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针灸治疗直肠癌术后低位前切除综合征专家共识(2025年版)
中国抗癌协会针灸专业委员会, 王梦琪1,2, 杨鸣3, 朱勇4, 陈海鹏5, 王芳6, 许金7, 曹若彤2, 苏右竹2, 刘恒昌5, 侯文运5, 曹雪2, 秦宇宁2, 孙睿婕8, 何丽云2, 黄金昶3, 刘佳1,2
1.中国抗癌协会针灸专业委员会;2.中国中医科学院中医临床基础医学研究所, 北京 100700;3.北京中医药大学第三附属医院, 北京 100029;4.南京市中医院, 南京 210022;5.中国医学科学院肿瘤医院, 北京 100021;6.中国中医科学院望京医院, 北京 100102;7.首都医科大学附属北京中医医院, 北京 100010;8.陕西中医药大学, 咸阳 712046
摘要:
直肠癌术后低位前切除综合征是直肠癌术后一种常见的并发症,临床表现为排便频率及性状改变、排便不适感、急迫感以及大便失禁等肠功能紊乱症状,严重影响患者生活质量。尽管国内已有相关共识发表,但对针灸在低位前切除综合征不同临床结局中的治疗方式、治疗优势和治疗特色尚未得到可靠且具体的推荐意见。来自中国华北、华中、华东、华南、西南区的33名专家,基于最新循证医学证据及临床经验,采用德尔菲法共同制定了《针灸治疗直肠癌术后低位前切除综合征专家共识(2025版)》。该共识围绕低位前切除综合征的针灸适用人群和阶段、针灸分型治疗方案,最终达成10项共识建议,为直肠癌术后低位前切除综合征的针灸临床实践提供了规范化的指导意见。
关键词:  低位前切综合征  针灸  直肠癌  专家共识
DOI:10.11656/j.issn.1672-1519.2026.01.05
分类号:
基金项目:首都卫生发展科研专项项目(首发2024-2-4301);首都卫生发展科研专项青年优才项目(首发2022-4-7036)。
Expert consensus on acupuncture treatment for low anterior resection syndrome after rectal cancer surgery(2025 edition)
China Anti-Cancer Association Acupuncture Professional Committee, WANG Mengqi1,2, YANG Ming3, ZHU Yong4, CHEN Haipeng5, WANG Fang6, XU Jin7, CAO Ruotong2, SU Youzhu2, LIU Hengchang5, HOU Wenyun5, CAO Xue2, QIN Yuning2, SUN Ruijie8, HE Liyun2, HUANG Jinchang3, LIU Jia1,2
1.China Anti-Cancer Association Acupuncture Professional Committee;2.Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China;3.BeijingUniversity of Chinese Medicine Third Affiliated Hospital, Beijing 100029, China;4.Nanjing Hospital of Chinese Medicine, Nanjing 210022, China;5.Cancer Hospital Chinese Academy of Medical Sciences, Beijing 100021, China;6.Wang Jing Hospital of CACMS, Beijing 100102, China;7.Capital Medical University Affiliated Beijing Traditional Chinese Medicine Hospital, Beijing 100010, China;8.Shaanxi University of Chinese Medicine, Xianyang 712046, China
Abstract:
Low anterior resection syndrome is a common postoperative complication following rectal cancer surgery. It is characterized by bowel dysfunction,including altered stool frequency and consistency,discomfort during defecation,urgency and faecal incontinence. This severely impacts patients’quality of life. Although domestic consensus guidelines have been published,there are still no reliable and specific recommendations regarding acupuncture treatment modalities,therapeutic advantages,and distinctive features for different clinical outcomes of low anterior resection syndrome. Thirty-three experts from north,central,east,south and southwest China collaborated using the Delphi method,based on the latest evidence-based medicine and clinical experience,to develop the Expert Consensus on Acupuncture Treatment for Low Anterior Resection Syndrome after Rectal Cancer Surgery2025 Edition). The consensus finally reached 10 consensus recommendations around the applicable population and stage of acupuncture and moxibustion for low anterior resection syndrome and acupuncture and moxibustion treatment scheme,providing standardized guidance for acupuncture and moxibustion clinical practice of low anterior resection syndrome after rectal cancer surgery.
Key words:  low anterior resection syndrome  acupuncture and moxibustion  colorectal cancer  expert consensus
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