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Array ( [id] => 729 [catid] => 37 [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/729.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] => 采用多模式镇痛,联合用药缓解术后恶心、呕吐。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
采用多模式镇痛,联合用药缓解术后恶心、呕吐。(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

阅读
Array ( [id] => 730 [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/730.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] => 术后定期检测血红蛋白及便隐血,早期进食,对于胃手术后患者(全胃切除术除外),静脉输注标准剂量质子泵抑制剂,每12h 1次,至少连续3d。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
术后定期检测血红蛋白及便隐血,早期进食,对于胃手术后患者(全胃切除术除外),静脉输注标准剂量质子泵抑制剂,每12h 1次,至少连续3d。(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

阅读
Array ( [id] => 731 [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/731.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] => 在确保手术质量的前提下,无需常规预防性留置腹腔引流管;术后1~2d拔除导尿管。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
在确保手术质量的前提下,无需常规预防性留置腹腔引流管;术后1~2d拔除导尿管。(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

阅读
Array ( [id] => 732 [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/732.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] => 制订以保障患者安全为基础的、可量化的、具有可操作性的出院标准。(证据等级: 低;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
制订以保障患者安全为基础的、可量化的、具有可操作性的出院标准。(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

阅读
Array ( [id] => 733 [catid] => 25 [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/733.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] => https://oss.wanfangdata.com.cn/Catalog/List?fileId=perio_xhyx202105010&transaction=%7B%22id%22%3Anull%2C%22transferOutAccountsStatus%22%3Anull%2C%22transaction%22%3A%7B%22id%22%3A%221742893897098481664%22%2C%22status%22%3A1%2C%22createDateTime%22%3Anull%2C%22payDateTime%22%3A1704373261128%2C%22authToken%22%3Anull%2C%22user%22%3A%7B%22accountType%22%3A%22Group%22%2C%22key%22%3A%22ldxysy%22%7D%2C%22transferIn%22%3A%7B%22accountType%22%3A%22Income%22%2C%22key%22%3A%22PeriodicalFulltext%22%7D%2C%22transferOut%22%3A%7B%22GTimeLimit.ldxysy%22%3A3%7D%2C%22turnover%22%3A3%2C%22productDetail%22%3A%22perio_xhyx202105010%22%2C%22productTitle%22%3Anull%2C%22userIP%22%3A%22117.157.14.84%22%2C%22organName%22%3Anull%2C%22memo%22%3Anull%2C%22webTransactionRequest%22%3Anull%2C%22signature%22%3A%22Y3XQavv8O9cgqmr7MhcjiiRWGb4%2BXO5vFWdjwIv4o%2FdbQB4NDb5sxDEaWlLE3rdnuCPNwZ%2FIDMag%5CnQKW6YJNzijIifaWlYe4m0OT62bckKVQxSH8hhYMZiV%2FPxMaHHhxeZKLmtvLlgW7J5vT7aPBR6tTf%5CnNgJpEH7pSX0NIAQIV1I%3D%22%2C%22delete%22%3Afalse%2C%22orderUser%22%3A%22ldxysy%22%2C%22orderChannel%22%3A%22pc%22%2C%22orderTurnover%22%3A3%2C%22payTag%22%3Anull%7D%2C%22isCache%22%3Afalse%7D [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] => 采用多 学 科 协 作 ( multi-disciplinary team,MDT)形式对患者进行有针对性的术前咨询与指导,尤其是对于拟行肠造口的患者,需行包括造口护理及其相关并发症处理等内容的宣教,以缓解患者焦虑紧张情绪,提高依从性。(证据等级: 低;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
采用多 学 科 协 作 ( multi-disciplinary team,MDT)形式对患者进行有针对性的术前咨询与指导,尤其是对于拟行肠造口的患者,需行包括造口护理及其相关并发症处理等内容的宣教,以缓解患者焦虑紧张情绪,提高依从性。(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

阅读
Array ( [id] => 734 [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/734.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] => 全面评估和改善患者术前营养及器官系统功能状态,减轻焦虑、调整睡眠。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
全面评估和改善患者术前营养及器官系统功能状态,减轻焦虑、调整睡眠。(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

阅读
Array ( [id] => 735 [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/735.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] => 术前康复训练是ERAS的重要措施;术前针对性康复训练有助于提高功能储备,降低术后并发症,促进患者术后康复;预康复措施应贯穿至围术期全程。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
术前康复训练是ERAS的重要措施;术前针对性康复训练有助于提高功能储备,降低术后并发症,促进患者术后康复;预康复措施应贯穿至围术期全程。(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

阅读
Array ( [id] => 736 [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/736.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] => 术前采用Caprini评分对结直肠癌手术患者进行VTE风险评估;通过机械性措施预防VTE直至出院;对中高危患者建议采用机械联合围术期药物预防VTE。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
术前采用Caprini评分对结直肠癌手术患者进行VTE风险评估;通过机械性措施预防VTE直至出院;对中高危患者建议采用机械联合围术期药物预防VTE。(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

阅读
Array ( [id] => 737 [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/737.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] => 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建议联合口服抗生素。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_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建议联合口服抗生素。(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

阅读
Array ( [id] => 738 [catid] => 28 [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/738.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] => 择期无消化道梗阻的患者,麻醉诱导前6h可进食不含油炸、脂肪及肉类的固体食物,术前2h可口服无渣碳水化合物饮料。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
择期无消化道梗阻的患者,麻醉诱导前6h可进食不含油炸、脂肪及肉类的固体食物,术前2h可口服无渣碳水化合物饮料。(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

阅读