Array
(
    [id] => 298
    [catid] => 31
    [title] => 加速康复外科中国专家共识暨路径管理指南(2025):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/298.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 应用BIS监测麻醉深度(40 ~ 60),尽量避免麻醉过深(BIS值<45),特别是老年高危病人。 吸入麻醉应监测ETAC(0.7~ 1.3 MAC)。 (证据级别:中; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										应用BIS监测麻醉深度(40 ~ 60),尽量避免麻醉过深(BIS值<45),特别是老年高危病人。 吸入麻醉应监测ETAC(0.7~ 1.3 MAC)。 (证据级别:中; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 299
    [catid] => 32
    [title] => 加速康复外科中国专家共识暨路径管理指南(2026):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/299.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 推荐目标导向循环管理策略,特别是复杂手术以及危重病人,包括目标导向液体治疗;维持动 脉压波动范围不超过基础值的 20%,特殊群体提高 下限阈值;心脏指数>2.5L·min- 1·m-2 ;液体维持首选晶体平衡溶液,容量补充需适度晶胶结合。(证据级别:中; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐目标导向循环管理策略,特别是复杂手术以及危重病人,包括目标导向液体治疗;维持动 脉压波动范围不超过基础值的 20%,特殊群体提高 下限阈值;心脏指数>2.5L·min- 1·m-2 ;液体维持首选晶体平衡溶液,容量补充需适度晶胶结合。(证据级别:中; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 300
    [catid] => 39
    [title] => 加速康复外科中国专家共识暨路径管理指南(2027):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/300.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 肺保护性通气策略(低潮气量、PEEP和肺复张术)可有效降低全麻病人肺部并发症并缩短住院时间。 (证据级别:高; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										肺保护性通气策略(低潮气量、PEEP和肺复张术)可有效降低全麻病人肺部并发症并缩短住院时间。 (证据级别:高; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 301
    [catid] => 34
    [title] => 加速康复外科中国专家共识暨路径管理指南(2028):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/301.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 术中常规监测体温,采取必要保温措施。 (证据级别:高; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术中常规监测体温,采取必要保温措施。 (证据级别:高; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 302
    [catid] => 39
    [title] => 加速康复外科中国专家共识暨路径管理指南(2029):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/302.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 包括腹腔镜和机器人等在内的微创技术 有助于减少手术创伤及缩短住院时间,应优先选择使用微创技术。 (证据级别:中; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										包括腹腔镜和机器人等在内的微创技术 有助于减少手术创伤及缩短住院时间,应优先选择使用微创技术。 (证据级别:中; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 303
    [catid] => 35
    [title] => 加速康复外科中国专家共识暨路径管理指南(2030):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/303.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 采用多模式镇痛方案。(证据级别:中; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										采用多模式镇痛方案。(证据级别:中; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 304
    [catid] => 37
    [title] => 加速康复外科中国专家共识暨路径管理指南(2031):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/304.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 有1或 2个危险因素的病人,应给予2种止吐药物;有3或4个危险因素的高危病人,应给 予3或 4种止吐药物;术中使用丙泊酚静脉麻醉而非吸入性麻醉药物;减少阿片类药物的使用。 (证据级别:中; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										有1或 2个危险因素的病人,应给予2种止吐药物;有3或4个危险因素的高危病人,应给 予3或 4种止吐药物;术中使用丙泊酚静脉麻醉而非吸入性麻醉药物;减少阿片类药物的使用。 (证据级别:中; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 305
    [catid] => 39
    [title] => 加速康复外科中国专家共识暨路径管理指南(2032):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/305.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 胃手术中不常规使用鼻胃管;如需使用,术中留置,术后 24h内拔除。 (证据级别:高; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										胃手术中不常规使用鼻胃管;如需使用,术中留置,术后 24h内拔除。 (证据级别:高; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 306
    [catid] => 39
    [title] => 加速康复外科中国专家共识暨路径管理指南(2033):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/306.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 不需常规留置腹腔引流管;全胃切除和近端胃切除术后,可留置腹腔引流管,无其他特殊情 况,术后2~3d拔除。 (证据级别:中; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										不需常规留置腹腔引流管;全胃切除和近端胃切除术后,可留置腹腔引流管,无其他特殊情 况,术后2~3d拔除。 (证据级别:中; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 307
    [catid] => 39
    [title] => 加速康复外科中国专家共识暨路径管理指南(2034):胃手术部分
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/307.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:09:43
    [updatetime] => 2024-01-11 15:09:43
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => 
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2018
    [guojia] => 中华医学会外科学分会、中华医学会麻醉学分
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 术后 1~2d 拔除导尿管。 (证据级别:高; 推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704956983
    [_updatetime] => 1704956983
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术后 1~2d 拔除导尿管。 (证据级别:高; 推荐强度:强推荐)										
										   										
									 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2018
    								国家:中华医学会外科学分会、中华医学会麻醉学分