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Array ( [id] => 739 [catid] => 27 [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/739.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] => 术前不常规使用镇静药物,中重度焦虑患者建议选用药物治疗或专科治疗。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
术前不常规使用镇静药物,中重度焦虑患者建议选用药物治疗或专科治疗。(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] => 740 [catid] => 27 [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/740.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] => 结直肠手术应在手术前30~60min预防性静脉输注抗生素。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
结直肠手术应在手术前30~60min预防性静脉输注抗生素。(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] => 741 [catid] => 29 [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/741.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] => 采用全身麻醉复合局部麻醉,推荐短效全身麻醉药,维持适宜的麻醉深度。规范应用气腹技术,对于预估术野暴露困难的腹腔镜手术实施深肌松管理,加强气腹期间镇静、镇痛、循环、呼吸与肌松监测,实施肌松药拮抗[①应用短效麻醉药(证据等级:低;推荐强度:强推荐);②使用脑功能监 测(证据等级:高;推荐强度:强推荐);③深肌松降低腹腔镜术中腹内压(证据等级:中;推荐强度:一般性推荐);④监测肌松水平并完全拮抗(证据等级:高;推荐强度:强推荐)]。 [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
采用全身麻醉复合局部麻醉,推荐短效全身麻醉药,维持适宜的麻醉深度。规范应用气腹技术,对于预估术野暴露困难的腹腔镜手术实施深肌松管理,加强气腹期间镇静、镇痛、循环、呼吸与肌松监测,实施肌松药拮抗[①应用短效麻醉药(证据等级:低;推荐强度:强推荐);②使用脑功能监 测(证据等级:高;推荐强度:强推荐);③深肌松降低腹腔镜术中腹内压(证据等级:中;推荐强度:一般性推荐);④监测肌松水平并完全拮抗(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] => 742 [catid] => 37 [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/742.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] => 多模式防治PONV。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
多模式防治PONV。(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] => 743 [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/743.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] => 对于术后吻合口漏高风险患者,建议行转流性肠造口。(证据等级: 中;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
对于术后吻合口漏高风险患者,建议行转流性肠造口。(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] => 744 [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/744.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] => 择期结直肠手术后无须常规留置鼻胃管。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
择期结直肠手术后无须常规留置鼻胃管。(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] => 745 [catid] => 34 [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/745.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] => 术中常规监测体温并采取必要的体温调节措施。(证据等级: 高;推荐强度: 强推荐) [znzldj] => C [_inputtime] => 1704957206 [_updatetime] => 1704957206 [_nrjc] => [_nrsh] => )
推荐意见
术中常规监测体温并采取必要的体温调节措施。(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

阅读
Array ( [id] => 690 [catid] => 26 [title] => 中国加速康复外科临床实践指南(2021):(二) 肝胆外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/690.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:25 [updatetime] => 2024-01-11 15:13:25 [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] => 术前根据Caprini模型评估病人血栓风险,根据PVT的风险因素,个体化制定预防术后门静脉血栓的方案。(证据等级:高;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957205 [_updatetime] => 1704957205 [_nrjc] => [_nrsh] => )
推荐意见
术前根据Caprini模型评估病人血栓风险,根据PVT的风险因素,个体化制定预防术后门静脉血栓的方案。(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] => 691 [catid] => 38 [title] => 中国加速康复外科临床实践指南(2021):(二) 肝胆外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/691.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:25 [updatetime] => 2024-01-11 15:13:25 [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] => 根据手术方式和术中具体情况决定是否留置腹腔引流管,术后若无胆漏、出血等并发症,宜尽早拔除。不常规留置胃管,若有特殊情况需留置,建议在麻醉清醒前拔除。术后尽早拔除尿管,无须常规进行膀胱锻炼。(证据等级:低;推荐强度:一般性推荐) [znzldj] => C [_inputtime] => 1704957205 [_updatetime] => 1704957205 [_nrjc] => [_nrsh] => )
推荐意见
根据手术方式和术中具体情况决定是否留置腹腔引流管,术后若无胆漏、出血等并发症,宜尽早拔除。不常规留置胃管,若有特殊情况需留置,建议在麻醉清醒前拔除。术后尽早拔除尿管,无须常规进行膀胱锻炼。(证据等级:低;推荐强度:一般性推荐)

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] => 692 [catid] => 26 [title] => 中国加速康复外科临床实践指南(2021):(二) 肝胆外科手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/692.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:25 [updatetime] => 2024-01-11 15:13:25 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 1 [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] => 通过术前精准评估、术中精细操作、积极病因治疗等措施预防肝胆外科手术后肝功能不全;应充分引流术后胆漏,必要时留置内镜支架;腹腔积液病人未出现感染征象时,不建议行单纯腹腔积液穿刺引流。(证据等级:中;推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704957205 [_updatetime] => 1704957205 [_nrjc] => [_nrsh] => )
推荐意见
通过术前精准评估、术中精细操作、积极病因治疗等措施预防肝胆外科手术后肝功能不全;应充分引流术后胆漏,必要时留置内镜支架;腹腔积液病人未出现感染征象时,不建议行单纯腹腔积液穿刺引流。(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