Array
(
[id] => 291
[catid] => 25
[title] => 加速康复外科中国专家共识暨路径管理指南(2018):胃手术部分
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[keywords] =>
[description] =>
[hits] => 1
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[inputtime] => 2024-01-11 15:09:43
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[nrjc] => Array
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[wailian] => http://120.26.162.1:5002/Paper/Search?type=&q=%E5%8A%A0%E9%80%9F%E5%BA%B7%E5%A4%8D%E5%A4%96%E7%A7%91%E4%B8%AD%E5%9B%BD%E4%B8%93%E5%AE%B6%E5%85%B1%E8%AF%86%E6%9A%A8%E8%B7%AF%E5%BE%84%E7%AE%A1%E7%90%86%E6%8C%87%E5%8D%97%EF%BC%882018%EF%BC%89%EF%BC%9A%20%E8%82%9D%E8%83%86%E6%89%8B%E6%9C%AF%E9%83%A8%E5%88%86&searchType=pt
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 病人应接受专门术前宣教和咨询解答。 (证据级别:低; 推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
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)
推荐意见
病人应接受专门术前宣教和咨询解答。 (证据级别:低; 推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 292
[catid] => 28
[title] => 加速康复外科中国专家共识暨路径管理指南(2019):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/292.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
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[nrsh] => Array
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[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 营养状态与胃手术后并发症具有相关性。病人应于术前行营养风险筛查,对于有严重营养风 险病人,应首选经口或肠内营养治疗。(证据级别:低; 推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
营养状态与胃手术后并发症具有相关性。病人应于术前行营养风险筛查,对于有严重营养风 险病人,应首选经口或肠内营养治疗。(证据级别:低; 推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 293
[catid] => 26
[title] => 加速康复外科中国专家共识暨路径管理指南(2020):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/293.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 术前肺功能评估和肺功能训练有助于减少术后呼吸系统并发症。(证据级别:中;推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术前肺功能评估和肺功能训练有助于减少术后呼吸系统并发症。(证据级别:中;推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 294
[catid] => 28
[title] => 加速康复外科中国专家共识暨路径管理指南(2021):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/294.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 术前机械性肠道准备无益,对于拟行联合横结肠等脏器切除特殊病人可选择使用基于等渗缓 冲液的机械性肠道准备。 (证据级别:中;推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术前机械性肠道准备无益,对于拟行联合横结肠等脏器切除特殊病人可选择使用基于等渗缓 冲液的机械性肠道准备。 (证据级别:中;推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 295
[catid] => 28
[title] => 加速康复外科中国专家共识暨路径管理指南(2022):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/295.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 无胃肠动力障碍病人术前禁食6h,禁饮2h;术前 2~3h 可服用碳水化合物饮品(不超过400ml,糖尿病病人除外)。 (证据级别:清流质:高;固体食物:低;碳水化合物饮品:低 ;推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
无胃肠动力障碍病人术前禁食6h,禁饮2h;术前 2~3h 可服用碳水化合物饮品(不超过400ml,糖尿病病人除外)。 (证据级别:清流质:高;固体食物:低;碳水化合物饮品:低 ;推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 296
[catid] => 29
[title] => 加速康复外科中国专家共识暨路径管理指南(2023):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/296.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 麻醉方案的选择和实施应遵循个体化、精细化的原则。 推荐使用中短效类麻醉药物以及麻醉 深度监测。(证据级别:低; 推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
麻醉方案的选择和实施应遵循个体化、精细化的原则。 推荐使用中短效类麻醉药物以及麻醉 深度监测。(证据级别:低; 推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 297
[catid] => 31
[title] => 加速康复外科中国专家共识暨路径管理指南(2024):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/297.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 腹腔镜手术建议采用深度肌松;术中推荐肌松监测,避免长效肌松药物的使用;重视术后肌松 残余,必要时予以拮抗。 (证据级别:中; 推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
腹腔镜手术建议采用深度肌松;术中推荐肌松监测,避免长效肌松药物的使用;重视术后肌松 残余,必要时予以拮抗。 (证据级别:中; 推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 298
[catid] => 31
[title] => 加速康复外科中国专家共识暨路径管理指南(2025):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/298.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 应用BIS监测麻醉深度(40 ~ 60),尽量避免麻醉过深(BIS值<45),特别是老年高危病人。 吸入麻醉应监测ETAC(0.7~ 1.3 MAC)。 (证据级别:中; 推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应用BIS监测麻醉深度(40 ~ 60),尽量避免麻醉过深(BIS值<45),特别是老年高危病人。 吸入麻醉应监测ETAC(0.7~ 1.3 MAC)。 (证据级别:中; 推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 299
[catid] => 32
[title] => 加速康复外科中国专家共识暨路径管理指南(2026):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/299.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 推荐目标导向循环管理策略,特别是复杂手术以及危重病人,包括目标导向液体治疗;维持动 脉压波动范围不超过基础值的 20%,特殊群体提高 下限阈值;心脏指数>2.5L·min- 1·m-2 ;液体维持首选晶体平衡溶液,容量补充需适度晶胶结合。(证据级别:中; 推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐目标导向循环管理策略,特别是复杂手术以及危重病人,包括目标导向液体治疗;维持动 脉压波动范围不超过基础值的 20%,特殊群体提高 下限阈值;心脏指数>2.5L·min- 1·m-2 ;液体维持首选晶体平衡溶液,容量补充需适度晶胶结合。(证据级别:中; 推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分
Array
(
[id] => 300
[catid] => 39
[title] => 加速康复外科中国专家共识暨路径管理指南(2027):胃手术部分
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/300.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:43
[updatetime] => 2024-01-11 15:09:43
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => 中华医学会外科学分会、中华医学会麻醉学分
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 肺保护性通气策略(低潮气量、PEEP和肺复张术)可有效降低全麻病人肺部并发症并缩短住院时间。 (证据级别:高; 推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956983
[_updatetime] => 1704956983
[_nrjc] =>
[_nrsh] =>
)
推荐意见
肺保护性通气策略(低潮气量、PEEP和肺复张术)可有效降低全麻病人肺部并发症并缩短住院时间。 (证据级别:高; 推荐强度:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2018
国家:中华医学会外科学分会、中华医学会麻醉学分