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Array ( [id] => 3147 [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/3147.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/1627564 [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] => 建议老年患者使用瑞马唑仑,可在不增加 POD 发生风险的同时,降低心动过缓、低血压发生率(证据等级:中,推荐级别:弱推荐) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
建议老年患者使用瑞马唑仑,可在不增加 POD 发生风险的同时,降低心动过缓、低血压发生率(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] => 3148 [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/3148.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/1627565 [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] => 推荐老年患者使用右美托咪定,以预防 POD,改善术后恢复质量(证据等级:中,推荐级别:强推荐) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
推荐老年患者使用右美托咪定,以预防 POD,改善术后恢复质量(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] => 3149 [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/3149.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/1627566 [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] => 对于全身麻醉剖宫产术,推荐静脉应用丙泊酚麻醉诱导,同时可考虑复合应用瑞芬太尼,并做好新生儿复苏准备(证据等级:中,推荐级别:强推荐) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
对于全身麻醉剖宫产术,推荐静脉应用丙泊酚麻醉诱导,同时可考虑复合应用瑞芬太尼,并做好新生儿复苏准备(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] => 3150 [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/3150.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/1627567 [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] => 氯胺酮作为辅助药物可降低剖宫产术后疼痛评分并减少阿片类药物用量(证据等级:中,推荐级别:弱推荐) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
氯胺酮作为辅助药物可降低剖宫产术后疼痛评分并减少阿片类药物用量(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] => 3151 [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/3151.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/1627568 [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] => 艾司氯胺酮作为辅助用药可降低术后抑郁和疼痛评分(证据等级:中,推荐级别:弱推荐) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
艾司氯胺酮作为辅助用药可降低术后抑郁和疼痛评分(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] => 3152 [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/3152.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/1627569 [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] => 右美托咪定作为辅助药物可有效减轻剖宫产术中的心血管反应,且不影响新生儿 Apgar 评分(证据等级:中,推荐级别:弱推荐) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
右美托咪定作为辅助药物可有效减轻剖宫产术中的心血管反应,且不影响新生儿 Apgar 评分(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] => 3153 [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/3153.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/1627570 [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] => 临床决策需在充分知情同意基础上平衡母体和胎儿风险,并尽量将手术推迟至妊娠中期后进行(良好实践声明) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
临床决策需在充分知情同意基础上平衡母体和胎儿风险,并尽量将手术推迟至妊娠中期后进行(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] => 3154 [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/3154.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/1627571 [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] => 麻醉方式应优先选择区域麻醉以减少胎儿药物暴露(良好实践声明) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
麻醉方式应优先选择区域麻醉以减少胎儿药物暴露(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] => 3155 [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/3155.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/1627572 [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] => 基于药物特性,可选用临床常用静脉麻醉药进行麻醉诱导和维持,但必须个体化评估风险收益,并严密监测母体和胎儿情况;在孕早期,应避免使用咪达唑仑(良好实践声明) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
基于药物特性,可选用临床常用静脉麻醉药进行麻醉诱导和维持,但必须个体化评估风险收益,并严密监测母体和胎儿情况;在孕早期,应避免使用咪达唑仑(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] => 3072 [catid] => 299 [title] => 成人术后疼痛管理临床实践指南 (2024 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3072.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:18 [updatetime] => 2026-04-14 11:42:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1581396 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐术后使用区域阻滞和 / 或对乙酰氨基酚、非甾体抗炎药、NMDA 受体拮抗剂、α₂肾上腺素受体激动剂、地塞米松、利多卡因等非阿片类药物,以减少阿片类药物用量及其不良反应,提高患者满意度(证据等级:低,推荐强度:强推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
推荐术后使用区域阻滞和 / 或对乙酰氨基酚、非甾体抗炎药、NMDA 受体拮抗剂、α₂肾上腺素受体激动剂、地塞米松、利多卡因等非阿片类药物,以减少阿片类药物用量及其不良反应,提高患者满意度(证据等级:低,推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:B

年份:2024

国家:中华医学会麻醉学分会

阅读