【作者】
薛建军；
徐紫清；
侯怀晶；
王强；
魏莉莉；
张杰；
赵晓红；
陈丽萍；
丁凡帆；
马丽；
赵永强；
王迎斌；
马大青；
王天俊；
刘仁玉；
Tong J Gan；
Nicky Robinson；
Yurasek Frank；
苏帆；
迟永良；
杨佃会；
刘淑娟；
崔苏扬；
魏友松；
陈志强；
秦有；
曹立幸；
陈贵平；
舒宽勇；
肖仲清；
张晖；
余剑波；
胡志前；
程化坤；
马武华；
刘国凯；
王秀丽；
曹兴华；
高巨；
孔高茵；
陶清；
王保华；
王均炉；
李洪；
吕翠霞；
张志明；
李天佐；
杨克虎；
【Author】
XUE Jianjun;XU Ziqing;HOU Huaijing;WANG Qiang;WEI Lili;ZHANG Jie;ZHAO Xiaohong;CHEN Liping;DING Fanfan;MA Li;ZHAO Yongqiang;WANG Yingbin;MA Daqing;WANG Tianjun;LIU Renyu;Tong J Gan;Nicky Robinson;Yurasek Frank;SU Fan;CHI Yongliang;YANG Dianhui;LIU Shujuan;CUI Suyang;WEI Yousong;CHEN Zhiqiang;QIN You;CAO Lixing;CHEN Guiping;SHU Kuanyong;XIAO Zhongqing;ZHANG Hui;YU Jianbo;HU Zhiqian;CHENG Huakun;MA Wuhua;LIU Guokai;WANG Xiuli;CAO Xinghua;GAO Ju;KONG Gaoyin;TAO Qing;WANG Baohua;WANG Junlu;LI Hong;LYU Cuixia;ZHANG Zhiming;LI Tianzuo;YANG Kehu;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University;Gansu Provincial Hospital of Traditional Chinese Medicine;Gansu Province Clinical Research Center of Integrative Anaesthesiology;The First Affiliated Hospital of Xi’an Jiaotong University;School of Economics and Management,Gansu University of Chinese Medicine;Lanzhou University Second Hospital;Division of Anaesthetics,Pain Medicine and Intensive Care,Department of Surgery and Cancer,Faculty of Medicine,Imperial College London,Chelsea and Westminster Hospital;The Children’s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health;London Academy of Chinese Acupuncture;University of Pennsylvania;Department of Anesthesiology,Stony Brook University;London South Bank University;Acupuncture Services Cook County Health,Stroger Hospital;Affiliated Hospital of Shandong University of Traditional Chinese Medicine;Jiangsu Provincial Hospital of Chinese Medicine;Guangdong Provincial Hospital of Chinese Medicine;Zhejiang Provincial Hospital of Chinese Medicine;Jiangxi Maternal and Child Health Hospital;Tianjin Hospital of ITCWM Nankai Hospital;Changzheng Hospital Affiliated to Second Military Medical University;Heilongjiang Provincial Hospital;The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine;Dongzhimen Hospital of Beijing University of Chinese Medicine;The Third Hospital of Hebei Medical University;Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University;Northern Jiangsu People’s Hospital;Hunan Provincial People’s Hospital;The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine;Affiliated Hospital of Changchun University of Traditional Chinese Medicine;The First Affiliated Hospital of Wenzhou Medical University;The Second Affiliated Hospital of Army Medical University;School of Basic Medical Sciences of Shandong University of Traditional Chinese Medicine;Beijing Shijitan Hospital Affiliated to Capital Medical University;WHO Collaborating Center for Guideline Implementation and Knowledge Translation;Gansu Provincial Center for Medical Guideline Industry Technology;Chinese GRADE Centre,Lanzhou University;
【通讯作者】
张志明;李天佐;杨克虎;
【机构】
兰州大学基础医学院循证医学中心；
甘肃省中医院；
甘肃省中西医结合麻醉临床医学研究中心；
西安交通大学第一附属医院；
甘肃中医药大学经贸与管理学院；
兰州大学第二医院；
英国帝国理工学院；
浙江大学医学院附属儿童医院；
英国伦敦中医针灸学院；
美国宾夕法尼亚大学；
美国石溪大学；
英国伦敦南岸大学；
美国芝加哥库克郡医院；
山东中医药大学附属医院；
江苏省中医院；
广东省中医院；
浙江省中医院；
江西省妇幼保健院；
天津市南开医院；
第二军医大学附属长征医院；
黑龙江省医院；
广州中医药大学第一附属医院；
北京中医药大学东直门医院；
河北医科大学第三医院；
新疆医科大学附属中医医院；
江苏省苏北人民医院；
湖南省人民医院；
安徽中医药大学第一附属医院；
长春中医药大学附属医院；
温州医科大学附属第一医院；
陆军军医大学第二附属医院；
山东中医药大学基础学院；
首都医科大学附属北京世纪坛医院；
世界卫生组织指南实施与知识转化合作中心；
甘肃省医学指南行业技术中心；
中国GRADE中心,兰州大学；
【摘要】 术后胃肠功能紊乱是麻醉手术后的常见并发症。中西医结合技术在防治此类疾病上疗效确切，但目前缺少标准化和规范化的相关临床实践指南。为此，中国中西医结合学会围手术期专业委员会和中国中西结合学会麻醉专业委员会，联合甘肃省中西医结合麻醉临床医学研究中心/甘肃省中医院麻醉疼痛医学中心及WHO指南实施与知识转化合作中心/GRADE中国中心/甘肃省医学指南行业技术中心/兰州大学循证医学中心，遵循循证指南制订的原则、方法和步骤，组建多学科专家团队，通过文献调研和专家共识确定临床问题（7个背景问题和12个临床问题）。基于系统评价/Meta分析结果，综合证据质量，权衡干预措施的利弊，考虑患者偏好和价值观，通过德尔菲法专家共识会议形成20条推荐意见。涉及对疾病的定义、病因病机、辨证分型和诊断，以及围手术期防治措施。更多还原
【Abstract】 Postoperative gastrointestinal disorder(POGD) is a common complication after surgery under anesthesia. Strategies in combination with traditional Chinese medicine and Western medicine have shown some distinct effects but standardized clinical practice guidelines are not available. Thus, a multidisciplinary expert team from various professional bodies including the Perioperative and Anesthesia Professional Committees of the Chinese Association of Integrative Medicine(CAIM), jointly with Gansu Province Clinical Research Center of Integrative Anesthesiology/Anesthesia and Pain Medical Center of Gansu Provincial Hospital of Traditional Chinese Medicine and WHO Collaborating Center for Guideline Implementation and Knowledge Translation/Chinese Grading of Recommendations,Assessment, Development, and Evaluation(GRADE) Center/Gansu Provincial Center for Medical Guideline Industry Technology/Evidence-based Medicine Center of Lanzhou University was established to develop evidence-based guidelines.Clinical questions(7 background and 12 clinical questions) were identified through literature reviews and expert consensus meetings. Based on systematic reviews/meta-analyses, evidence quality was analyzed and the advantages and disadvantages of interventional measures were weighed with input from patients’ preferences. Finally, 20 recommendations were developed through the Delphi-based consensus meetings. These recommendations include disease definitions, etiologies, pathogenesis, syndrome differentiation, diagnosis, and perioperative prevention and treatment.更多还原
【基金】 兰州市科技计划项目（编号：2023-2-53）;甘肃省科技基金项目（编号：20JR10RA435）;甘肃省科技计划项目（编号：22YF7FA101）
