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[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] =>
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[lyyw] =>
[laiyuan] => 在腹部手术患者中,外周神经阻滞与硬膜外阻滞对术后早期疼痛评分的影响可能相似,但镇痛效果与不同外周神经阻滞技术及手术方式相关(证据等级:低,推荐级别:弱推荐)。需要注意的是,硬膜外阻滞的并发症风险较高。
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
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)
推荐意见
在腹部手术患者中,外周神经阻滞与硬膜外阻滞对术后早期疼痛评分的影响可能相似,但镇痛效果与不同外周神经阻滞技术及手术方式相关(证据等级:低,推荐级别:弱推荐)。需要注意的是,硬膜外阻滞的并发症风险较高。
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] => 3098
[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
[thumb] =>
[keywords] =>
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[hits] =>
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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] => 围手术期静脉输注利多卡因可轻微降低术后早期疼痛评分,在常规治疗窗内静脉输注利多卡因是安全的(证据等级:中,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
围手术期静脉输注利多卡因可轻微降低术后早期疼痛评分,在常规治疗窗内静脉输注利多卡因是安全的(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] => 3099
[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
[thumb] =>
[keywords] =>
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[hits] =>
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[xzl] => 0
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[wailian] => https://rs.yiigle.com/cmaid/1550432
[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] => κ受体激动剂可有效缓解腹部手术后疼痛,在缓解内脏性疼痛方面较 μ 受体激动剂更具优势(证据等级:高,推荐级别:强推荐)。选择性 κ 受体激动剂在有效镇痛的同时可减少呼吸抑制、镇静等中枢神经系统不良反应(证据等级:中,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
κ受体激动剂可有效缓解腹部手术后疼痛,在缓解内脏性疼痛方面较 μ 受体激动剂更具优势(证据等级:高,推荐级别:强推荐)。选择性 κ 受体激动剂在有效镇痛的同时可减少呼吸抑制、镇静等中枢神经系统不良反应(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)
[thumb] =>
[keywords] =>
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[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/3100.html
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[inputip] => 106.86.177.165
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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] => NSAIDs 是围手术期多模式镇痛的重要组成部分,可减少阿片类药物使用量及阿片类药物相关不良反应(证据等级:高,推荐级别:强推荐)。但应在高危人群中关注出血、急性肾损伤及吻合口瘘的潜在风险。
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
NSAIDs 是围手术期多模式镇痛的重要组成部分,可减少阿片类药物使用量及阿片类药物相关不良反应(证据等级:高,推荐级别:强推荐)。但应在高危人群中关注出血、急性肾损伤及吻合口瘘的潜在风险。
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)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 甘肃中医院
[status] => 9
[url] => /show/3101.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
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[nrjc] => Array
(
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[nrsh] => Array
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[wailian] => https://rs.yiigle.com/cmaid/1550434
[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] => 围手术期静脉使用右美托咪定减少腹部手术后 24 h 内的阿片类药物用量并改善镇痛效果(证据等级:中,推荐级别:强推荐)。但应警惕心动过缓、低血压和过度镇静等不良事件的发生风险。
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
围手术期静脉使用右美托咪定减少腹部手术后 24 h 内的阿片类药物用量并改善镇痛效果(证据等级:中,推荐级别:强推荐)。但应警惕心动过缓、低血压和过度镇静等不良事件的发生风险。
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] => 3102
[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/3102.html
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[demo_url] =>
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[zjfj] =>
[tjqd] =>
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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] => 围手术期应用艾司氯胺酮可减少腹部手术后 24 h 内的阿片类药物用量、降低术后 24 h 疼痛评分,且不增加中枢神经系统不良反应及恶心呕吐发生风险(证据等级:高,推荐级别:强推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
围手术期应用艾司氯胺酮可减少腹部手术后 24 h 内的阿片类药物用量、降低术后 24 h 疼痛评分,且不增加中枢神经系统不良反应及恶心呕吐发生风险(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] => 3103
[catid] => 35
[title] => 腹部手术围手术期疼痛管理指南 (2025 版)
[thumb] =>
[keywords] =>
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[hits] =>
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[demo_url] =>
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[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] => 肝肾功能不全的患者接受单次区域阻滞时,可以使用正常浓度和剂量的局部麻醉药;若重复给药或行连续区域阻滞,应根据患者情况减少局部麻醉药用量(证据等级:极低,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
肝肾功能不全的患者接受单次区域阻滞时,可以使用正常浓度和剂量的局部麻醉药;若重复给药或行连续区域阻滞,应根据患者情况减少局部麻醉药用量(证据等级:极低,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] => 3104
[catid] => 294
[title] => 静脉麻醉药使用临床实践指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[status] => 9
[url] => /show/3104.html
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[wailian] => https://rs.yiigle.com/cmaid/1627522
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 建议使用镇静评分量表和 / 或脑电监测对患者镇静深度进行评估(良好实践声明)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议使用镇静评分量表和 / 或脑电监测对患者镇静深度进行评估(良好实践声明)
证据评价方法:GRADE
指南质量等级:B
年份:2025
国家:中国医师协会麻醉学医师分会
Array
(
[id] => 3105
[catid] => 294
[title] => 静脉麻醉药使用临床实践指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[status] => 9
[url] => /show/3105.html
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 对于全身麻醉高危(高龄、血流动力学不稳定)、手术时间长、全凭静脉麻醉患者,推荐使用脑电监测(例如 BIS、熵指数等)以优化麻醉深度,减少术中知晓风险,并缩短术后苏醒时间(证据等级:高,推荐级别:强推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于全身麻醉高危(高龄、血流动力学不稳定)、手术时间长、全凭静脉麻醉患者,推荐使用脑电监测(例如 BIS、熵指数等)以优化麻醉深度,减少术中知晓风险,并缩短术后苏醒时间(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:中国医师协会麻醉学医师分会
Array
(
[id] => 3106
[catid] => 294
[title] => 静脉麻醉药使用临床实践指南 (2025 版)
[thumb] =>
[keywords] =>
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[hits] =>
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[inputtime] => 2026-04-14 11:42:19
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 在诊疗性操作镇静与麻醉(例如内镜诊疗)中,不推荐常规使用 BIS 监测(证据等级:中,推荐级别:强推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在诊疗性操作镇静与麻醉(例如内镜诊疗)中,不推荐常规使用 BIS 监测(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:中国医师协会麻醉学医师分会