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Array ( [id] => 805 [catid] => 38 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/805.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => A combination of a compression stocking and/or intermittent pneumatic compression together with either a LMWH or unfractionated heparin should be used and continued in hospital. (1A) [laiyuan] => 在住院期间,应结合使用弹力袜和/或间歇性气压疗法以及低分子肝素或普通肝素预防下肢静脉血栓。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
在住院期间,应结合使用弹力袜和/或间歇性气压疗法以及低分子肝素或普通肝素预防下肢静脉血栓。(证据级别:高;推荐强度:强推荐)

A combination of a compression stocking and/or intermittent pneumatic compression together with either a LMWH or unfractionated heparin should be used and continued in hospital. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 806 [catid] => 29 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/806.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Short-acting anesthetic agents, lung-protective ventilation, and complete reversal of neuromuscular blockade. (1A) [laiyuan] => 推荐应用短效麻醉剂、肺保护通气策略和完全逆转神经肌肉阻滞剂。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
推荐应用短效麻醉剂、肺保护通气策略和完全逆转神经肌肉阻滞剂。(证据级别:高;推荐强度:强推荐)

Short-acting anesthetic agents, lung-protective ventilation, and complete reversal of neuromuscular blockade. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 807 [catid] => 34 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/807.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Core temperature should be maintained at>36 °C. Active warming should be carried out in all patients in operations lasting longer than 30 min. (1A) [laiyuan] => 核心温度应保持>36°C。在持续时间超过30分钟的手术中,应对所有患者进行主动加温。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
核心温度应保持>36°C。在持续时间超过30分钟的手术中,应对所有患者进行主动加温。(证据级别:高;推荐强度:强推荐)

Core temperature should be maintained at>36 °C. Active warming should be carried out in all patients in operations lasting longer than 30 min. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 808 [catid] => 29 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/808.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Short-acting opioid sparing analgesia combined with local and regional blocks. In open abdominal surgery a mid-thoracic epidural analgesia should be used. Spinal analgesia and local blocks can be used in minimally invasive surgery. (1A) [laiyuan] => 短效阿片类镇痛与局部和区域阻滞相结合。在开腹手术中,应使用低位硬膜外镇痛。椎管内麻醉和区域阻滞可用于微创手术。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
短效阿片类镇痛与局部和区域阻滞相结合。在开腹手术中,应使用低位硬膜外镇痛。椎管内麻醉和区域阻滞可用于微创手术。(证据级别:高;推荐强度:强推荐)

Short-acting opioid sparing analgesia combined with local and regional blocks. In open abdominal surgery a mid-thoracic epidural analgesia should be used. Spinal analgesia and local blocks can be used in minimally invasive surgery. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 809 [catid] => 32 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/809.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Near- zero fluid balance. Intravenous treatment should be discontinued day1. Patients should be encouraged to drink when fully recovered and offered an oral diet within 4 h after surgery. (1A) [laiyuan] => 体液平衡接近零。术后第1天应停止静脉治疗。应鼓励患者在完全恢复后饮水,并在术后4小时内进食。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
体液平衡接近零。术后第1天应停止静脉治疗。应鼓励患者在完全恢复后饮水,并在术后4小时内进食。(证据级别:高;推荐强度:强推荐)

Near- zero fluid balance. Intravenous treatment should be discontinued day1. Patients should be encouraged to drink when fully recovered and offered an oral diet within 4 h after surgery. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 810 [catid] => 38 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/810.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Oral fluids as soon as the patient is lucid after surgery and solids after 4 h. (1B) [laiyuan] => 术后患者清醒后立即口服液体,4 小时后口服固体食物。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
术后患者清醒后立即口服液体,4 小时后口服固体食物。(证据级别:中;推荐强度:强推荐)

Oral fluids as soon as the patient is lucid after surgery and solids after 4 h. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 811 [catid] => 38 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/811.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => 30 min on the day of surgery and 6 h/day thereafter. (1B) [laiyuan] => 早期活动:手术当天30分钟,之后每天6小时进行活动。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
早期活动:手术当天30分钟,之后每天6小时进行活动。(证据级别:中;推荐强度:强推荐)

30 min on the day of surgery and 6 h/day thereafter. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 812 [catid] => 35 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/812.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => A combination of paracetamol and NSAID given orally with additional use of non-opioid drugs if needed. Opioid containing drugs should be used as a last resort and in C doses. (1A) [laiyuan] => 联合口服扑热息痛和非甾体抗炎药,必要时使用非阿片类药物。阿片类药物应作为最后手段使用,且剂量要小。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
联合口服扑热息痛和非甾体抗炎药,必要时使用非阿片类药物。阿片类药物应作为最后手段使用,且剂量要小。(证据级别:高;推荐强度:强推荐)

