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[catid] => 29
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
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[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] => 在个体化、精细化的原则下选择和实施麻醉方案,对患者的影响力求最小化;现有证据尚不足以明确最佳麻醉方案及麻醉药物。(证据等级: 低;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在个体化、精细化的原则下选择和实施麻醉方案,对患者的影响力求最小化;现有证据尚不足以明确最佳麻醉方案及麻醉药物。(证据等级: 低;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 720
[catid] => 31
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
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[status] => 9
[url] => /show/720.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
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[displayorder] => 0
[nrjc] => Array
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[xzl] => 0
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[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] => BIS监测可在一定程度上避免术中知晓及麻醉过深,尤其适于老年、虚弱患者。(证据等级:中;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
BIS监测可在一定程度上避免术中知晓及麻醉过深,尤其适于老年、虚弱患者。(证据等级:中;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 721
[catid] => 31
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/721.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
[updatetime] => 2024-01-11 15:13:26
[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] => 术中肌松监测,术后可使用肌松拮抗药物,有效避免肌松残余,确保神经肌肉功能的充分恢复,应避免使用长效神经肌肉阻滞药物。(证据等级: 高;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术中肌松监测,术后可使用肌松拮抗药物,有效避免肌松残余,确保神经肌肉功能的充分恢复,应避免使用长效神经肌肉阻滞药物。(证据等级: 高;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 722
[catid] => 39
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/722.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
[updatetime] => 2024-01-11 15:13:26
[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] => 围术期及时调整水、电解质及酸碱平衡,维持内环境稳定。(证据等级: 高;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
围术期及时调整水、电解质及酸碱平衡,维持内环境稳定。(证据等级: 高;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 723
[catid] => 32
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/723.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
[updatetime] => 2024-01-11 15:13:26
[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] => 对于高危患者和血容量丢失较多的患者建议采用目标导向液体管理方案;对于高危患者,实施血液管理并维持患者血红蛋白浓度至适当水平,可改善患者预后。(证据等级: 高;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于高危患者和血容量丢失较多的患者建议采用目标导向液体管理方案;对于高危患者,实施血液管理并维持患者血红蛋白浓度至适当水平,可改善患者预后。(证据等级: 高;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 724
[catid] => 38
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 系统管理员
[status] => 9
[url] => /show/724.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
[updatetime] => 2024-01-11 15:13:26
[displayorder] => 0
[nrjc] => Array
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[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] => 对于肥胖患者应严格把握气管拔管指征,减少术后肺部并发症并缩短住院时间。(证据等级: 高;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于肥胖患者应严格把握气管拔管指征,减少术后肺部并发症并缩短住院时间。(证据等级: 高;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 725
[catid] => 38
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/725.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
[updatetime] => 2024-01-11 15:13:26
[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] => 高危患者适当延长麻醉苏醒期时间,并且给予持续的术后监测和充足的观察时间,同时建议准备终止CPAP治疗的患者在终止前接受美国睡眠医学
会推荐的多导睡眠图(polysomnography,PSG)检查。(证据等级: 中;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
高危患者适当延长麻醉苏醒期时间,并且给予持续的术后监测和充足的观察时间,同时建议准备终止CPAP治疗的患者在终止前接受美国睡眠医学
会推荐的多导睡眠图(polysomnography,PSG)检查。(证据等级: 中;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 726
[catid] => 38
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/726.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
[updatetime] => 2024-01-11 15:13:26
[displayorder] => 0
[nrjc] => Array
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)
[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] => 胃手术中不常规预防性使用鼻胃管;如需使用,术中留置,术后24h内拔除;术后胃瘫和排空障碍患者需留置鼻胃管治疗。(证据等级: 中;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
胃手术中不常规预防性使用鼻胃管;如需使用,术中留置,术后24h内拔除;术后胃瘫和排空障碍患者需留置鼻胃管治疗。(证据等级: 中;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 727
[catid] => 38
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/727.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
[updatetime] => 2024-01-11 15:13:26
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
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[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] => 对于无潜在并发症的患者术后早期恢复经口进食安全可行,有助于术后加速康复,推荐应用成品营养制剂以保证蛋白质摄入。(证据等级: 中;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于无潜在并发症的患者术后早期恢复经口进食安全可行,有助于术后加速康复,推荐应用成品营养制剂以保证蛋白质摄入。(证据等级: 中;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会
Array
(
[id] => 728
[catid] => 39
[title] => 中国加速康复外科临床实践指南(2021):(四) 胃外科手术和减重与代谢外科手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/728.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:26
[updatetime] => 2024-01-11 15:13:26
[displayorder] => 0
[nrjc] => Array
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)
[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] => 术前使用Caprini量表进行DVT风险评估并采取相应的预防措施;患者术后应早期下床活动,对Caprini评分低危及以上风险的患者,通过术后凝血指标检测综合评估血栓风险,个体化应用机械性和/或药物性抗凝治疗措施。(证据等级: 高;推荐强度: 强推荐)
[znzldj] => C
[_inputtime] => 1704957206
[_updatetime] => 1704957206
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术前使用Caprini量表进行DVT风险评估并采取相应的预防措施;患者术后应早期下床活动,对Caprini评分低危及以上风险的患者,通过术后凝血指标检测综合评估血栓风险,个体化应用机械性和/或药物性抗凝治疗措施。(证据等级: 高;推荐强度: 强推荐)
证据评价方法:GRADE
指南质量等级:C
年份:2021
国家:中华医学会外科学分会;中华医学会麻醉学分会