低位前切综合征的针灸分期防治策略OA

Low anterior resection syndrome(LARS)is a common complication of sphincter-preserving rectal cancer surgery,and its manifestations change dynamically at different stages.By analyzing and summarizing the clini-cal symptoms and pathomechanism evolution of LARS across different stages,this paper proposes a staged prevention and treatment strategy using acupuncture.During perioperative stage,the main principle is activating the transport function of the body,supplemented by regulating the mind,with the use of dredging the bowels as needed.During the stoma reversal stage,treatment focuses primarily on fortifying the spleen,with draining dampness as a supplementary method,to help consolidate the intestines.During the radiotherapy or chemotherapy stage,the main focus is reinfor-cing healthy qi,with reducing toxin as an adjunct,to achieve the effect of activating the transport of the pivot.During the survival management stage,treatment primarily focuses on tonifying the kidneys and secondarily on fortifying the spleen,with regulating the corporeal soul as the therapeutic emphasis.Acupoints are selected and combined in accor-dance with the treatment principles at each stage,and different stimulation methods such as electroacupuncture and moxibustion are applied.An analysis of the mechanisms underlying acupuncture for LARS is also provided,offering a theoretical basis and practical approach for the prevention and treatment of LARS with acupuncture.