A combination of paracetamol and NSAID given orally with additional use of non-opioid drugs if needed. Opioid containing drugs should be used as a last resort and in C doses. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 774 [catid] => 290 [title] => Chinese clinical practice guidelines for perioperative blood glucose management [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/774.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:28 [updatetime] => 2024-01-11 15:13:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [guojia] => Guideline Steering Group, the Guideline Developmen [pdf] => [tjyjyw] => [lyyw] => The target perioperative blood glucose level is generally 6.0–10.0 mmol/L for long and medium‐length surgeries. Blood glucose levels 1–2 days preoperatively and postoperatively are associated with postoperative complications and mortality; thus, and it is necessary to control blood glucose levels very strictly. For the prevention of intraoperative hypoglycaemia, the target blood glucose level can be increased up to 12.0 mmol (2C). According to the recommended target range, the blood glucose level is monitored every 1–2 h intraoperatively and every 2–4 h postoperatively. If the blood glucose levels are not within the target range, it is suggested that the frequency of blood glucose monitoring be increased. (2C) [laiyuan] => 对于中长手术,目标围手术期血糖水平通常为6.0-10.0 mmol/L。术前和术后1-2天的血糖水平与术后并发症和死亡率相关;因此,有必要非常严格地控制血糖水平。为了预防术中低血糖,目标血糖水平可增加至12.0mmol/L。(证据级别:低;推荐强度:弱推荐)。根据推荐的目标范围,术中每隔1-2小时和术后每隔2-4小时监测一次血糖水平。如果血糖水平不在目标范围内,建议增加血糖监测的频率。(证据级别:低;推荐强度:弱推荐)。 [znzldj] => A [_inputtime] => 1704957208 [_updatetime] => 1704957208 [_nrjc] => [_nrsh] => )
推荐意见
对于中长手术,目标围手术期血糖水平通常为6.0-10.0 mmol/L。术前和术后1-2天的血糖水平与术后并发症和死亡率相关;因此,有必要非常严格地控制血糖水平。为了预防术中低血糖,目标血糖水平可增加至12.0mmol/L。(证据级别:低;推荐强度:弱推荐)。根据推荐的目标范围,术中每隔1-2小时和术后每隔2-4小时监测一次血糖水平。如果血糖水平不在目标范围内,建议增加血糖监测的频率。(证据级别:低;推荐强度:弱推荐)。

The target perioperative blood glucose level is generally 6.0–10.0 mmol/L for long and medium‐length surgeries. Blood glucose levels 1–2 days preoperatively and postoperatively are associated with postoperative complications and mortality; thus, and it is necessary to control blood glucose levels very strictly. For the prevention of intraoperative hypoglycaemia, the target blood glucose level can be increased up to 12.0 mmol (2C). According to the recommended target range, the blood glucose level is monitored every 1–2 h intraoperatively and every 2–4 h postoperatively. If the blood glucose levels are not within the target range, it is suggested that the frequency of blood glucose monitoring be increased. (2C)

证据评价方法:GRADE

指南质量等级:A

年份:2021

国家:Guideline Steering Group, the Guideline Developmen

阅读
Array ( [id] => 775 [catid] => 295 [title] => Chinese clinical practice guidelines for perioperative blood glucose management [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/775.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:28 [updatetime] => 2024-01-11 15:13:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [guojia] => Guideline Steering Group, the Guideline Developmen [pdf] => [tjyjyw] => [lyyw] => For cardiac surgery patients, the target for intraoperative blood glucose control is 8.3–11.1 mmol/L and for postoperative blood glucose control is less than 12.0 mmol/L (2C). On the basis of the suggested target range, it is recommended that intraoperative blood glucose level is monitored every 0.5–1 h and postoperative blood glucose level is monitored every 2–4 h. For patients with high intraoperative blood glucose fluctuations or unstable conditions, the frequency of monitoring should be increased. (2C) [laiyuan] => 对于心脏手术患者,术中血糖控制的目标是8.3- 11.1mmol/L,术后血糖控制小于12.0mmol/L。(证据级别:低;推荐强度:弱推荐)。根据建议的目标范围,建议每0.5-1小时监测一次术中血糖水平,每2-4小时监测一次术后血糖水平。对于术中血糖波动较大或病情不稳定的患者,应增加监测频率。(证据级别:低;推荐强度:弱推荐)。 [znzldj] => A [_inputtime] => 1704957208 [_updatetime] => 1704957208 [_nrjc] => [_nrsh] => )
推荐意见
对于心脏手术患者,术中血糖控制的目标是8.3- 11.1mmol/L,术后血糖控制小于12.0mmol/L。(证据级别:低;推荐强度:弱推荐)。根据建议的目标范围,建议每0.5-1小时监测一次术中血糖水平,每2-4小时监测一次术后血糖水平。对于术中血糖波动较大或病情不稳定的患者,应增加监测频率。(证据级别:低;推荐强度:弱推荐)。

For cardiac surgery patients, the target for intraoperative blood glucose control is 8.3–11.1 mmol/L and for postoperative blood glucose control is less than 12.0 mmol/L (2C). On the basis of the suggested target range, it is recommended that intraoperative blood glucose level is monitored every 0.5–1 h and postoperative blood glucose level is monitored every 2–4 h. For patients with high intraoperative blood glucose fluctuations or unstable conditions, the frequency of monitoring should be increased. (2C)

证据评价方法:GRADE

指南质量等级:A

年份:2021

国家:Guideline Steering Group, the Guideline Developmen

阅读