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[title] => 成人术后疼痛管理临床实践指南 (2024 版)
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[guojia] => 中华医学会麻醉学分会
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[laiyuan] => 建议关注急性疼痛转为慢性疼痛的危险因素:术后中重度疼痛(证据等级:高,推荐强度:强推荐);年轻、女性、吸烟、焦虑、抑郁、术前疼痛、手术时间较长(证据等级:中,推荐强度:弱推荐);术后切口感染、疼痛灾难化(证据等级:低,推荐强度:弱推荐)。
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[_inputtime] => 1776138139
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)
推荐意见
建议关注急性疼痛转为慢性疼痛的危险因素:术后中重度疼痛(证据等级:高,推荐强度:强推荐);年轻、女性、吸烟、焦虑、抑郁、术前疼痛、手术时间较长(证据等级:中,推荐强度:弱推荐);术后切口感染、疼痛灾难化(证据等级:低,推荐强度:弱推荐)。
证据评价方法:GRADE
指南质量等级:B
年份:2024
国家:中华医学会麻醉学分会
Array
(
[id] => 3088
[catid] => 299
[title] => 成人术后疼痛管理临床实践指南 (2024 版)
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[nianfen] => 2024
[guojia] => 中华医学会麻醉学分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 建议对术后患者提供过渡性疼痛服务(TPS),预防急性疼痛转为慢性疼痛,并减少长期阿片类药物用量(证据等级:低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议对术后患者提供过渡性疼痛服务(TPS),预防急性疼痛转为慢性疼痛,并减少长期阿片类药物用量(证据等级:低,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2024
国家:中华医学会麻醉学分会
Array
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[id] => 3089
[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 甘肃中医院
[status] => 9
[url] => /show/3089.html
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[inputip] => 106.86.177.165
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[updatetime] => 2026-04-14 11:42:19
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[nrsh] => Array
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[wailian] => https://rs.yiigle.com/cmaid/1550423
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[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] => 术前宣教有助于改善围手术期焦虑、降低疼痛评分、减少术后阿片类药物用量,提高患者对手术及住院满意度。术前宣教应作为围手术期促进患者加速康复的重要组成部分(证据等级:高,推荐级别:强推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术前宣教有助于改善围手术期焦虑、降低疼痛评分、减少术后阿片类药物用量,提高患者对手术及住院满意度。术前宣教应作为围手术期促进患者加速康复的重要组成部分(证据等级:高,推荐级别:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中华医学会外科学分会、中华医学会麻醉学分会
Array
(
[id] => 3090
[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
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[zjfj] =>
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[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] => 对于腹部手术患者,术前预防性使用加巴喷丁或普瑞巴林可以减少阿片类药物用量,降低术后疼痛评分和药物不良反应发生率(推荐级别:弱;证据等级:高推荐)。术前预防性给予阿片类药物和 NSAIDs 对术后镇痛效果的影响仍有待进一步验证(证据等级:中,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于腹部手术患者,术前预防性使用加巴喷丁或普瑞巴林可以减少阿片类药物用量,降低术后疼痛评分和药物不良反应发生率(推荐级别:弱;证据等级:高推荐)。术前预防性给予阿片类药物和 NSAIDs 对术后镇痛效果的影响仍有待进一步验证(证据等级:中,推荐级别:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中华医学会外科学分会、中华医学会麻醉学分会
Array
(
[id] => 3091
[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
[hits] => 15
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3091.html
[link_id] => 0
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[inputip] => 106.86.177.165
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[zjfj] =>
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[nianfen] => 2025
[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] => 腹横肌平面阻滞可有效缓解腹部手术后疼痛,常用入路包括肋缘下入路(适用于肝胆、胰脾及胃等上腹部手术)和腋中线入路(适用于阑尾、疝、结直肠等下腹部手术)(证据等级:中,推荐级别:强推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
腹横肌平面阻滞可有效缓解腹部手术后疼痛,常用入路包括肋缘下入路(适用于肝胆、胰脾及胃等上腹部手术)和腋中线入路(适用于阑尾、疝、结直肠等下腹部手术)(证据等级:中,推荐级别:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中华医学会外科学分会、中华医学会麻醉学分会
Array
(
[id] => 3092
[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[zjfj] =>
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[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] => 腹直肌鞘阻滞可以有效降低腹部手术后疼痛评分、减少阿片类药物用量,尤其适用于正中切口的腹部开放手术(证据等级:中,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
腹直肌鞘阻滞可以有效降低腹部手术后疼痛评分、减少阿片类药物用量,尤其适用于正中切口的腹部开放手术(证据等级:中,推荐级别:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中华医学会外科学分会、中华医学会麻醉学分会
Array
(
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[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
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[keywords] =>
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[hits] =>
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[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] => 腰方肌阻滞能降低腹部手术患者术后静息和运动疼痛评分,并减少术后 24 h 内阿片类药物用量;不同腰方肌阻滞入路的阻滞范围各异,建议根据手术切口分布选取恰当的阻滞入路(证据等级:中,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
腰方肌阻滞能降低腹部手术患者术后静息和运动疼痛评分,并减少术后 24 h 内阿片类药物用量;不同腰方肌阻滞入路的阻滞范围各异,建议根据手术切口分布选取恰当的阻滞入路(证据等级:中,推荐级别:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中华医学会外科学分会、中华医学会麻醉学分会
Array
(
[id] => 3094
[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[status] => 9
[url] => /show/3094.html
[link_id] => 0
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[demo_url] =>
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[zjfj] =>
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[nianfen] => 2025
[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] => 椎旁阻滞可减轻腹部手术后疼痛,在开放腹股沟疝手术、腹腔镜胆囊切除术和开放肝脏手术患者中有良好的镇痛效果,但存在一定的并发症发生风险(证据等级:中,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
椎旁阻滞可减轻腹部手术后疼痛,在开放腹股沟疝手术、腹腔镜胆囊切除术和开放肝脏手术患者中有良好的镇痛效果,但存在一定的并发症发生风险(证据等级:中,推荐级别:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中华医学会外科学分会、中华医学会麻醉学分会
Array
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[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] => 髂腹下 / 髂腹股沟神经阻滞可以减轻腹股沟疝修补术后疼痛(证据等级:中,推荐级别:强推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
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)
推荐意见
髂腹下 / 髂腹股沟神经阻滞可以减轻腹股沟疝修补术后疼痛(证据等级:中,推荐级别:强推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中华医学会外科学分会、中华医学会麻醉学分会
Array
(
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[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
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[demo_url] =>
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[zjfj] =>
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[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] => 对于腹部手术患者,局部伤口浸润可显著降低术后疼痛评分、减少术后阿片类药物的需求、促进早期活动和缩短住院时间(证据等级:高,推荐级别:强推荐);对于开放腹部手术可能更有优势(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于腹部手术患者,局部伤口浸润可显著降低术后疼痛评分、减少术后阿片类药物的需求、促进早期活动和缩短住院时间(证据等级:高,推荐级别:强推荐);对于开放腹部手术可能更有优势(证据等级:中,推荐强度:弱推荐)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中华医学会外科学分会、中华医学会麻醉学分会