中国成人围手术期液体治疗临床实践指南(2024)

标题: 中国成人围手术期液体治疗临床实践指南(2024)
title: Chinese Clinical Practice Guidelines for Perioperative Fluid Therapy in Adults
版本: 更新版
version: Updated
分类: 标准指南
classification: Standard guideline
领域: 治疗
field: Treatment
国家和地区: 中国
Country and region: China
指南使用者: 该指南的使用人群为围手术期接受液体治疗的成人患者。
Guide users: This guideline is intended for adult patients receiving perioperative fluid therapy.
证据分级方法: 该指南将使用证据体评估和推荐意见分级策略(GRADE (Grading of Recommendations Assessment, Development and Evaluation))对证据体和推荐意见进行分级。分别用 A、B、C 和 D 代表高、中、低和极低质量证据。 高质量 (High):进一步的研究很可能不会改变对效果的信心。 中等质量 (Moderate):进一步的研究可能会对效果的估计产生重要影响,并可能改变估计。 低质量 (Low):进一步的研究很可能会对效果的估计产生重要影响,并可能改变估计。 非常低质量 (Very Low):对效果的估计非常不确定。
Evidence grading method: The guideline will use the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) strategy for assessing the quality of evidence and the strength of recommendations. Evidence quality will be categorized as A, B, C, and D, representing high, moderate, low, and very low quality, respectively. High Quality (A): Further research is very unlikely to change our confidence in the estimate of effect. Moderate Quality (B): Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low Quality (C): Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very Low Quality (D): The estimate of effect is very uncertain.
制定单位: 首都医科大学宣武医院和中南大学湘雅三医院
Formulating unit: Xuanwu Hospital, Capital Medical University; The Third Xiangya Hospital, Central South University
注册时间: 2024-07-03
Registration time:
注册编号: PREPARE-2024CN941
Registration number:
指南制订的目的: 围手术期液体治疗是外科手术过程中最为关键的环节之一,可直接影响患者预后。围手术期合理的液体管理可以有效维持体液和电解质平衡,改善循环功能,减少术后并发症,从而促进患者康复。然而,现有的液体治疗方法和技术在不同地区和医疗机构之间存在差异,导致临床实践中的不一致性。为了提供基于最新证据的高效液体治疗方案,提高临床治疗水平,规范医疗机构的液体治疗流程,我们制定了这部指南。
Purpose of the guideline: Perioperative fluid therapy is one of the most critical aspects of surgical procedures, directly impacting patient outcomes. Proper fluid management during the perioperative period can effectively maintain fluid and electrolyte balance, improve circulatory function, reduce postoperative complications, and promote patient recovery. However, current fluid therapy methods and techniques vary across different regions and healthcare institutions, leading to inconsistencies in clinical practice. To provide an efficient fluid therapy plan based on the latest evidence, enhance clinical treatment standards, and standardize fluid therapy procedures in healthcare institutions, we have developed this guideline.