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Array ( [id] => 3355 [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/3355.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] => 对于短效5-HT3受体拮抗剂,建议在临近手术结束时给药(良好实践声明) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对于短效5-HT3受体拮抗剂,建议在临近手术结束时给药(良好实践声明)

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] => 3356 [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/3356.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] => 推荐无糖皮质激素禁忌证的成人患者使用地塞米松或甲泼尼龙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
推荐无糖皮质激素禁忌证的成人患者使用地塞米松或甲泼尼龙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] => 3357 [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/3357.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] => 推荐无糖皮质激素禁忌证的3岁及以上儿童患者,在手术开始前使用地塞米松以降低术后24h内恶心呕吐发生率(强推荐,高质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
推荐无糖皮质激素禁忌证的3岁及以上儿童患者,在手术开始前使用地塞米松以降低术后24h内恶心呕吐发生率(强推荐,高质量证据)

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] => 3358 [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/3358.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] => 建议成人患者使用NK1受体拮抗剂(福沙匹坦或阿瑞匹坦)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
建议成人患者使用NK1受体拮抗剂(福沙匹坦或阿瑞匹坦)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] => 3359 [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/3359.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] => 推荐术后恶心呕吐中高风险成人患者使用低剂量氨磺必利(5mg) 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
推荐术后恶心呕吐中高风险成人患者使用低剂量氨磺必利(5mg) 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] => 3360 [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/3360.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] => 建议成人患者使用氨磺必利 5或 10mg 以提高术后恶心呕吐缓解率(弱推荐,高质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
建议成人患者使用氨磺必利 5或 10mg 以提高术后恶心呕吐缓解率(弱推荐,高质量证据)

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] => 3361 [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/3361.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,且排除重症肌无力、锥体外系疾病史、QT间期延长、电解质紊乱、低血压倾向及帕金森病史的成人患者,使用低剂量氟哌利多(0.625mg)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,且排除重症肌无力、锥体外系疾病史、QT间期延长、电解质紊乱、低血压倾向及帕金森病史的成人患者,使用低剂量氟哌利多(0.625mg)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] => 3362 [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/3362.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,且排除青光眼、前列腺增生、老年或谵妄病史的患者,使用戊乙奎醚(0.01mg/Kg,最大剂量不超过 0.5mg)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,且排除青光眼、前列腺增生、老年或谵妄病史的患者,使用戊乙奎醚(0.01mg/Kg,最大剂量不超过 0.5mg)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] => 3363 [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/3363.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] => 建议排除闭角型青光眼、癫痫病史和重症肌无力病史的剖宫产患者,使用抗组胺药中的茶苯海明或赛克利嗪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
建议排除闭角型青光眼、癫痫病史和重症肌无力病史的剖宫产患者,使用抗组胺药中的茶苯海明或赛克利嗪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] => 3364 [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/3364.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] => 建议使用穴位刺激以降低术后恶心呕吐发生率(弱推荐,极低质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
建议使用穴位刺激以降低术后恶心呕吐发生率(弱推荐,极低质量证据)

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