Array
(
[id] => 3068
[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/3068.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/1581392
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => 中华医学会麻醉学分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 在下肢手术中,硬膜外镇痛效果优于静脉镇痛,但与周围神经阻滞相比无明显优势,且患者尿潴留发生率较高,住院时间延长(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在下肢手术中,硬膜外镇痛效果优于静脉镇痛,但与周围神经阻滞相比无明显优势,且患者尿潴留发生率较高,住院时间延长(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
Array
(
[id] => 3069
[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/3069.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/1581393
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => 中华医学会麻醉学分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 建议静脉镇痛泵中配置不同作用机制的药物,以提高镇痛效果,降低副作用(证据等级:极低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议静脉镇痛泵中配置不同作用机制的药物,以提高镇痛效果,降低副作用(证据等级:极低,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
Array
(
[id] => 3070
[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/3070.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/1581394
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => 中华医学会麻醉学分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 建议将 μ 受体激动剂用于术后静脉镇痛泵的配置(证据等级:极低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议将 μ 受体激动剂用于术后静脉镇痛泵的配置(证据等级:极低,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
Array
(
[id] => 3071
[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/3071.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/1581395
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => 中华医学会麻醉学分会
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 建议将右美托咪定作为辅助药物用于术后静脉镇痛泵的配置(证据等级:极低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138138
[_updatetime] => 1776138138
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议将右美托咪定作为辅助药物用于术后静脉镇痛泵的配置(证据等级:极低,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
Array
(
[id] => 2963
[catid] => 296
[title] => 中国成人患者围手术期液体治疗临床实践 指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/2963.html
[link_id] => 0
[tableid] => 0
[inputip] => 106.86.177.165
[inputtime] => 2026-04-14 11:42:17
[updatetime] => 2026-04-14 11:42:17
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://guide.medlive.cn/guideline/34040
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 围手术期推荐的常用液体治疗种类包括晶体液和胶体液,晶体液包括生理盐水、乳酸钠林格注射液、复方醋酸钠林格注射液、碳酸氢钠林格注射液等;人工胶体液包括羟乙基淀粉、琥珀酰明胶、聚明胶肽、右旋糖酐等;天然胶体液包括白蛋白和血浆等(证据等级:低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138137
[_updatetime] => 1776138137
[_nrjc] =>
[_nrsh] =>
)
推荐意见
围手术期推荐的常用液体治疗种类包括晶体液和胶体液,晶体液包括生理盐水、乳酸钠林格注射液、复方醋酸钠林格注射液、碳酸氢钠林格注射液等;人工胶体液包括羟乙基淀粉、琥珀酰明胶、聚明胶肽、右旋糖酐等;天然胶体液包括白蛋白和血浆等(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:2025
国家:中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
Array
(
[id] => 2964
[catid] => 296
[title] => 中国成人患者围手术期液体治疗临床实践 指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/2964.html
[link_id] => 0
[tableid] => 0
[inputip] => 106.86.177.165
[inputtime] => 2026-04-14 11:42:17
[updatetime] => 2026-04-14 11:42:17
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://guide.medlive.cn/guideline/34040
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 根据患者围手术期多方面因素选择液体种类,建议对术中出血低血压患者最初开始使用等渗晶体溶液进行液体治疗;高危患者、高风险手术需大量补充晶体液时,可遵循个体化原则输注晶体液(证据等级:低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138137
[_updatetime] => 1776138137
[_nrjc] =>
[_nrsh] =>
)
推荐意见
根据患者围手术期多方面因素选择液体种类,建议对术中出血低血压患者最初开始使用等渗晶体溶液进行液体治疗;高危患者、高风险手术需大量补充晶体液时,可遵循个体化原则输注晶体液(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:2025
