您当前的位置: 首页 > 数据库
  • 全部(2447)
  • 腹部手术(342)
  • 胸科手术(70)
  • 血管手术(5)
  • 心脏手术(97)
  • 神经外科(4)
  • 头颈部(35)
  • 骨科(78)
  • 泌尿外科(0)
  • 妇产手术(77)
  • 日间手术(26)
  • 手术室外(28)
  • 创伤和烧伤(0)
  • 非心脏手术(472)
  • 老年(0)
  • 小儿新生儿(189)
  • 特殊患者(42)
  • 未说明手术类型(982)
  • 术前宣教(21)
  • 术前评估(33)
  • 术前用药(15)
  • 术前禁食水(12)
  • 麻醉选择(21)
  • 麻醉用药(10)
  • 术中监测(23)
  • 液体管理(14)
  • 血液保护(3)
  • 体温管理(8)
  • 术后疼痛(62)
  • POD(8)
  • PONV(10)
  • 术后康复(50)
  • 特殊情况(43)
  • 术前肠道准备(9)
Array ( [id] => 3372 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => 1 [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3372.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:19 [updatetime] => 2026-04-14 11:43:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 不建议将擦浴护理作为术后恶心呕吐的预防措施(弱推荐,低质量证据) [znzldj] => A [_inputtime] => 1776138199 [_updatetime] => 1776138199 [_nrjc] => [_nrsh] => )
推荐意见
不建议将擦浴护理作为术后恶心呕吐的预防措施(弱推荐,低质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读1
Array ( [id] => 3373 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => 1 [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3373.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:19 [updatetime] => 2026-04-14 11:43:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 由于风险评分并不能完全预测 术后恶心呕吐风险,建议对所有手术患者均使用1~2种止吐药。 建议对术后恶心呕吐中、高风险患者采用药物二联或三联疗法,选择5-HT3 拮抗剂、皮质类固醇、NK1受体拮抗剂、多巴胺受体拮抗剂、抗胆碱能药和抗组胺药中的 2~3 种(良好实践声明) [znzldj] => A [_inputtime] => 1776138199 [_updatetime] => 1776138199 [_nrjc] => [_nrsh] => )
推荐意见
由于风险评分并不能完全预测 术后恶心呕吐风险,建议对所有手术患者均使用1~2种止吐药。 建议对术后恶心呕吐中、高风险患者采用药物二联或三联疗法,选择5-HT3 拮抗剂、皮质类固醇、NK1受体拮抗剂、多巴胺受体拮抗剂、抗胆碱能药和抗组胺药中的 2~3 种(良好实践声明)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读1
Array ( [id] => 3374 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => 1 [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3374.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:19 [updatetime] => 2026-04-14 11:43:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议对存在用药顾虑的术后恶心呕吐中、高风险患者,采用药物和穴位刺激组合的二联或三联疗法(良好实践声明) [znzldj] => A [_inputtime] => 1776138199 [_updatetime] => 1776138199 [_nrjc] => [_nrsh] => )
推荐意见
建议对存在用药顾虑的术后恶心呕吐中、高风险患者,采用药物和穴位刺激组合的二联或三联疗法(良好实践声明)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读1
Array ( [id] => 3328 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3328.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The multidisciplinary expert panel suggests that performing single-shot peripheral regional anesthesia techniques, skin disinfection with 2% chlorhexidine in alcoholic solution, the use of a single-use probe cover, and a no-touch technique are sufficient to reduce the incidence of infections related to the technique itself.(Quality of Evidence:Low) [laiyuan] => 对于实施单次外周区域麻醉的操作,建议采用2%氯己定醇溶液进行皮肤消毒、使用一次性探头套、采取无接触操作技术,上述措施可以降低该操作相关的感染发生率。(证据等级:低) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对于实施单次外周区域麻醉的操作,建议采用2%氯己定醇溶液进行皮肤消毒、使用一次性探头套、采取无接触操作技术,上述措施可以降低该操作相关的感染发生率。(证据等级:低)

