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Array ( [id] => 642 [catid] => 297 [title] => European guidelines on perioperative venousthromboembolism prophylaxis:Chronic treatments with antiplatelet agents [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/642.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2017 [guojia] => European Society of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => If the risk of bleeding of a combination of an APA and an anticoagulant outweighs the risk of VTE, we suggest considering intermittent pneumatic compression over anticoagulant prophylaxis, without disconti nuing the APA. (2C) [laiyuan] => 如果联合使用抗血小板药物(APA)和抗凝剂的出血风险大于静脉血栓栓塞症(VTE)风险,我们建议考虑间歇性气压治疗,而不是抗凝剂预防,同时不停用APA。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
如果联合使用抗血小板药物(APA)和抗凝剂的出血风险大于静脉血栓栓塞症(VTE)风险,我们建议考虑间歇性气压治疗,而不是抗凝剂预防,同时不停用APA。(证据级别:低;推荐强度:弱推荐)

If the risk of bleeding of a combination of an APA and an anticoagulant outweighs the risk of VTE, we suggest considering intermittent pneumatic compression over anticoagulant prophylaxis, without disconti nuing the APA. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2017

国家:European Society of Anaesthesiology

阅读
Array ( [id] => 643 [catid] => 297 [title] => European guidelines on perioperative venousthromboembolism prophylaxis:Chronic treatments with antiplatelet agents [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/643.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2017 [guojia] => European Society of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => Patients in whom neuraxial anaesthesia is planned, although the administration of aspirin alone does not increase the incidence of spinal haematoma, a higher rate of complications could appear if pharmacological thromboprophylaxis is administered concurrently. In these cases, postoperative thromboprophylaxis initia tion should be suggested. (2C) [laiyuan] => 计划进行椎管内麻醉的患者,虽然单独服用阿司匹林不会增加脊髓血肿的发生率,但如果同时服用药物预防血栓形成,并发症的发生率可能会更高。在这种情况下,应建议术后开始进行血栓预防。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
计划进行椎管内麻醉的患者,虽然单独服用阿司匹林不会增加脊髓血肿的发生率,但如果同时服用药物预防血栓形成,并发症的发生率可能会更高。在这种情况下,应建议术后开始进行血栓预防。(证据级别:低;推荐强度:弱推荐)

Patients in whom neuraxial anaesthesia is planned, although the administration of aspirin alone does not increase the incidence of spinal haematoma, a higher rate of complications could appear if pharmacological thromboprophylaxis is administered concurrently. In these cases, postoperative thromboprophylaxis initia tion should be suggested. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2017

国家:European Society of Anaesthesiology

阅读
Array ( [id] => 644 [catid] => 297 [title] => European guidelines on perioperative venousthromboembolism prophylaxis:Chronic treatments with antiplatelet agents [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/644.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2017 [guojia] => European Society of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => After surgery, the first dose of aspirin should be given as soon as possible, once haemostasis is considered adequate. (2B) [laiyuan] => 术后评估止血充分的话,应尽快服用第一剂阿司匹林(一般来说,术后第二天)。(证据级别:中;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
术后评估止血充分的话,应尽快服用第一剂阿司匹林(一般来说,术后第二天)。(证据级别:中;推荐强度:弱推荐)

After surgery, the first dose of aspirin should be given as soon as possible, once haemostasis is considered adequate. (2B)

证据评价方法:GRADE

指南质量等级:B

年份:2017

国家:European Society of Anaesthesiology

阅读
Array ( [id] => 645 [catid] => 297 [title] => European guidelines on perioperative venousthromboembolism prophylaxis:Chronic treatments with antiplatelet agents [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/645.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2017 [guojia] => European Society of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => In the case of clopidogrel, the main recommendation is to give the drug without any loading dose between 24 and 48 h after surgery. (2C) [laiyuan] => 就氯吡格雷而言,主要建议是在术后24至48小时内给药,无需任何负荷剂量。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
就氯吡格雷而言,主要建议是在术后24至48小时内给药,无需任何负荷剂量。(证据级别:低;推荐强度:弱推荐)

In the case of clopidogrel, the main recommendation is to give the drug without any loading dose between 24 and 48 h after surgery. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2017

国家:European Society of Anaesthesiology

阅读
Array ( [id] => 646 [catid] => 297 [title] => European guidelines on perioperative venousthromboembolism prophylaxis:Chronic treatments with antiplatelet agents [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/646.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2017 [guojia] => European Society of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => Monitoring for clinical signs of bleeding or unex plained anaemia is recommended during concomitant administration of an anticoagulant for thrombopro phylaxis (LMWH, unfractionated heparin, fondaparinux, warfarin or any other) and an APA throughout the postoperative period. (1C) [laiyuan] => 建议在整个术后期间,在同时使用抗凝剂(低分子肝素、普通肝素、磺达肝癸、华法林或任何其他药物)和抗血小板药物(APA)时,监测是否有出血或不明贫血的临床症状。(证据级别:低;推荐强度:强推荐)。 [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
建议在整个术后期间,在同时使用抗凝剂(低分子肝素、普通肝素、磺达肝癸、华法林或任何其他药物)和抗血小板药物(APA)时,监测是否有出血或不明贫血的临床症状。(证据级别:低;推荐强度:强推荐)。

