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Array ( [id] => 3058 [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/3058.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/1581382 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐关注术后急性疼痛的术前危险因素:年轻、身体质量指数(BMI)较高、术前抑郁、术前使用阿片类药物及对术后疼痛的预期较高(证据等级:高,推荐强度:强推荐);女性、术前睡眠障碍、术前焦虑、术前疼痛灾难化、术前疼痛史、糖尿病史、教育水平较低及 ASA 分级 Ⅲ 级及以上(证据等级:中,推荐强度:弱推荐);吸烟史、术前疼痛敏感(证据等级:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
推荐关注术后急性疼痛的术前危险因素:年轻、身体质量指数(BMI)较高、术前抑郁、术前使用阿片类药物及对术后疼痛的预期较高(证据等级:高,推荐强度:强推荐);女性、术前睡眠障碍、术前焦虑、术前疼痛灾难化、术前疼痛史、糖尿病史、教育水平较低及 ASA 分级 Ⅲ 级及以上(证据等级:中,推荐强度:弱推荐);吸烟史、术前疼痛敏感(证据等级:低,推荐强度:弱推荐)

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
Array ( [id] => 3059 [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/3059.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/1581383 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议使用单维度疼痛评估工具对患者术后疼痛程度进行快速评估,如视觉模拟评分法(VAS)、数字等级评分法(NRS)、面部表情疼痛量表(FPS)或言语描述量表(VDS)(证据等级:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
建议使用单维度疼痛评估工具对患者术后疼痛程度进行快速评估,如视觉模拟评分法(VAS)、数字等级评分法(NRS)、面部表情疼痛量表(FPS)或言语描述量表(VDS)(证据等级:低,推荐强度:弱推荐)

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
Array ( [id] => 3060 [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/3060.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/1581384 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议使用多维度疼痛评估工具对患者术后疼痛进行全面评估,如简明疼痛量表(BPI)或麦吉尔疼痛问卷(MPQ)(证据等级:中,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
建议使用多维度疼痛评估工具对患者术后疼痛进行全面评估,如简明疼痛量表(BPI)或麦吉尔疼痛问卷(MPQ)(证据等级:中,推荐强度:弱推荐)

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
Array ( [id] => 3061 [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/3061.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/1581385 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议开展急性疼痛服务(APS)以改善患者术后镇痛效果。术后疼痛管理需要多学科的协作,其中由麻醉医师主导,多学科参与的 APS 模式更有利于术后疼痛管理(证据等级:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
建议开展急性疼痛服务(APS)以改善患者术后镇痛效果。术后疼痛管理需要多学科的协作,其中由麻醉医师主导,多学科参与的 APS 模式更有利于术后疼痛管理(证据等级:低,推荐强度:弱推荐)

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
Array ( [id] => 3062 [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/3062.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/1581386 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议术前阶段采用预防性镇痛(尤其是多模式镇痛、非甾体抗炎药)以减轻术后疼痛,减少阿片类药物消耗量(证据等级:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
建议术前阶段采用预防性镇痛(尤其是多模式镇痛、非甾体抗炎药)以减轻术后疼痛,减少阿片类药物消耗量(证据等级:低,推荐强度:弱推荐)

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
Array ( [id] => 3063 [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/3063.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/1581387 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐围手术期使用多模式镇痛以改善患者术后镇痛效果、减少阿片类药物消耗量(证据等级:低,推荐强度:强推荐)、降低恶心呕吐发生率(证据等级:中,推荐强度:弱推荐)、降低术后镇静程度(证据等级:高,推荐强度:强推荐)、提高术后恢复质量和患者满意度(证据等级:中,推荐强度:弱推荐)、缩短住院时间(证据等级:高,推荐强度:强推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
推荐围手术期使用多模式镇痛以改善患者术后镇痛效果、减少阿片类药物消耗量(证据等级:低,推荐强度:强推荐)、降低恶心呕吐发生率(证据等级:中,推荐强度:弱推荐)、降低术后镇静程度(证据等级:高,推荐强度:强推荐)、提高术后恢复质量和患者满意度(证据等级:中,推荐强度:弱推荐)、缩短住院时间(证据等级:高,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
Array ( [id] => 3064 [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/3064.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/1581388 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议对无用药禁忌的患者,将对乙酰氨基酚(证据等级:中,推荐强度:强推荐)、非甾体抗炎药(证据等级:低,推荐强度:强推荐)作为术后镇痛的基础用药,以改善术后镇痛效果,减少阿片类药物消耗量。 [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
建议对无用药禁忌的患者,将对乙酰氨基酚(证据等级:中,推荐强度:强推荐)、非甾体抗炎药(证据等级:低,推荐强度:强推荐)作为术后镇痛的基础用药,以改善术后镇痛效果,减少阿片类药物消耗量。

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
Array ( [id] => 3065 [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/3065.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/1581389 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议无用药禁忌的患者,复合使用对乙酰氨基酚和非甾体抗炎药,其镇痛效果优于单一用药(证据等级:中,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
建议无用药禁忌的患者,复合使用对乙酰氨基酚和非甾体抗炎药,其镇痛效果优于单一用药(证据等级:中,推荐强度:弱推荐)

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
Array ( [id] => 3066 [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/3066.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/1581390 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐将周围神经阻滞作为多模式镇痛的重要组成,以改善术后镇痛效果,减少阿片类药物消耗量,降低恶心呕吐发生率(证据等级:中,推荐强度:强推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
推荐将周围神经阻滞作为多模式镇痛的重要组成,以改善术后镇痛效果,减少阿片类药物消耗量,降低恶心呕吐发生率(证据等级:中,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
Array ( [id] => 3067 [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/3067.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/1581391 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 在胸、腹部手术中,硬膜外镇痛效果优于静脉镇痛、周围神经阻滞和局部浸润,但应注意预防硬膜外穿刺及置管带来的不良反应(证据等级:中,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138138 [_updatetime] => 1776138138 [_nrjc] => [_nrsh] => )
推荐意见
在胸、腹部手术中,硬膜外镇痛效果优于静脉镇痛、周围神经阻滞和局部浸润,但应注意预防硬膜外穿刺及置管带来的不良反应(证据等级:中,推荐强度:弱推荐)

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