Array ( [id] => 3137 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3137.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627554 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对血流动力学不稳定的 ICU 患者实施镇静治疗时，可选择瑞马唑仑以减少低血压风险（证据等级：低，推荐级别：弱推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3138 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3138.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627555 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对于 ICU 成年患者，推荐使用 Richmond 躁动 - 镇静评分（RASS）和镇静 - 躁动评分（SAS）进行镇静深度评估（证据等级：高，推荐级别：强推荐），结合镇静目标（例如每日唤醒试验）动态调整评估频率（证据等级：中，推荐级别：强推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3139 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3139.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627556 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对于机械通气的 ICU 患者，建议使用 BIS 监测进行镇静深度调整（证据等级：极低，推荐级别：弱推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3140 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3140.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627557 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => ICU 患者实施镇静治疗后可能出现心动过缓、低血压、过度镇静、谵妄、肺部并发症、呼吸抑制等并发症（证据等级：中，推荐级别：弱推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3141 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3141.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627558 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 多模式镇痛应作为 ICU 镇静管理的基础策略，通过非阿片类镇痛药（例如非甾体抗炎药）与区域阻滞技术减少阿片类药物需求，稳定镇静深度，实现目标指导的镇静策略（良好实践声明） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3142 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3142.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627559 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 多模式镇痛可降低镇静深度需求，缩短机械通气时间、气管插管时间及 ICU 停留时间（证据等级：低，推荐级别：弱推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3143 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3143.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627560 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前用药推荐使用右美托咪定、右美托咪定 - 氯胺酮或右美托咪定 - 艾司氯胺酮，以缓解患儿术前分离焦虑，减少 EA 发生和术后镇痛需求（证据等级：中，推荐级别：强推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3144 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3144.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627561 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 麻醉诱导和维持，推荐使用丙泊酚全凭静脉麻醉以缩短苏醒时间、改善恢复质量、降低不良反应发生率（证据等级：高，推荐级别：强推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3145 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3145.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627562 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对于诊疗性操作镇静（尤其对于合并呼吸系统疾病或需要长时间诊疗操作的患儿），建议使用氯胺酮 - 右美托咪定或艾司氯胺酮 - 右美托咪定镇静方案（证据等级：中，推荐级别：弱推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )

Array ( [id] => 3146 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/3146.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1627563 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中国医师协会麻醉学医师分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 与丙泊酚相比，建议老年患者使用依托咪酯、环泊酚，以降低心动过缓、低血压、呼吸抑制及注射痛发生率（证据等级：中，推荐级别：弱推荐） [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )