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