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Array ( [id] => 3107 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3107.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/1627524 [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 [_nrjc] => [_nrsh] => )
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

阅读
Array ( [id] => 3108 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3108.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/1627525 [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] => 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

阅读
Array ( [id] => 3109 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3109.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/1627526 [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

阅读
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] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3110.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/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

阅读
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] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3111.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/1627528 [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

阅读
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] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3112.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/1627529 [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

阅读
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] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3113.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/1627530 [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

阅读
Array ( [id] => 3114 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3114.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/1627531 [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] => 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

阅读
Array ( [id] => 3115 [catid] => 294 [title] => 静脉麻醉药使用临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3115.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/1627532 [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

阅读
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 [author] => 甘肃中医院 [status] => 9 [url] => /show/3116.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/1627533 [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

阅读