The multidisciplinary expert panel suggests that performing single-shot peripheral regional anesthesia techniques, skin disinfection with 2% chlorhexidine in alcoholic solution, the use of a single-use probe cover, and a no-touch technique are sufficient to reduce the incidence of infections related to the technique itself.(Quality of Evidence:Low)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3329 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3329.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => Superficial peripheral blocks are considered safe in patients on antiplatelet therapy regardless of the dosage or the drug taken.(Expert consensus) [laiyuan] => 无论抗血小板药物的剂量及种类如何,接受抗血小板治疗的患者行浅表外周神经阻滞均被认为是安全的。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
无论抗血小板药物的剂量及种类如何,接受抗血小板治疗的患者行浅表外周神经阻滞均被认为是安全的。(专家共识)

Superficial peripheral blocks are considered safe in patients on antiplatelet therapy regardless of the dosage or the drug taken.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3330 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3330.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => For deep peripheral nerve blocks in patients undergoing antiplatelet therapy, the same recommendations as neuraxial procedures should be followed regarding the suspension timing of antiplatelet drugs.(Expert consensus) [laiyuan] => 对于接受抗血小板治疗的患者进行深部外周神经阻滞,关于停药时间的建议应遵循椎管内麻醉的原则。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对于接受抗血小板治疗的患者进行深部外周神经阻滞,关于停药时间的建议应遵循椎管内麻醉的原则。(专家共识)

For deep peripheral nerve blocks in patients undergoing antiplatelet therapy, the same recommendations as neuraxial procedures should be followed regarding the suspension timing of antiplatelet drugs.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3331 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3331.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The expert panel suggests that whenever possible, an appropriate suspension period for anticoagulant medications is always preferable for both deep and superficial peripheral nerve blocks.(Expert consensus) [laiyuan] => 专家小组建议,无论深浅外周神经阻滞,只要条件允许,均建议对抗凝药物采取适当的停药期。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
专家小组建议,无论深浅外周神经阻滞,只要条件允许,均建议对抗凝药物采取适当的停药期。(专家共识)

The expert panel suggests that whenever possible, an appropriate suspension period for anticoagulant medications is always preferable for both deep and superficial peripheral nerve blocks.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3332 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3332.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The expert panel suggests that deep peripheral nerve blocks (such as lumbar plexus block) are high-risk procedures for bleeding, and, therefore, in the absence of an adequate suspension period from anticoagulant medications, these blocks cannot be performed safely.(Expert consensus) [laiyuan] => 专家小组认为,深部外周神经阻滞(如腰丛阻滞)为出血高风险操作;因此,若抗凝药物无充分的停药时间,该类阻滞无法安全实施。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
专家小组认为,深部外周神经阻滞(如腰丛阻滞)为出血高风险操作;因此,若抗凝药物无充分的停药时间,该类阻滞无法安全实施。(专家共识)

The expert panel suggests that deep peripheral nerve blocks (such as lumbar plexus block) are high-risk procedures for bleeding, and, therefore, in the absence of an adequate suspension period from anticoagulant medications, these blocks cannot be performed safely.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3333 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3333.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The expert panel suggests that superficial peripheral nerve blocks can be performed safely in adult patients receiving anticoagulants, even if these medications cannot be suspended.(Expert consensus) [laiyuan] => 专家小组建议,对于接受抗凝治疗的成年患者,即使无法停用抗凝药物,行浅表外周神经阻滞仍为安全操作。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
专家小组建议,对于接受抗凝治疗的成年患者,即使无法停用抗凝药物,行浅表外周神经阻滞仍为安全操作。(专家共识)

The expert panel suggests that superficial peripheral nerve blocks can be performed safely in adult patients receiving anticoagulants, even if these medications cannot be suspended.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3334 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3334.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The expert panel suggests that the use of dual guidance, compared to not using it, should not influence the anticoagulant suspension time, as there is no evidence that the use of dual guidance is able to reduce hemorrhagic complications in anticoagulated patients.(Expert consensus) [laiyuan] => 专家小组建议,双引导技术的使用不应影响抗凝药物的停药时间,因目前无证据表明双引导技术可降低抗凝患者的出血风险。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
专家小组建议,双引导技术的使用不应影响抗凝药物的停药时间,因目前无证据表明双引导技术可降低抗凝患者的出血风险。(专家共识)

The expert panel suggests that the use of dual guidance, compared to not using it, should not influence the anticoagulant suspension time, as there is no evidence that the use of dual guidance is able to reduce hemorrhagic complications in anticoagulated patients.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读