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Array ( [id] => 844 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南(2028):胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/844.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 无预防胰十二指肠切除术术后胃排空延迟的明确措施。应用硬膜外麻醉、维持液体出入量平衡、早期进食有助于术后肠功能的恢复。 减少胰瘘等腹部并发症有助于降低继发性胃排空延迟的发生率。(证据级别:低;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
无预防胰十二指肠切除术术后胃排空延迟的明确措施。应用硬膜外麻醉、维持液体出入量平衡、早期进食有助于术后肠功能的恢复。 减少胰瘘等腹部并发症有助于降低继发性胃排空延迟的发生率。(证据级别:低;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

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Array ( [id] => 845 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南(2029):胰十二指肠切除术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/845.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术后宜早期进食,对肠内营养不能满足需求或因并发症不能行肠内营养的病人,可结合肠外营养。(证据级别:中;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
术后宜早期进食,对肠内营养不能满足需求或因并发症不能行肠内营养的病人,可结合肠外营养。(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:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 846 [catid] => 25 [title] => 加速康复外科中国专家共识暨路径管理指南(2018):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/846.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => http://120.26.162.1:5002/Paper/Search?type=&q=%E5%8A%A0%E9%80%9F%E5%BA%B7%E5%A4%8D%E5%A4%96%E7%A7%91%E4%B8%AD%E5%9B%BD%E4%B8%93%E5%AE%B6%E5%85%B1%E8%AF%86%E6%9A%A8%E8%B7%AF%E5%BE%84%E7%AE%A1%E7%90%86%E6%8C%87%E5%8D%97%282018%29%3A%E7%BB%93%E7%9B%B4%E8%82%A0%E6%89%8B%E6%9C%AF%E9%83%A8%E5%88%86&searchType=pt [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 应常规对病人进行术前咨询与指导。(证据级别:低;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
应常规对病人进行术前咨询与指导。(证据级别:低;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

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Array ( [id] => 847 [catid] => 25 [title] => 加速康复外科中国专家共识暨路径管理指南(2019):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/847.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前预康复是ERAS的重要措施之一。(证据级别:低;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
术前预康复是ERAS的重要措施之一。(证据级别:低;推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 848 [catid] => 266 [title] => 加速康复外科中国专家共识暨路径管理指南(2020):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/848.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 根据具体情况选择术前肠道准备的方式,行机械性肠道准备时应联合口服抗生素。(证据级别:中;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
根据具体情况选择术前肠道准备的方式,行机械性肠道准备时应联合口服抗生素。(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:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 849 [catid] => 28 [title] => 加速康复外科中国专家共识暨路径管理指南(2021):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/849.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 择期无胃肠梗阻的病人,麻醉诱导前6h可进食不含油炸、脂肪及肉类的固体食物,2h可口服清流质。(证据级别:中;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
择期无胃肠梗阻的病人,麻醉诱导前6h可进食不含油炸、脂肪及肉类的固体食物,2h可口服清流质。(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:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 850 [catid] => 27 [title] => 加速康复外科中国专家共识暨路径管理指南(2022):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/850.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前不常规使用镇静药物。(证据级别:高;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
术前不常规使用镇静药物。(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:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 851 [catid] => 27 [title] => 加速康复外科中国专家共识暨路径管理指南(2023):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/851.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 应予机械性抗血栓预防;对于高危人群可予低分子肝素药物性预防。(证据级别:高;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
应予机械性抗血栓预防;对于高危人群可予低分子肝素药物性预防。(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:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 852 [catid] => 39 [title] => 加速康复外科中国专家共识暨路径管理指南(2024):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/852.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 结直肠手术应在术前30~60min预防性静脉输注抗生素。(证据级别:高;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
结直肠手术应在术前30~60min预防性静脉输注抗生素。(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:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读
Array ( [id] => 853 [catid] => 32 [title] => 加速康复外科中国专家共识暨路径管理指南(2025):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/853.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [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会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 采用联合麻醉,术中在保障容量及血流动力学稳定的前提下,限制液体输注量,以减少应激反应及组织水肿,促进术后肠功能的快速康复。(证据级别:中;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
采用联合麻醉,术中在保障容量及血流动力学稳定的前提下,限制液体输注量,以减少应激反应及组织水肿,促进术后肠功能的快速康复。(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:C

年份:2018

国家:中华医学会外科学分会 中华医学会麻醉学分会

阅读