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Array ( [id] => 3345 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3345.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 在需要使用对乙酰氨基酚或非甾体抗炎药的患者中,建议使用布洛芬,作为减少阿片类药物用量的措施,以降低术后恶心呕吐发生率(弱推荐,中等质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
在需要使用对乙酰氨基酚或非甾体抗炎药的患者中,建议使用布洛芬,作为减少阿片类药物用量的措施,以降低术后恶心呕吐发生率(弱推荐,中等质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3346 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3346.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 在需要使用对乙酰氨基酚或非甾体抗炎药的患者中,建议使用布洛芬,作为减少阿片类药物用量的措施,以降低术后恶心呕吐发生率(弱推荐,中等质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
在需要使用对乙酰氨基酚或非甾体抗炎药的患者中,建议使用布洛芬,作为减少阿片类药物用量的措施,以降低术后恶心呕吐发生率(弱推荐,中等质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3347 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3347.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对阿片类药物过量导致呼吸抑制/过度镇静需使用阿片受体拮抗剂逆转的成人患者,建议选择纳洛酮,通过拮抗 μ 受体,降低术后恶心呕吐 发生率(弱推荐,低质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对阿片类药物过量导致呼吸抑制/过度镇静需使用阿片受体拮抗剂逆转的成人患者,建议选择纳洛酮,通过拮抗 μ 受体,降低术后恶心呕吐 发生率(弱推荐,低质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3348 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3348.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议有术后恶心呕吐风险的全身麻醉患者优先使用丙泊酚为基础的全凭静脉麻醉,以降低术后恶心呕吐 发生率(弱推荐,中等质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
建议有术后恶心呕吐风险的全身麻醉患者优先使用丙泊酚为基础的全凭静脉麻醉,以降低术后恶心呕吐 发生率(弱推荐,中等质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3349 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3349.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议对术后恶心呕吐高风险患者谨慎采用吸入麻醉,以降低 术后恶心呕吐发生率(弱推荐,低质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
建议对术后恶心呕吐高风险患者谨慎采用吸入麻醉,以降低 术后恶心呕吐发生率(弱推荐,低质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3350 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3350.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对于全身麻醉患者,建议围手术期维持适当的液体平衡,以减少循环容量不足引起的术后恶心呕吐 (弱推荐,中等质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对于全身麻醉患者,建议围手术期维持适当的液体平衡,以减少循环容量不足引起的术后恶心呕吐 (弱推荐,中等质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3351 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3351.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对于预计手术时间>3h的患者,与晶体液相比,建议使用适量胶体液,有效地维持血容量稳定,以减少循环容量不足引起的术后恶心呕吐(弱推荐,低质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对于预计手术时间>3h的患者,与晶体液相比,建议使用适量胶体液,有效地维持血容量稳定,以减少循环容量不足引起的术后恶心呕吐(弱推荐,低质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3352 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3352.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐使用5-HT3受体拮抗剂以降低术后恶心呕吐发生率(强推荐,中等质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
推荐使用5-HT3受体拮抗剂以降低术后恶心呕吐发生率(强推荐,中等质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3353 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3353.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐使用5-HT3受体拮抗剂以提高术后恶心呕吐缓解率(强推荐,中等质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
推荐使用5-HT3受体拮抗剂以提高术后恶心呕吐缓解率(强推荐,中等质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3354 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3354.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对于长效5-HT3受体拮抗剂,建议在麻醉诱导前给药,可降低术后6~24h恶心呕吐发生率 (弱推荐,低质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对于长效5-HT3受体拮抗剂,建议在麻醉诱导前给药,可降低术后6~24h恶心呕吐发生率 (弱推荐,低质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读