Array ( [id] => 713 [catid] => 26 [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/713.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] => 减重术前至少2周低热量饮食(1000～1200kcal/d)或极低热量饮食(400～800kcal/d)。（证据等级：中；推荐强度：强推荐） [znzldj] => C [_inputtime] => 1704957205 [_updatetime] => 1704957205 [_nrjc] => [_nrsh] => )

Array ( [id] => 714 [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/714.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] => 围术期需加强对2型糖尿病患者的血糖监测，以血糖浓度7.8～10.0mmol/L为控制目标，对超过者优先给予胰岛素治疗。（证据等级: 中；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957205 [_updatetime] => 1704957205 [_nrjc] => [_nrsh] => )

Array ( [id] => 715 [catid] => 26 [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/715.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] => 术前肺功能评估和肺功能训练、戒烟、戒酒等有助于减少术后并发症;运动预康复可改善心肺功能，提高对手术的耐受性。（证据等级: 中；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957205 [_updatetime] => 1704957205 [_nrjc] => [_nrsh] => )

Array ( [id] => 716 [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/716.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] => 对合并幽门梗阻的胃肿瘤患者，应通过管饲或肠外营养及时纠正患者内环境紊乱及营养不良。（证据等级: 中；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957205 [_updatetime] => 1704957205 [_nrjc] => [_nrsh] => )

Array ( [id] => 717 [catid] => 28 [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/717.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] => 麻醉诱导前6h禁食，2h禁饮，胃排空延迟或胃肠运动障碍及急诊手术的患者除外。不建议术前机械性肠道准备。（证据等级: 强；推荐强度: 强推荐） [znzldj] => C [_inputtime] => 1704957205 [_updatetime] => 1704957205 [_nrjc] => [_nrsh] => )

Array ( [id] => 662 [catid] => 83 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/662.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended that cardiac surgery patients be admitted to a critical care unit (intensive care and/or intermediate care) for postoperative recovery to reduce the occurrence of postoperative complications.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐将心脏外科手术患者入住重症监护病房(特级监护和/或中级监护)进行术后恢复，以减少术后并发症的发生。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 663 [catid] => 80 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/663.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is not recommended to use gabapentin as part of the multimodal analgesic strategy to reduce the occurrence of postoperative complications after cardiac surgery.(GRADE 1- STRONG AGREEMENT) [laiyuan] => 不建议将加巴喷丁作为多模式镇痛策略的一部分，以减少心脏手术后并发症的发生。(GRADE 1- STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 664 [catid] => 80 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/664.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to use a multimodal opioid-sparing analgesic strategy after cardiac surgery to improve postoperative pain control.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 建议在心脏手术后使用多模式的阿片类药物优化镇痛策略，以改善术后疼痛。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 665 [catid] => 78 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/665.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to use an intraoperative cell saver to limit red blood cell transfusion in cardiac surgery.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 在心脏手术中，建议使用血液回收机限制红细胞输注。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )

Array ( [id] => 666 [catid] => 78 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/666.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to adopt a "patient blood management" programme in the practice of cardiac surgery,and notably to detect and correct anaemia due to iron deficiency preoperatively, to reduce postoperative morbidity and length of stay in hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐在心脏手术实践中采用"患者血液管理"方案，特别是术前发现和纠正因缺铁引起的贫血，以减少术后发病率和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )