of stay in hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 对于糖尿病或代谢综合征患者，术前3个月内检测糖化血红蛋白(HbA1c)水平，如果 HbA1c水平>8%，则推荐应用专门的糖尿病治疗方案，以便在术前尽早控制血糖（必要时根据紧急程度推迟手术），减少术后并发症的发生和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 676 [catid] => 70 [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/676.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 to include patients in an ERACS programme to reduce the duration of postoperative mechanical ventilation and length of stay in the intensive care unit and hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐将患者纳入ERACS方案，以减少术后机械通气时间、重症监护病房住院时间和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 677 [catid] => 71 [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/677.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 to assess and treat preoperatively any nutritional deficiency before cardiac surgery to reduce the occurrence of postoperative complications.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐心脏手术前对营养缺乏进行评估和治疗，以减少术后并发症的发生。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 678 [catid] => 70 [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/678.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 to promote a cardiorespiratory and muscular prehabilitation programme before cardiac surgery to reduce the occurrence of postoperative complications and the length of stay in hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐在心脏手术前实施心肺和肌力康复预案，以减少术后并发症的发生和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 679 [catid] => 70 [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/679.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 recommended that smoking cessation be obtained as soon as possible before cardiac surgery to reduce postoperative complications, particularly respiratory complications. [laiyuan] => 推荐心脏手术前尽早戒烟，以减少术后并发症的发生，尤其是呼吸系统并发症。(GRADE 1+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 680 [catid] => 70 [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/680.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 to provide appropriate information and education using several supports to patients before cardiac surgery to reduce the incidence of postoperative complications.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐在心脏手术前通过多种辅助手段向患者进行适当的术前宣教，以减少术后并发症的发生。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 681 [catid] => 25 [title] => 中国加速康复外科临床实践指南(2021)：(二) 肝胆外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/681.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] => https://oss.wanfangdata.com.cn/Catalog/List?fileId=perio_xhyx202105007&transaction=%7B%22id%22%3Anull%2C%22transferOutAccountsStatus%22%3Anull%2C%22transaction%22%3A%7B%22id%22%3A%221742894109258960896%22%2C%22status%22%3A1%2C%22createDateTime%22%3Anull%2C%22payDateTime%22%3A1704373311711%2C%22authToken%22%3A%22TGT-1929509-TzWB1uckL6uKPjmvOgnI4JFWbSoLwo5RB0fYFakbnMDHGqXcLe-auth-iploginservice-8584c6d4cc-25wpl%22%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%3A3.0%7D%2C%22turnover%22%3A3.0%2C%22orderTurnover%22%3A3.0%2C%22productDetail%22%3A%22perio_xhyx202105007%22%2C%22productTitle%22%3Anull%2C%22userIP%22%3A%22117.157.14.84%22%2C%22organName%22%3Anull%2C%22memo%22%3Anull%2C%22orderUser%22%3A%22ldxysy%22%2C%22orderChannel%22%3A%22pc%22%2C%22payTag%22%3A%22%22%2C%22webTransactionRequest%22%3Anull%2C%22signature%22%3A%22Z4YG4x9U6sG%2FxmTQbQRsnVB62GFz%2FI1r0p3sy%2ByyOq7RLGSubW876CvIZj%2BaIqpHDyZbKlxKZdif%5CngmYiEV%2BeCkfV8al1Yu2vGNRmCurWq%2FsHxQZiA0QLH6igx3Yt7pLbRCpQtnH4VfjDCU5gQVadlcIY%5Cn%2FRBxlWi0uti7bRf6YjI%3D%22%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] => 宣教活动应贯穿于病人从入院前到出院后的全过程，提高病人对肝胆外科疾病、手术过程的认知水平及其依从性。（证据等级：低；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 682 [catid] => 26 [title] => 中国加速康复外科临床实践指南(2021)：(二) 肝胆外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/682.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] => 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] => 复杂肝胆外科手术前须行包括营养、心理及虚弱状态等的多学科评估，个体化制订并实施包括运动、营养、心理干预等预康复计划。（证据等级：高；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 683 [catid] => 31 [title] => 中国加速康复外科临床实践指南(2021)：(二) 肝胆外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/683.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] => 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] => 根据病人病情和切除范围选择最佳入肝血流阻断方式；在保证器官灌注基本正常的前提下实施CLCVP（CVP＜5cmH2O）技术；肝下下腔静脉阻断技术可有效降低来自肝静脉的出血；应基于肝脏的特点及术者的熟练程度选择适宜的肝实质离断方式。（证据等级：中；推荐强度：一般性推荐） [znzldj] => C [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )