您当前的位置: 首页 > 数据库
  • 全部(2447)
  • 腹部手术(342)
  • 胸科手术(70)
  • 血管手术(5)
  • 心脏手术(97)
  • 神经外科(4)
  • 头颈部(35)
  • 骨科(78)
  • 泌尿外科(0)
  • 妇产手术(77)
  • 日间手术(26)
  • 手术室外(28)
  • 创伤和烧伤(0)
  • 非心脏手术(472)
  • 老年(0)
  • 小儿新生儿(189)
  • 特殊患者(42)
  • 未说明手术类型(982)
  • 术前宣教(21)
  • 术前评估(33)
  • 术前用药(15)
  • 术前禁食水(12)
  • 麻醉选择(21)
  • 麻醉用药(10)
  • 术中监测(23)
  • 液体管理(14)
  • 血液保护(3)
  • 体温管理(8)
  • 术后疼痛(62)
  • POD(8)
  • PONV(10)
  • 术后康复(50)
  • 特殊情况(43)
  • 术前肠道准备(9)
Array ( [id] => 655 [catid] => 144 [title] => Guidelines for postoperative care in cesarean delivery:Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/655.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Heparin should not be used routinely for venous thromboembolism prophylaxis in patients after cesarean delivery. (2C) [laiyuan] => 剖宫产术后患者不应常规使用肝素预防静脉血栓栓塞。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
剖宫产术后患者不应常规使用肝素预防静脉血栓栓塞。(证据级别:低;推荐强度:弱推荐)

Heparin should not be used routinely for venous thromboembolism prophylaxis in patients after cesarean delivery. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 656 [catid] => 143 [title] => Guidelines for postoperative care in cesarean delivery:Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/656.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Early mobilization after cesarean delivery is recommended. (2C) [laiyuan] => 推荐在剖宫产后尽早进行康复训练。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
推荐在剖宫产后尽早进行康复训练。(证据级别:低;推荐强度:弱推荐)

Early mobilization after cesarean delivery is recommended. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 657 [catid] => 143 [title] => Guidelines for postoperative care in cesarean delivery:Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/657.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => In women who do not need ongoing strict assessment of urine output, the urinary catheter should be removed immediately after cesarean delivery, if placed during surgery. (1C) [laiyuan] => 对于不需要持续严格评估尿量的产妇,如果导尿管是在剖宫产术中放置的,则应在术后立即拔除。(证据级别:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
对于不需要持续严格评估尿量的产妇,如果导尿管是在剖宫产术中放置的,则应在术后立即拔除。(证据级别:低;推荐强度:强推荐)

In women who do not need ongoing strict assessment of urine output, the urinary catheter should be removed immediately after cesarean delivery, if placed during surgery. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 658 [catid] => 144 [title] => Guidelines for postoperative care in cesarean delivery:Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/658.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Standardized written discharge instructions should be used to facilitate discharge counselling. (2C) [laiyuan] => 应使用标准化出院医嘱,以方便出院咨询。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
应使用标准化出院医嘱,以方便出院咨询。(证据级别:低;推荐强度:弱推荐)

Standardized written discharge instructions should be used to facilitate discharge counselling. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 659 [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/659.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.sciencedirect.com/science/article/pii/S2352556822000406?via%3Dihub [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 combine the prehabilitation programme with a postoperative rehabilitation programme (including cardiovascular, respiratory and mobilisation physiotherapy), started in the first two postoperative weeks, to reduce the occurrence of postoperative complications and the length of stay in hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 建议将术前预康复计划与术后康复计划(包括心血管、呼吸和活动理疗)结合起来,术后康复计划应在术后的前2周开始,以减少术后并发症的发生和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
建议将术前预康复计划与术后康复计划(包括心血管、呼吸和活动理疗)结合起来,术后康复计划应在术后的前2周开始,以减少术后并发症的发生和住院时间。(GRADE 2+ STRONG AGREEMENT)

It is probably recommended to combine the prehabilitation programme with a postoperative rehabilitation programme (including cardiovascular, respiratory and mobilisation physiotherapy), started in the first two postoperative weeks, to reduce the occurrence of postoperative complications and the length of stay in hospital.(GRADE 2+ STRONG AGREEMENT)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:French Society of Anaesthesia and Intensive Care M

阅读
Array ( [id] => 660 [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/660.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [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 mobilise patients early after the end of the cardiac surgery to decrease postoperative morbidity and length of stay in the intensive care unit and hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 建议在心脏手术后尽早活动,以降低术后发病率,缩短重症监护室时间和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
建议在心脏手术后尽早活动,以降低术后发病率,缩短重症监护室时间和住院时间。(GRADE 2+ STRONG AGREEMENT)

It is probably recommended to mobilise patients early after the end of the cardiac surgery to decrease postoperative morbidity and length of stay in the intensive care unit and hospital.(GRADE 2+ STRONG AGREEMENT)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:French Society of Anaesthesia and Intensive Care M

阅读
Array ( [id] => 661 [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/661.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:23 [updatetime] => 2024-01-11 15:13:23 [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 recommended to early extubate cardiac surgery patients (within 6 h after surgery) to reduce the occurrence of postoperative complications and the length of stay in the intensive care unit and hospital.(GRADE 1+ STRONG AGREEMENT) [laiyuan] => 推荐心脏手术患者早期拔除气管导管(术后6h内),以减少术后并发症的发生,重症监护室停留时间和住院时间。(GRADE 1+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957203 [_updatetime] => 1704957203 [_nrjc] => [_nrsh] => )
推荐意见
推荐心脏手术患者早期拔除气管导管(术后6h内),以减少术后并发症的发生,重症监护室停留时间和住院时间。(GRADE 1+ STRONG AGREEMENT)

It is recommended to early extubate cardiac surgery patients (within 6 h after surgery) to reduce the occurrence of postoperative complications and the length of stay in the intensive care unit and hospital.(GRADE 1+ STRONG AGREEMENT)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:French Society of Anaesthesia and Intensive Care M

阅读
Array ( [id] => 625 [catid] => 35 [title] => Guidelines for Perioperative Care for Liver Surgery Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/625.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:05 [updatetime] => 2024-01-11 15:13:05 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Regarding laparoscopic surgery, there is no need for regional anesthesia techniques, as multimodal analgesia combined with judicious intravenous opiates provides functional analgesia. (2C) [laiyuan] => 对于肝脏腹腔镜手术,多模式镇痛结合静脉给予适量的阿片类药物可以提供有效镇痛,不需要使用区域麻醉技术。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957185 [_updatetime] => 1704957185 [_nrjc] => [_nrsh] => )
推荐意见
对于肝脏腹腔镜手术,多模式镇痛结合静脉给予适量的阿片类药物可以提供有效镇痛,不需要使用区域麻醉技术。(证据级别:低;推荐强度:弱推荐)

Regarding laparoscopic surgery, there is no need for regional anesthesia techniques, as multimodal analgesia combined with judicious intravenous opiates provides functional analgesia. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2023

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 626 [catid] => 35 [title] => Guidelines for Perioperative Care for Liver Surgery Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/626.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:05 [updatetime] => 2024-01-11 15:13:05 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Continuous local anesthetic wound infiltration provides lower complication rates and overall equivalent analgesia to thoracic epidural analgesia. Local anesthetic transversus abdominis plane blockade as a supplement to standard analgesia improves pain control and reduces opiate usage. (1A) [laiyuan] => 肝脏手术术后切口处连续局部浸润麻醉比胸段硬膜外阻滞阵痛并发症发生率低,总体镇痛效果相当。腹横肌平面阻滞可作为补充镇痛措施,以减轻疼痛并减少阿片类药物的使用。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957185 [_updatetime] => 1704957185 [_nrjc] => [_nrsh] => )
推荐意见
肝脏手术术后切口处连续局部浸润麻醉比胸段硬膜外阻滞阵痛并发症发生率低,总体镇痛效果相当。腹横肌平面阻滞可作为补充镇痛措施,以减轻疼痛并减少阿片类药物的使用。(证据级别:高;推荐强度:强推荐)

Continuous local anesthetic wound infiltration provides lower complication rates and overall equivalent analgesia to thoracic epidural analgesia. Local anesthetic transversus abdominis plane blockade as a supplement to standard analgesia improves pain control and reduces opiate usage. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2023

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 627 [catid] => 39 [title] => Guidelines for Perioperative Care for Liver Surgery Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/627.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:05 [updatetime] => 2024-01-11 15:13:05 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Prophylactic nasogastric intubation does not offer postoperative benefits and may in fact increase hospital length of stay. Routine use of prophylactic nasogastric intubation is not recommended. (1A) [laiyuan] => 肝脏手术中预防性鼻胃插管对于术后并无益处,并且可能增加住院时间。不建议常规使用预防性鼻胃插管。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957185 [_updatetime] => 1704957185 [_nrjc] => [_nrsh] => )
推荐意见
肝脏手术中预防性鼻胃插管对于术后并无益处,并且可能增加住院时间。不建议常规使用预防性鼻胃插管。(证据级别:高;推荐强度:强推荐)

Prophylactic nasogastric intubation does not offer postoperative benefits and may in fact increase hospital length of stay. Routine use of prophylactic nasogastric intubation is not recommended. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2023

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读