Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023)

被引：5

作者：

Xue, Jianjun ^{[1
,2
,3
]}

Xu, Ziqing ^{[2
,3
]}

Wang, Qiang ^{[4
]}

Hou, Huaijing ^{[2
,3
]}

Wei, Lili ^{[1
,5
]}

Zhang, Jie ^{[2
,3
]}

Zhao, Xiaohong ^{[2
,3
]}

Chen, Liping ^{[2
,3
]}

Ding, Fanfan ^{[2
,3
]}

Ma, Li ^{[2
,3
]}

Zhao, Yongqiang ^{[2
]}

Wang, Yingbin ^{[6
]}

Ma, Daqing ^{[7
,8
]}

Wang, Tianjun ^{[9
]}

Liu, Renyu ^{[10
]}

Gan, Tong J. ^{[11
]}

Robinson, Nicky ^{[12
]}

Frank, Yurasek ^{[13
]}

Su, Fan ^{[14
]}

Chi, Yongliang ^{[14
]}

Yang, Dianhui ^{[14
]}

Liu, Shujuan ^{[14
]}

Cui, Suyang ^{[15
]}

Wei, Yousong ^{[15
]}

Chen, Zhiqiang ^{[16
]}

Qin, You ^{[16
]}

Cao, Lixing ^{[16
]}

Chen, Guiping ^{[17
]}

Shu, Kuanyong ^{[18
]}

Xiao, Zhongqing ^{[18
]}

Zhang, Hui ^{[19
]}

Yu, Jianbo ^{[19
]}

Hu, Zhiqian ^{[20
]}

Cheng, Huakun ^{[21
]}

Ma, Wuhua ^{[22
]}

Liu, Guokai ^{[23
]}

Wang, Xiuli ^{[24
]}

Cao, Xinghua ^{[25
]}

Gao, Ju ^{[26
]}

Kong, Gaoyin ^{[27
]}

Tao, Qing ^{[28
]}

Wang, Baohua ^{[29
]}

Wang, Junlu ^{[30
]}

Li, Hong ^{[31
]}

Lyu, Cuixia ^{[32
]}

Zhang, Zhiming ^{[2
,37
]}

Li, Tianzuo ^{[33
,38
]}

Yang, Kehu ^{[1
,34
,35
,36
]}

机构：

[1] Lanzhou Univ, Ctr Evidence Based Med, Sch Basic Med Sci, Lanzhou, Peoples R China

[2] Gansu Prov Hosp Tradit Chinese Med, Gansu Prov Clin Res Ctr Integrat Anaesthesiol, Lanzhou, Peoples R China

[3] Gansu Prov Hosp Tradit Chinese Med, Anesthesia & Pain Med Ctr, Lanzhou, Peoples R China

[4] Dept Anesthesiol, Xian, Peoples R China

[5] Gansu Univ Chinese Med, Sch Econ & Management, Lanzhou, Peoples R China

[6] Dept Anesthesiol, Lanzhou, Peoples R China

[7] Imperial Coll London, Chelsea & Westminster Hosp, Fac Med, Div Anaesthet Pain Med & Intens Care,Dept Surg & C, London, England

[8] Zhejiang Univ, Natl Clin Res Ctr Child Hlth, Sch Med, Childrens Hosp, Hangzhou, Peoples R China

[9] Brain Ctr, Acupuncture Clin, London, England

[10] Univ Penn, Dept Anesthesiol & Crit Care Med, Perelman Sch Med, Philadelphia, PA USA

[11] SUNY Stony Brook, Dept Anesthesiol, Stony Brook, NY USA

[12] Inst Hlth & Social Care, London, England

[13] Stroger Hosp, Acupuncture Serv Cook Cty Hlth, Pain Clin, Chicago, IL USA

[14] Shandong Univ Tradit Chinese Med, Affiliated Hosp, Jinan, Peoples R China

[15] Jiangsu Prov Hosp Chinese Med, Nanjing, Peoples R China

[16] Guangdong Prov Hosp Chinese Med, Guangzhou, Peoples R China

[17] Zhejiang Prov Hosp Tradit Chinese Med, Dept Gastrointestinal Surg, Hangzhou, Peoples R China

[18] Jiangxi Maternal & Child Hlth Hosp, Nanchang, Peoples R China

[19] ITCWM Nankai Hosp, Tianjin Hosp, Tianjin, Peoples R China

[20] Second Mil Med Univ, Dept Anorectal Surg, Changzheng Hosp, Shanghai, Peoples R China

[21] Heilongjiang Prov Hosp, Dept Neurosurg, Harbin, Peoples R China

[22] Guangzhou Univ Tradit Chinese Med, Dept Anesthesiol, Affiliated Hosp 1, Guangzhou, Peoples R China

[23] Beijing Univ Chinese Med, Dept Anesthesiol, Dongzhimen Hosp, Beijing, Peoples R China

[24] Hebei Med Univ, Dept Anesthesiol, Hosp 3, Shijiazhuang, Peoples R China

[25] Xinjiang Med Univ, Dept Anesthesiol, Affiliated Hosp Tradit Chinese Med, Urumqi, Peoples R China

[26] Northern Jiangsu Peoples Hosp, Dept Anesthesiol, Yangzhou, Peoples R China

[27] Hunan Prov Peoples Hosp, Dept Anesthesiol, Changsha, Peoples R China

[28] Anhui Univ Tradit Chinese Med, Affiliated Hosp 1, Hefei, Peoples R China

[29] Changchun Univ Tradit Chinese Med, Dept Anesthesiol, Affiliated Hosp, Changchun, Peoples R China

[30] Wenzhou Med Univ, Dept Anesthesiol, Affiliated Hosp 1, Wenzhou, Peoples R China

[31] Army Med Univ, Dept Anesthesiol, Affiliated Hosp 2, Chongqing, Peoples R China

[32] Shandong Univ Tradit Chinese Med, Coll Tradit Chinese Med, Jinan, Peoples R China

[33] Capital Med Univ, Dept Anesthesiol, Beijing Shijitan Hosp, Beijing, Peoples R China

[34] Lanzhou Univ, Ctr Hlth Technol Assessment, Ctr Evidence Based Social Sci, Sch Publ Hlth, Lanzhou, Peoples R China

[35] Key Lab Evidence Based Med & Knowledge Translat Ga, Lanzhou, Peoples R China

[36] Lanzhou Univ, Chinese GRADE Ctr, Lanzhou, Peoples R China

[37] Gansu Prov Hosp Tradit Chinese Med, Lanzhou, Peoples R China

[38] Capital Med Univ, Beijing Shijitan Hosp, Beijing, Peoples R China

来源：

JOURNAL OF EVIDENCE BASED MEDICINE | 2024年 / 17卷 / 01期

关键词：

guideline; Integrated Traditional Chinese and Western Medicine; postoperative gastrointestinal disorder; ELECTRICAL ACUPOINT STIMULATION; SURGERY; ACUPUNCTURE; ILEUS; CARE;

D O I：

10.1111/jebm.12587

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Postoperative gastrointestinal disorder (POGD) was a common complication after surgery under anesthesia. Strategies in combination with Traditional Chinese Medicine and Western medicine showed some distinct effects but standardized clinical practice guidelines were 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 included disease definitions, etiologies, pathogenesis, syndrome differentiation, diagnosis, and perioperative prevention and treatment.

引用

页码：207 / 223

页数：17

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