Monitoring for clinical signs of bleeding or unex plained anaemia is recommended during concomitant administration of an anticoagulant for thrombopro phylaxis (LMWH, unfractionated heparin, fondaparinux, warfarin or any other) and an APA throughout the postoperative period. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2017

国家:European Society of Anaesthesiology

阅读
Array ( [id] => 647 [catid] => 297 [title] => European guidelines on perioperative venousthromboembolism prophylaxis:Chronic treatments with antiplatelet agents [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/647.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2017 [guojia] => European Society of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => Nonsteroidal anti-inflammatory drugs should be avoided in patients treated with APA. (2C) [laiyuan] => 接受抗血小板药物(APA)治疗的患者应避免服用非甾体抗炎药。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
接受抗血小板药物(APA)治疗的患者应避免服用非甾体抗炎药。(证据级别:低;推荐强度:弱推荐)

Nonsteroidal anti-inflammatory drugs should be avoided in patients treated with APA. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2017

国家:European Society of Anaesthesiology

阅读
Array ( [id] => 648 [catid] => 143 [title] => Guidelines for postoperative care in cesarean delivery:Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/648.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Gum chewing appears to be effective and is low risk. It may be a redundant treatment if a policy for early oral intake is being used. However, it should be considered if delayed oral intake is planned. (2C) [laiyuan] => 嚼口香糖似乎很有效,而且风险很低。如果采用尽早经口进食方案,嚼口香糖可能是一种多余的治疗方法。但是,如果计划延迟经口进食,则应考虑嚼口香糖。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
嚼口香糖似乎很有效,而且风险很低。如果采用尽早经口进食方案,嚼口香糖可能是一种多余的治疗方法。但是,如果计划延迟经口进食,则应考虑嚼口香糖。(证据级别:低;推荐强度:弱推荐)

Gum chewing appears to be effective and is low risk. It may be a redundant treatment if a policy for early oral intake is being used. However, it should be considered if delayed oral intake is planned. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 649 [catid] => 142 [title] => Guidelines for postoperative care in cesarean delivery:Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/649.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Fluid preloading, the intravenous administration of ephedrine or phenyl ephrine, and lower limb compression are effective in the reduction of hypotension and the incidence of intraoperative and postoperative nausea and vomiting. (1B) [laiyuan] => 液体预灌注、静脉注射麻黄碱或苯肾上腺素以及下肢加压可有效降低低血压以及术中和术后恶心和呕吐的发生率。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
液体预灌注、静脉注射麻黄碱或苯肾上腺素以及下肢加压可有效降低低血压以及术中和术后恶心和呕吐的发生率。(证据级别:中;推荐强度:强推荐)

Fluid preloading, the intravenous administration of ephedrine or phenyl ephrine, and lower limb compression are effective in the reduction of hypotension and the incidence of intraoperative and postoperative nausea and vomiting. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 650 [catid] => 142 [title] => Guidelines for postoperative care in cesarean delivery:Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/650.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Antiemetic agents are effective for the prevention of postoperative nausea and vomiting dur ing cesarean delivery. Multimodal approach should be applied to treat postoperative nausea and vomiting. (1B) [laiyuan] => 止吐药可有效预防剖宫产术后恶心和呕吐。应采用多模式方法治疗术后恶心和呕吐。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
止吐药可有效预防剖宫产术后恶心和呕吐。应采用多模式方法治疗术后恶心和呕吐。(证据级别:中;推荐强度:强推荐)

Antiemetic agents are effective for the prevention of postoperative nausea and vomiting dur ing cesarean delivery. Multimodal approach should be applied to treat postoperative nausea and vomiting. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 651 [catid] => 140 [title] => Guidelines for postoperative care in cesarean delivery:Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/651.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Multimodal postoperative analgesia that includes regular NSAIDs and paracetamol is recommended for enhanced re covery for cesarean delivery. (1B) [laiyuan] => 推荐采用包括常规非甾体抗炎药和扑热息痛在内的术后多模式镇痛,以加快剖宫产术后的恢复。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
推荐采用包括常规非甾体抗炎药和扑热息痛在内的术后多模式镇痛,以加快剖宫产术后的恢复。(证据级别:中;推荐强度:强推荐)

Multimodal postoperative analgesia that includes regular NSAIDs and paracetamol is recommended for enhanced re covery for cesarean delivery. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读