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[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 对于术后谵妄(POD)高风险(例如老年、衰弱或脆弱脑功能)患者,建议使用脑电监测以避免深麻醉状态(BIS 值 < 40)和爆发抑制,降低 POD 发生率(证据等级:中,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
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)
推荐意见
对于术后谵妄(POD)高风险(例如老年、衰弱或脆弱脑功能)患者,建议使用脑电监测以避免深麻醉状态(BIS 值 < 40)和爆发抑制,降低 POD 发生率(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:中国医师协会麻醉学医师分会
Array
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[id] => 3108
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[title] => 静脉麻醉药使用临床实践指南 (2025 版)
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[demo_url] =>
[zjpjff] => GRADE
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[tjqd] =>
[nianfen] => 2025
[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 目前脑电监测不适用于 < 1 岁儿童;对≥1 岁儿童实施静脉麻醉时可使用 BIS 监测镇静深度,但若在低龄儿童中使用需联合临床体征和镇静评分(证据等级:低,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
目前脑电监测不适用于 < 1 岁儿童;对≥1 岁儿童实施静脉麻醉时可使用 BIS 监测镇静深度,但若在低龄儿童中使用需联合临床体征和镇静评分(证据等级: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:中国医师协会麻醉学医师分会
Array
(
[id] => 3109
[catid] => 294
[title] => 静脉麻醉药使用临床实践指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
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[tjqd] =>
[nianfen] => 2025
[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 对于需要术中神经电生理监测的患者,与七氟烷相比,建议选择全凭静脉麻醉(证据等级:中,推荐级别:强推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于需要术中神经电生理监测的患者,与七氟烷相比,建议选择全凭静脉麻醉(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
Array
(
[id] => 3110
[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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[wailian] => https://rs.yiigle.com/cmaid/1627527
[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] => 静脉麻醉药建议优先考虑瑞马唑仑、丙泊酚(证据等级:中,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
静脉麻醉药建议优先考虑瑞马唑仑、丙泊酚(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:中国医师协会麻醉学医师分会
Array
(
[id] => 3111
[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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[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] => 术中可使用右美托咪定作为麻醉辅助用药,对躯体感觉诱发电位和运动诱发电位振幅、潜伏期均无明显影响(证据等级:低,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术中可使用右美托咪定作为麻醉辅助用药,对躯体感觉诱发电位和运动诱发电位振幅、潜伏期均无明显影响(证据等级: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:中国医师协会麻醉学医师分会
Array
(
[id] => 3112
[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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[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] => 与吸入麻醉药(七氟烷 / 异氟烷)相比,在神经外科手术中,建议优先选择丙泊酚以降低颅内压(证据等级:高,推荐级别:强推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
与吸入麻醉药(七氟烷 / 异氟烷)相比,在神经外科手术中,建议优先选择丙泊酚以降低颅内压(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] => 3113
[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
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[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 在头低位腹腔镜手术中,使用右美托咪定可抑制视神经鞘直径(ONSD)增大(证据等级:低,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在头低位腹腔镜手术中,使用右美托咪定可抑制视神经鞘直径(ONSD)增大(证据等级: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:中国医师协会麻醉学医师分会
Array
(
[id] => 3114
[catid] => 294
[title] => 静脉麻醉药使用临床实践指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
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[nianfen] => 2025
[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 当术中出现局部脑氧饱和度(rSO₂)下降时,不建议首先调整或停用某种静脉麻醉药,应优先排查并纠正低血压、低氧血症、贫血、低心输出量等其他因素(良好实践声明)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当术中出现局部脑氧饱和度(rSO₂)下降时,不建议首先调整或停用某种静脉麻醉药,应优先排查并纠正低血压、低氧血症、贫血、低心输出量等其他因素(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] => 3115
[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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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
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[nianfen] => 2025
[guojia] => 中国医师协会麻醉学医师分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 术中使用右美托咪定可提升 rSO₂(证据等级:低,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术中使用右美托咪定可提升 rSO₂(证据等级: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:中国医师协会麻醉学医师分会
Array
(
[id] => 3116
[catid] => 294
[title] => 静脉麻醉药使用临床实践指南 (2025 版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
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[status] => 9
[url] => /show/3116.html
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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] => 对于全身麻醉患者,不建议使用特定麻醉维持方式降低术中知晓的风险,但应重视维持合适的麻醉深度(证据等级:低,推荐级别:弱推荐)
[znzldj] => B
[_inputtime] => 1776138139
[_updatetime] => 1776138139
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于全身麻醉患者,不建议使用特定麻醉维持方式降低术中知晓的风险,但应重视维持合适的麻醉深度(证据等级: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:中国医师协会麻醉学医师分会