穴位刺激在直肠癌低位前切除综合征患者中应用的范围综述 [中文引用][英文引用]

目的 采用范围综述方法系统梳理了穴位刺激疗法在直肠癌低位前切除综合征患者中的应用现状，为临床实践提供循证依据。方法 基于范围综述框架，系统检索中国知网、万方数据、维普网、中华医学期刊全文数据库、SinoMed、PubMed、Web of Science 中相关文献，检索时限为建库至 2025 年 4 月 26 日，由 2 名研究者独立完成文献筛选、数据提取及分析。结果 最终纳入 16 篇文献；穴位刺激包括电针、针灸、耳穴压豆及足部反射区按摩疗法；穴位主要以足三里、天枢及八髎穴为主，干预频率及干预周期等存在差异；评估内容包含患者症状与功能、生活质量、不良反应三方面，穴位刺激在治疗低位前切除综合征患者具有较好疗效。结论 穴位刺激疗法可有效减少低位前切除综合征患者排便频率，改善肛门括约肌收缩功能，提高患者生活质量，但在穴位选取、干预频率及干预周期等参数暂无统一标准，未来需加强高质量、多中心、大样本的对照研究，系统比较不同穴位组合的疗效差异，为低位前切除综合征患者术后康复提供参考。

Objective To systematically review current status of applying acupoint stimulation therapy in patients with low anterior resection syndrome（LARS）of rectal cancer using a scoping review, and to provide an evidence-based reference for clinical practice. Methods Based on the scoping review framework, relevant literature was systematically searched in the China National Knowledge Infrastructure（CNKI）, Wanfang Data, VIP Database, the China Medical Journal Full-text Database, Sinomed, PubMed and Web of Science from the inception to 26th April, 2025. Two researchers independently performed literature screening, data extraction and analysis. Results Sixteen studies were included. Forms of acupoint stimulation included electroacupuncture, acupuncture, auricular point pressing, and foot reflexology massage therapy. The major acupoints used were Zusanli, Tianshu and Baliao, with varied stimulation frequencies and cycles. The assessed outcomes covered patients’symptoms and functions, quality of life, and adverse reactions. The review found that acupoint stimulation had affirmative therapeutic effects in this population. Conclusion Acupoint stimulation therapy can effectively reduce defecation frequency, improve anal sphincter contractile function, and enhance the quality of life in patients with LARS. However, there is currently no uniform standard for acupoint selection, intervention frequency, and intervention duration, or other parameters. Future high-quality, multi-centre, and large-sample comparative studies are required to systematically compare the efficacy of different acupoint combinations and provide a stronger reference for postoperative rehabilitation of this population.