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Array ( [id] => 179 [catid] => 32 [title] => 加速康复外科中国专家共识暨路径管理指南(2026): 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/179.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 应用目标导向液体治疗策略,避免容量负荷过重。(证据质量:中,推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
应用目标导向液体治疗策略,避免容量负荷过重。(证据质量:中,推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中国

阅读
Array ( [id] => 180 [catid] => 35 [title] => 加速康复外科中国专家共识暨路径管理指南(2027): 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/180.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 实施多模式的个体化镇痛方案。 非甾体抗炎药和/或阿片类药物联合周围神经阻滞或切口浸润麻 醉是肝切除术病人术后镇痛的有效方法。(证据质量:中,推荐强度:强) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
实施多模式的个体化镇痛方案。 非甾体抗炎药和/或阿片类药物联合周围神经阻滞或切口浸润麻 醉是肝切除术病人术后镇痛的有效方法。(证据质量:中,推荐强度:强)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中国

阅读
Array ( [id] => 181 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南(2028): 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/181.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术后第1天可下床活动。 术后当天可饮水,术后12h可予流质饮食。(证据质量:高,推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
术后第1天可下床活动。 术后当天可饮水,术后12h可予流质饮食。(证据质量:高,推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中国

阅读
Array ( [id] => 182 [catid] => 39 [title] => 加速康复外科中国专家共识暨路径管理指南(2029): 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/182.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 减少创伤、出血、感染等应激因素有助于围术期血糖调控,有助于改善预后,缩短住院时间。(证据质量:高,推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
减少创伤、出血、感染等应激因素有助于围术期血糖调控,有助于改善预后,缩短住院时间。(证据质量:高,推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中国

阅读
Array ( [id] => 183 [catid] => 266 [title] => 加速康复外科中国专家共识暨路径管理指南(2030): 肝胆手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/183.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前无需常规行机械性肠道准备。(证据质量:低,推荐强度:强推荐) [znzldj] => C [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
术前无需常规行机械性肠道准备。(证据质量:低,推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:C

年份:2018

国家:中国

阅读
Array ( [id] => 184 [catid] => 25 [title] => Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/184.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://onlinelibrary.wiley.com/doi/10.1007/s00268-018-4844-y [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Enhanced Recovery After Surgery Society [pdf] => [tjyjyw] => [lyyw] => Patients should receive dedicated preoperative counselling routinely.(Quality of evidence: Moderate ;Recommendation grade: Strong) [laiyuan] => 应常规对患者进行术前咨询与指导。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
应常规对患者进行术前咨询与指导。(证据级别:中;推荐强度:强推荐)

Patients should receive dedicated preoperative counselling routinely.(Quality of evidence: Moderate ;Recommendation grade: Strong)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:Enhanced Recovery After Surgery Society

阅读
Array ( [id] => 185 [catid] => 26 [title] => Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2019 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/185.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Enhanced Recovery After Surgery Society [pdf] => [tjyjyw] => [lyyw] => Patients should reach the anaesthetic room in as close a state to euvolaemia as possible and any preoperative fluid and electrolyte excesses or deficits should be corrected.(Quality of evidence: Moderate ;Recommendation grade: Strong) [laiyuan] => 患者处于接近贫血状态、术前液体和电解质过多或不足的情况,在进入麻醉室时应该被纠正。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
患者处于接近贫血状态、术前液体和电解质过多或不足的情况,在进入麻醉室时应该被纠正。(证据级别:中;推荐强度:强推荐)

Patients should reach the anaesthetic room in as close a state to euvolaemia as possible and any preoperative fluid and electrolyte excesses or deficits should be corrected.(Quality of evidence: Moderate ;Recommendation grade: Strong)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:Enhanced Recovery After Surgery Society

