Array ( [id] => 854 [catid] => 37 [title] => 加速康复外科中国专家共识暨路径管理指南(2026):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/854.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] => 多模式防治术后恶心呕吐。（证据级别：中；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 855 [catid] => 34 [title] => 加速康复外科中国专家共识暨路径管理指南(2027):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/855.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] => 术中常规进行体温监测并采取必要的保温措施，预防低体温发生。（证据级别：高；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 856 [catid] => 32 [title] => 加速康复外科中国专家共识暨路径管理指南(2028):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/856.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] => 术中监测晶体液及胶体液的输注，优化心输出量，避免容量负荷过重导致的应激反应。（证据级别：高；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 857 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南(2029):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/857.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] => 推荐多模式镇痛及腹腔镜手术；避免液体负荷过重及使用鼻胃管。（证据级别：高；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 858 [catid] => 35 [title] => 加速康复外科中国专家共识暨路径管理指南(2030):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/858.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] => 术后采用多模式镇痛方案，尽量避免或减少阿片类药物的使用。（证据级别：高；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 859 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南(2031):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/859.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] => 术前应常规进行营养风险筛查并积极行营养支持治疗。术后尽快恢复正常饮食，口服辅助营养是重要的营养补充方法。 [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 860 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南(2032):结直肠手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/860.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] => 鼓励病人术后早期下床活动。（证据级别：低；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 861 [catid] => 251 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/861.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] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135479/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => Known or suspected OSA should be considered an independent risk factor for difficult intubation, difficult mask ventilation, or a combination of both. Adequate difficult airway management precautions should be taken. (1B) [laiyuan] => 已知或疑似阻塞性呼吸睡眠暂停综合征应被视为插管困难、面罩通气困难或两者结合的独立风险因素。应采取适当的困难气道管理预防措施。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 862 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/862.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] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => Patients with OSA who received neuromuscular blocking agents may be at increased risk of effects of postoperative residual neuromuscular blockade, hypoxemia, or respiratory failure. (2C) [laiyuan] => 接受神经肌肉阻滞剂治疗的阻塞性呼吸睡眠暂停综合征患者可能会增加术后残余神经肌肉阻滞剂、低氧血症或呼吸衰竭的风险。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )

Array ( [id] => 863 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/863.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] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => there is insufficient evidence to suggest the preference of any neuromuscular blocking reversal agent to reduce the risks of postoperative respiratory complications in patients with OSA（Evidence level:C；Recommendation grade:NA）. [laiyuan] => 没有足够的证据表明，任何神经肌肉阻断拮抗剂都可以降低阻塞性呼吸睡眠暂停综合征患者术后呼吸道并发症的风险。（证据级别：低；推荐强度：不推荐） [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )