Array ( [id] => 998 [catid] => 196 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/998.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐术中应用机器学习方法来预测低血压的发作（IIb， B） [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 999 [catid] => 196 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/999.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐术后收缩期动脉压维持在 90 mmHg 以上，平均动脉压 维 持在 70 mmHg 以上；对于高血压患者，发生心脏、肾脏器官 功能损伤的阈值高于 90 mmHg（I，A） [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 1000 [catid] => 204 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1000.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术后应根据临床情况指导 β 受体阻滞剂的治疗， 这与 药物开始的时间无关（I，A） [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 1001 [catid] => 204 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1001.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐术后尽快使用 ACEI/ARB 等降压药物（I，A） [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 1002 [catid] => 192 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1002.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对于已经接受钙离子通道阻滞剂（CCB）的患者，特别是 血管痉挛型心绞痛患者，建议在围术期继续使用，但在手术 当天保留剂量，以避免术后低血压（I，A） [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 1003 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1003.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => Universal screening for cannabinoids should be performed prior to surgery and should include type of cannabis or cannabinoid product, time of last consumption, route of administration, amount, and frequency of use.(Level of Certainty: Moderate, Grade A) [laiyuan] => 应在手术前对大麻素进行普遍筛查，并应包括大麻或大麻素产品的类型、最后一次使用时间、给药途径、数量和使用频率。(Level of Certainty: Moderate, Grade A) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 1004 [catid] => 289 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1004.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => Patients should be counseled on the potential risks of continued perioperative cannabinoids. (Level of Certainty: Moderate, Grade B) [laiyuan] => 患者应该被告知围手术期继续服用大麻类药物的潜在风险。(Level of Certainty: Moderate, Grade B) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 1005 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1005.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => We recommend postponing elective surgery in patients who have altered mental status or impairment of decision- making capacity due to acute cannabis intoxication.( Level of certainty: Moderate，Grade A) [laiyuan] => 我们建议因急性大麻中毒导致精神状态改变或决策能力受损的患者推迟择期手术。( Level of certainty: Moderate，Grade A) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 1006 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1006.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => W e recommend delaying elective surgery for a minimum of 2 hours after cannabis smoking because of increased perioperative risk of acute MI . ( Level of certainty: Moderate，Grade C) [laiyuan] => 我们建议在吸食大麻后将择期手术推迟至少2小时，因为围手术期急性心肌梗死的风险增加。( Level of certainty: Moderate，Grade C) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )

Array ( [id] => 1007 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1007.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => With other cannabinoids routes (non- smoking) of administration, consider weighing the risks and benefits before proceeding with elective surgery given the temporal associ-ation of cannabis usage and adverse cardiovascular effects. There is a lack of published data to recommend a specific duration. ( Level of certainty: Moderate，Grade I) [laiyuan] => 对于其他大麻类药物给药途径(非吸食)，考虑到大麻使用与心血管不良影响的暂时联系，在继续进行择期手术之前，应考虑权衡风险和益处。目前还缺乏公布的数据来建议具体的持续时间。( Level of certainty: Moderate，Grade I) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )