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瑜伽防治乳腺癌术后淋巴水肿的最佳证据总结OA

Best evidence summary on yoga for preventing and treating breast cancer-related lymphedema

中文摘要英文摘要

目的 检索、评价并总结瑜伽防治乳腺癌术后淋巴水肿的最佳证据,为制定瑜伽防治乳腺癌术后淋巴水肿的干预方案提供循证依据.方法 按照"6S"证据模型,系统检索国内外数据库、指南网站及专业网站中关于瑜伽防治乳腺癌术后淋巴水肿的相关证据,检索时限为建库至2025年7月10日.评价纳入文献的质量、提取并整合证据.结果 纳入文献15篇,其中3篇指南、2篇证据总结、2篇专家共识及8篇系统评价.整合出瑜伽运动的有益性、运动前评估、运动人群、瑜伽类型、瑜伽训练方法、运动频率与强度、运动培训与监督、运动原则、注意事项9个方面内容,共32条最佳证据.结论 总结瑜伽防治乳腺癌术后淋巴水肿的最佳证据,医疗保健人员需根据国内临床情景并针对乳腺癌术后患者的特点,开展瑜伽运动干预乳腺癌术后淋巴水肿的临床实践,为降低淋巴水肿的发生率和提高患者生活质量提供循证依据.

Objective To retrieve,evaluate,and summarize the best evidence on yoga for preventing and treating breast cancer-relat-ed lymphedema(BCRL),and to provide an evidence-based foundation for developing intervention protocols for preventing and treating BCRL.Methods Following the"6S"evidence model,we conducted a systematic search of databases and relevant websites for evi-dence on yoga in preventing and treating BCRL from inception to July 10,2025.We then screened the literature,assessed its method-ological quality,and extracted and summarized the relevant evidence.Results Fifteen articles were included:three guidelines,two evidence summaries,two expert consensuses,and eight systematic reviews.We extracted and summarized thirty-two pieces of evidence regarding yoga's role in preventing and treating BCRL into nine key areas:the benefits of yoga,pre-exercise evaluation,target popula-tion,yoga styles,training protocols,frequency and intensity,instructor training and supervision,guiding principles,and precautions.Conclusion This study summarizes the best evidence on yoga for preventing and treating BCRL in patients with breast cancer.Health care providers should implement the evidence according to patients'characteristics and clinical situations to decrease the inci-dence of lymphedema and improve their quality of life.

王艺璇;张海燕;李惠萍;张婷;张伟

安徽医科大学第一附属医院 日间放化疗中心,安徽 合肥 230022安徽医科大学第一附属医院 国际医疗部特需综合病房,安徽 合肥 230022安徽医科大学临床医学院 护理系,安徽 合肥 230012安徽医科大学 护理学院,安徽 合肥 230601安徽医科大学第一附属医院 日间放化疗中心,安徽 合肥 230022

医药卫生

乳腺肿瘤淋巴水肿瑜伽证据总结循证护理

breast cancerlymphedemayogaevidence summeryevidence-based nursing

《护理学报》 2026 (12)

40-45,6

10.16460/j.issn2097-6569.2026.12.040

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