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] => 3087 [catid] => 299 [title] => 成人术后疼痛管理临床实践指南 (2024 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3087.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1581411 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [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)。 [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
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

阅读
Array ( [id] => 3088 [catid] => 299 [title] => 成人术后疼痛管理临床实践指南 (2024 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3088.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1581412 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [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

阅读
Array ( [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] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3089.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [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

阅读
Array ( [id] => 3090 [catid] => 35 [title] => 腹部手术围手术期疼痛管理指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3090.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [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] => 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

阅读
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 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1550424 [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] => 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

阅读15
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] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3092.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1550425 [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] => 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

阅读
Array ( [id] => 3093 [catid] => 35 [title] => 腹部手术围手术期疼痛管理指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3093.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1550426 [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] => 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

阅读
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] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3094.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1550427 [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] => 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

阅读
Array ( [id] => 3095 [catid] => 35 [title] => 腹部手术围手术期疼痛管理指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3095.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1550428 [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] => 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] => [_nrsh] => )
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

阅读
Array ( [id] => 3096 [catid] => 35 [title] => 腹部手术围手术期疼痛管理指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3096.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1550429 [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] => 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

阅读