国家:中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
Array
(
[id] => 2965
[catid] => 296
[title] => 中国成人患者围手术期液体治疗临床实践 指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/2965.html
[link_id] => 0
[tableid] => 0
[inputip] => 106.86.177.165
[inputtime] => 2026-04-14 11:42:17
[updatetime] => 2026-04-14 11:42:17
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://guide.medlive.cn/guideline/34040
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 根据患者围手术期液体缺失类型、手术种类、术中失血情况等选择合适的液体种类(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138137
[_updatetime] => 1776138137
[_nrjc] =>
[_nrsh] =>
)
推荐意见
根据患者围手术期液体缺失类型、手术种类、术中失血情况等选择合适的液体种类(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:2025
国家:中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
Array
(
[id] => 2966
[catid] => 296
[title] => 中国成人患者围手术期液体治疗临床实践 指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/2966.html
[link_id] => 0
[tableid] => 0
[inputip] => 106.86.177.165
[inputtime] => 2026-04-14 11:42:17
[updatetime] => 2026-04-14 11:42:17
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://guide.medlive.cn/guideline/34040
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 以平衡液为载体的人工胶体溶液,如琥珀酰明胶电解质醋酸钠注射液、羟乙基淀粉 130/0.4 电解质注射液等,补充血管内容量同时在维持酸碱平衡和预防高氯血症方面具有一定优势(证据等级:低,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138137
[_updatetime] => 1776138137
[_nrjc] =>
[_nrsh] =>
)
推荐意见
以平衡液为载体的人工胶体溶液,如琥珀酰明胶电解质醋酸钠注射液、羟乙基淀粉 130/0.4 电解质注射液等,补充血管内容量同时在维持酸碱平衡和预防高氯血症方面具有一定优势(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:2025
国家:中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
Array
(
[id] => 2967
[catid] => 292
[title] => 中国成人患者围手术期液体治疗临床实践 指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/2967.html
[link_id] => 0
[tableid] => 0
[inputip] => 106.86.177.165
[inputtime] => 2026-04-14 11:42:17
[updatetime] => 2026-04-14 11:42:17
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://guide.medlive.cn/guideline/34040
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 除合并胃肠功能减退 (如胃排空障碍、消化道梗阻、胃食管反流或胃肠道手术史等)、糖尿病、近期特殊用药史 [如阿片类药物、减肥药物如胰高血糖素样肽‑1 (GLP‑1) 受体激动剂等]、吞咽困难、困难气道、急诊手术等患者外,尽量缩短术前禁食禁饮时间。建议术前 8 h 禁食油炸、脂肪及肉类食物,术前 6 h 禁食乳制品及淀粉类固体食物,术前 2h 可摄入碳水化合物饮品 (≤400 ml) 以维持患者容量状态(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138137
[_updatetime] => 1776138137
[_nrjc] =>
[_nrsh] =>
)
推荐意见
除合并胃肠功能减退 (如胃排空障碍、消化道梗阻、胃食管反流或胃肠道手术史等)、糖尿病、近期特殊用药史 [如阿片类药物、减肥药物如胰高血糖素样肽‑1 (GLP‑1) 受体激动剂等]、吞咽困难、困难气道、急诊手术等患者外,尽量缩短术前禁食禁饮时间。建议术前 8 h 禁食油炸、脂肪及肉类食物,术前 6 h 禁食乳制品及淀粉类固体食物,术前 2h 可摄入碳水化合物饮品 (≤400 ml) 以维持患者容量状态(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:2025
国家:中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
Array
(
[id] => 2968
[catid] => 292
[title] => 中国成人患者围手术期液体治疗临床实践 指南(2025版)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => /show/2968.html
[link_id] => 0
[tableid] => 0
[inputip] => 106.86.177.165
[inputtime] => 2026-04-14 11:42:17
[updatetime] => 2026-04-14 11:42:17
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://guide.medlive.cn/guideline/34040
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2025
[guojia] => 中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学
[pdf] =>
[tjyjyw] =>
[lyyw] =>
[laiyuan] => 多因素评估成人患者术中的生理需要量,包括代谢率、体表面积和特殊情况下的生理需求 (疾病状态、手术性质和患者特异性等因素) 变化(证据等级:中,推荐强度:弱推荐)
[znzldj] => B
[_inputtime] => 1776138137
[_updatetime] => 1776138137
[_nrjc] =>
[_nrsh] =>
)
推荐意见
多因素评估成人患者术中的生理需要量,包括代谢率、体表面积和特殊情况下的生理需求 (疾病状态、手术性质和患者特异性等因素) 变化(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:2025
国家:中华医学会麻醉学分会老年人麻醉与围术期管理学组、国家老年麻醉联盟(NAGA) 、国家老年疾病临床医学