主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (5): 712-717.doi: 10.3969/j.issn.1672-1756.2026.05.015

• 康复护理专题 • 上一篇    下一篇

直肠癌术后低位前切除综合征患者康复措施证据总结

张玉慧 李爱萍 刘宇杰 云广琴   

  1. 内蒙古医科大学护理学院,010059 呼和浩特市(张玉慧,刘宇杰);内蒙古医科大学附属医院护理部(李爱萍);胃肠外科(云广琴)
  • 出版日期:2026-05-15 发布日期:2026-05-15
  • 通讯作者: 李爱萍,硕士,主任护师,E-mail:2031237654@qq.com
  • 作者简介:张玉慧,硕士在读,护师

Evidence summary on rehabilitation measures for patients with Low Anterior Resection Syndrome after rectal cancer surgery

ZHANG Yuhui, LI Aiping, LIU Yujie, YUN Guangqin   

  1. School of Nursing, Inner Mongolia Medical University, Hohhot, 010059, China
  • Online:2026-05-15 Published:2026-05-15
  • Contact: E-mail:2031237654@qq.com

摘要: 目的:总结并评价直肠癌术后低位前切除综合征患者康复措施的相关证据,为临床康复实践提供循证依据。方法:遵循“5S”金字塔证据模型,检索关于直肠癌术后低位前切除综合征患者康复措施的证据,包括临床决策、指南、系统评价、专家共识等,检索时限为建库至2025年12月31日。对文献进行质量评价,对符合质量标准的文献提取证据并进行分类汇总,形成证据总结结论。结果:共纳入11篇文献,包括临床决策2篇,指南1篇,专家共识3篇,证据总结2篇,系统评价3篇。最终从准备工作、功能训练、肠道灌洗、中医疗法、药物支持和教育管理6个方面总结出18条证据。结论:总结的直肠癌术后低位前切除综合征患者康复措施的证据具有科学性及全面性,可为医护人员开展相关康复干预提供循证参考。

关键词: 直肠癌;低位前切除综合征;康复措施;证据总结;循证护理

Abstract: Objective: To retrieve, summarize and evaluate the relevant evidence on rehabilitation measures for patients with Low Anterior Resection Syndrome (LARS) after rectal cancer surgery, and provide evidence-based support for clinical rehabilitation practice. Methods: Following the "5S" pyramid evidence model, evidence on rehabilitation measures for patients with LARS after rectal cancer surgery was retrieved, including clinical decisions, guidelines, systematic reviews, expert consensus, etc. The search period was from the establishment of the database to December 31, 2025. The quality of the literature was evaluated, and evidence was extracted from the literature that met the quality standards. Results: A total of 11 articles were included, including 2 clinical decisions, 1 guideline, 3 expert consensus, 2 evidence summaries, and 3 systematic reviews. Ultimately, 18 pieces of evidence were summarized from six aspects: preparatory work, functional training, intestinal irrigation, traditional Chinese medicine therapy, medication support, and educational management. Conclusion: The evidence on rehabilitation measures for patients with LARS after rectal cancer surgery is scientific and comprehensive, and can provide evidence-based reference for healthcare professionals to carry out relevant rehabilitation interventions.

Key words: rectal cancer; Low Anterior Resection Syndrome; rehabilitation measures; evidence summary; evidence-based nursing

中图分类号:  R47;R197