Array ( [id] => 749 [catid] => 36 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/749.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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] => 多模式镇痛、腹腔镜手术、避免液体负荷过重、避免鼻胃管等综合措施综合措施预防术后肠麻痹。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 750 [catid] => 26 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/750.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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] => 尽可能保护直肠癌患者肛门功能并进行肛门功能评估，预防或减轻LARS。（证据等级: 低；推荐强度: 一般性推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 751 [catid] => 35 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/751.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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，尽量减少阿片类药物用量。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 752 [catid] => 35 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/752.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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] => 开腹手术采用硬膜外镇痛。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 753 [catid] => 35 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/753.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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] => 无禁忌证患者，推荐术前及术后早期应用NSAIDs，不宜超过3d;并应警惕相关并发症风险。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 754 [catid] => 35 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/754.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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] => 腹腔镜手术采用外周神经阻滞镇痛作为多模式镇痛重要措施之一。（证据等级: 中；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 755 [catid] => 35 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/755.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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] => 对于无禁忌证的结直肠手术患者，可联合应用镇痛辅助药物。（证据等级: 低；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 756 [catid] => 39 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/756.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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] => 围术期应常规评估患者营养状态，若术前存在营养不良，应提前7～10d进行营养支持治疗，首选口服营养补充;术后尽早恢复正常饮食，营养不良者出院后应继续口服补充辅助营养物。（证据等级: 高；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 757 [catid] => 38 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/757.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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1d鼓励患者在陪护下下床活动，并注意防范跌倒;康复训练应前移至术前，并延伸至术后日常生活中。（证据等级: 中；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )

Array ( [id] => 758 [catid] => 26 [title] => 中国加速康复外科临床实践指南(2021)：(五) 结直肠外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/758.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:27 [updatetime] => 2024-01-11 15:13:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [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] => 系统地审查是判断预后及评估依从性的重要方法，有利于对ERAS方案的成功执行。（证据等级: 中；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957207 [_updatetime] => 1704957207 [_nrjc] => [_nrsh] => )