低位前切除综合征患者自我管理策略研究进展  

Research progress on self-management strategies in patients with low anterior resection syndrome

作　　者：易冉冉 温瑞珍 王淼兰 郑筱暄 彭慧[1,2,3] YI Ranran;WEN Ruizhen;WANG Miaolan;ZHENG Xiaoxuan;PENG Hui(Department of Anorectal Surgery,The Sixth Affiliated Hospital Sun Yat-sen University,Guangzhou,Guangdong,510655;Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,Guangzhou,Guangdong,510655;Biomedical Innovation Center The Sixth Affiliated Hospital Sun Yat-sen University,Guangzhou,Guangdong,510655)

机构地区：[1]中山大学附属第六医院肛肠外科,广东广州510655 [2]广东省结直肠盆底疾病研究重点实验室,广东广州510655 [3]广州市黄埔区中六生物医学创新研究院,广东广州510655

出　　处：《中西医结合护理》2025年第3期152-157,共6页Chinese Journal of Integrative Nursing

基　　金：中山大学附属第六医院护理科研课题基金(HL202201)。

摘　　要：保肛手术是目前直肠癌的主流治疗方式,低位前切除综合征(LARS)是保肛术后常见的并发症。LARS病程长,难治愈,严重影响患者的生活质量。本文系统梳理了LARS的病理生理机制、评估方法及治疗策略,重点总结了近年来在自我管理领域的研究进展,从饮食调整、生活方式干预及心理调适等方面进行了详细阐述,旨在为医护人员制定干预措施和改善LARS患者生活质量提供理论依据。Anal preservation surgery is the mainstream treatment for rectal cancer,and low anterior resection syndrome is a common complication after anal preservation surgery.Low anterior resection syndrome has a long course of disease,which has a serious impact on the quality of life of patients,and there is no effective treatment measure.This paper summarized the pathophysiological mechanism,evaluation and treatment of low anterior resection syndrome,expounded the research progress in self-management strategies in recent years,and described them in detail from the aspects of diet adjustment,lifestyle and psychological adjustment,so as to provide theoretical basis for medical staff to implement intervention measures and improve the quality of life of patients with low anterior resection syndrome after rectal cancer surgery.

关 键 词：直肠癌 低位前切除综合征 自我管理 饮食 便秘 盆底肌康复训练 病耻感 

分 类 号：R473.6[医药卫生—护理学]