阅读
Array ( [id] => 186 [catid] => 26 [title] => Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2020 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/186.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Enhanced Recovery After Surgery Society [pdf] => [tjyjyw] => [lyyw] => Anaemia is common in patients presenting for colorectalsurgery and increases all cause morbidity. Attempts to correct it should be made prior to surgery. Newer preparations of intravenous iron have a low risk of adverse reactions and are more effective than oral iron at restoring haemoglobin concentrations in both iron deficiency anaemia and anaemia of chronic disease. (Quality of evidence: High ;Recommendation grade: Strong)Blood transfusion has long-term effects and should be avoided if possible.(Quality of evidence: High;Recommendation grade: Strong) [laiyuan] => 贫血在接受结直肠手术的患者中很常见,会增加全因发病率。术前应设法纠正贫血。新型静脉注射铁剂发生不良反应的风险较低,在恢复缺铁性贫血和慢性病贫血患者的血红蛋白浓度方面比口服铁剂更有效。(证据级别:高;推荐强度:强推荐)输血具有长期影响,应尽可能避免。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
贫血在接受结直肠手术的患者中很常见,会增加全因发病率。术前应设法纠正贫血。新型静脉注射铁剂发生不良反应的风险较低,在恢复缺铁性贫血和慢性病贫血患者的血红蛋白浓度方面比口服铁剂更有效。(证据级别:高;推荐强度:强推荐)输血具有长期影响,应尽可能避免。(证据级别:高;推荐强度:强推荐)

Anaemia is common in patients presenting for colorectalsurgery and increases all cause morbidity. Attempts to correct it should be made prior to surgery. Newer preparations of intravenous iron have a low risk of adverse reactions and are more effective than oral iron at restoring haemoglobin concentrations in both iron deficiency anaemia and anaemia of chronic disease. (Quality of evidence: High ;Recommendation grade: Strong)Blood transfusion has long-term effects and should be avoided if possible.(Quality of evidence: High;Recommendation grade: Strong)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:Enhanced Recovery After Surgery Society

阅读
Array ( [id] => 187 [catid] => 26 [title] => Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2021 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/187.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Enhanced Recovery After Surgery Society [pdf] => [tjyjyw] => [lyyw] => Preoperative routine nutritional assessment offers the opportunity to correct malnutrition and should be offered(Quality of evidence: Low ;Recommendation grade: Strong). Preoperatively, patients at risk of malnutrition should receive nutritional treatment preferably using the oral route for a period of at least 7–10 days(Quality of evidence: Moderate ;Recommendation grade: Strong). [laiyuan] => 术前常规营养评估为纠正营养不良提供了机会,应予以提供(证据级别:低;推荐强度:强推荐)。术前,有营养不良风险的患者应接受至少7-10天的营养治疗,最好使用口服途径(证据级别:中;推荐强度:强推荐)。 [znzldj] => B [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
术前常规营养评估为纠正营养不良提供了机会,应予以提供(证据级别:低;推荐强度:强推荐)。术前,有营养不良风险的患者应接受至少7-10天的营养治疗,最好使用口服途径(证据级别:中;推荐强度:强推荐)。

Preoperative routine nutritional assessment offers the opportunity to correct malnutrition and should be offered(Quality of evidence: Low ;Recommendation grade: Strong). Preoperatively, patients at risk of malnutrition should receive nutritional treatment preferably using the oral route for a period of at least 7–10 days(Quality of evidence: Moderate ;Recommendation grade: Strong).

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:Enhanced Recovery After Surgery Society

阅读
Array ( [id] => 188 [catid] => 26 [title] => Guidelines for Perioperative Care in Elective Colorectal 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/188.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:07:28 [updatetime] => 2024-01-11 15:07:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Enhanced Recovery After Surgery Society [pdf] => [tjyjyw] => [lyyw] => Prehabilitation shows promising results in recovery of functional capacity and may reduce complications after colorectal surgery(Quality of evidence: Moderate ). Patients who are less fit may be more likely to benefit. Further research is required before considering this as a mandatory item in an ERAS protocol(Quality of evidence: Low ).(Recommendation grade: Weak) [laiyuan] => 预康复治疗在功能恢复方面有益,并可减少结直肠手术后的并发症(证据级别:中)。对体能较差的患者可能更容易从中受益。在考虑将其作为ERAS方案的必选项目之前,还需要进一步的研究(证据级别:低)。(推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704956848 [_updatetime] => 1704956848 [_nrjc] => [_nrsh] => )
推荐意见
预康复治疗在功能恢复方面有益,并可减少结直肠手术后的并发症(证据级别:中)。对体能较差的患者可能更容易从中受益。在考虑将其作为ERAS方案的必选项目之前,还需要进一步的研究(证据级别:低)。(推荐强度:弱推荐)

Prehabilitation shows promising results in recovery of functional capacity and may reduce complications after colorectal surgery(Quality of evidence: Moderate ). Patients who are less fit may be more likely to benefit. Further research is required before considering this as a mandatory item in an ERAS protocol(Quality of evidence: Low ).(Recommendation grade: Weak)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:Enhanced Recovery After Surgery Society

阅读