Article(id=1322168669212357221, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322168481081049284, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2026.09.001, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1752854400000, receivedDateStr=2025-07-19, revisedDate=1774022400000, revisedDateStr=2026-03-21, acceptedDate=null, acceptedDateStr=null, onlineDate=1793159175446, onlineDateStr=2026-10-28, pubDate=1778342400000, pubDateStr=2026-05-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793159175446, onlineIssueDateStr=2026-10-28, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793159175445, creator=13701087609, updateTime=1793159175445, updator=13701087609, issue=Issue{id=1322168481081049284, tenantId=1146029695717560320, journalId=1220038315760373764, year='2026', volume='40', issue='9', pageStart='1425', pageEnd='1616', issueExtLink='null', onlineDate='null', pubDate='1778342400000', pubDateStr='2026-05-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793159130592, creator='13701087609', updateTime=1793159130592, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=1425, endPage=1430, ext={EN=ArticleExt(id=1322168669409489510, articleId=1322168669212357221, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Interpretation of the group standard for "Prevention and nursing of lower limb lymphedema after gynecologic malignant tumor treatment", columnId=1322164987112575032, journalTitle=Chinese Nursing Research, columnName=Guideline and Consensus, runingTitle=null, highlight=null, articleAbstract=

In May 2025, the Hunan Nursing Association issued the group standard for "Prevention and nursing of lower limb lymphedema after gynecologic malignant tumor treatment"(T/HNNAS 10—2025),which standardizes the basic requirements,management pathways,risk screening, preventive measures,assessment,nursing care,and follow-up for the prevention and nursing of lower limb lymphedema after gynecologic malignant tumor treatment.This article interprets the key content of the standard to help medical staff engaged in the prevention and nursing of lymphedema in various medical institutions at all levels better understand and apply the standard.It could provide a reference for further standardizing the prevention and nursing practices of lower limb lymphedema.

, authors=Gaoming LIU1, Jin HU1, Yuanli ZENG1, Yuanyuan LIU1, Sha YE1, Chanyuan DAI2, Songli CUI3, authorsList=Gaoming LIU, Jin HU, Yuanli ZENG, Yuanyuan LIU, Sha YE, Chanyuan DAI, Songli CUI, authorCompany=null, correspAuthors=Jin HU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322168669770199655, articleId=1322168669212357221, tenantId=1146029695717560320, journalId=1220038315760373764, language=CN, title=《妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理》团体标准解读, columnId=1322164987414564922, journalTitle=护理研究, columnName=指南与共识, runingTitle=null, highlight=null, articleAbstract=

2025年5月湖南省护理学会发布《妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理》团体标准(T/HNNAS 10—2025),对妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理的基本要求、管理路径、风险筛查、预防措施、评估、护理和随访进行规范。现针对该标准中的重要内容进行解读,以期帮助各级各类医疗机构从事淋巴水肿预防与护理相关工作的医务人员更好地理解并运用该标准,为进一步规范下肢淋巴水肿的预防与护理实践提供参考。

, authors=刘高明1, 胡进1, *, *, 曾元丽1, 刘媛媛1, 叶沙1, 戴婵媛2, 崔松丽3, authorsList=刘高明, 胡进, 曾元丽, 刘媛媛, 叶沙, 戴婵媛, 崔松丽, authorCompany=null, correspAuthors=胡进, authorNote=

刘高明,主任护师,博士研究生

, correspAuthorsNote=
胡进,E-mail:
HU Jin, E-mail:
, copyrightStatement=除非特别声明,本刊刊出的所有文章不代表本刊编委会的观点。, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=g40Zg4fDosNNxnJ45CjR7g==, magXml=SLmcM/FX1klOxMMi8xJ6+A==, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=S2OdlvJBhlC1iNvqV11Lew==, mapNumber=null, fund=null)}, authors=[Author(id=1322530959262597765, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530959342289543, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959262597765, language=EN, stringName=Gaoming LIU, firstName=Gaoming, middleName=null, lastName=LIU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530959409398408, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959262597765, language=CN, stringName=刘高明, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1湖南省肿瘤医院,湖南 410000, bio={"content":"

刘高明,主任护师,博士研究生

"}, bioImg=null, bioContent=

刘高明,主任护师,博士研究生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530959476507274, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=hujin@hnca.org.cn, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={EN=AuthorExt(id=1322530959543616140, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959476507274, language=EN, stringName=Jin HU, firstName=Jin, middleName=null, lastName=HU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530959606530701, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959476507274, language=CN, stringName=胡进, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, *, *, address=1湖南省肿瘤医院,湖南 410000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530959682028175, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530959761719953, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959682028175, language=EN, stringName=Yuanli ZENG, firstName=Yuanli, middleName=null, lastName=ZENG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530959828828818, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959682028175, language=CN, stringName=曾元丽, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1湖南省肿瘤医院,湖南 410000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530959908520596, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=3, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530959984018070, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959908520596, language=EN, stringName=Yuanyuan LIU, firstName=Yuanyuan, middleName=null, lastName=LIU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530960059515543, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959908520596, language=CN, stringName=刘媛媛, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1湖南省肿瘤医院,湖南 410000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530960139207321, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=4, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530960231482011, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960139207321, language=EN, stringName=Sha YE, firstName=Sha, middleName=null, lastName=YE, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530960290202268, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960139207321, language=CN, stringName=叶沙, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1湖南省肿瘤医院,湖南 410000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530960374088350, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=5, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530960537666208, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960374088350, language=EN, stringName=Chanyuan DAI, firstName=Chanyuan, middleName=null, lastName=DAI, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2The Third Xiangya Hospital of Central South University, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530960604775073, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960374088350, language=CN, stringName=戴婵媛, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2中南大学湘雅三医院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959107408510, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=2, ext=[AuthorCompanyExt(id=1322530959115797119, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959107408510, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2The Third Xiangya Hospital of Central South University), AuthorCompanyExt(id=1322530959124185728, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959107408510, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2中南大学湘雅三医院)])]), Author(id=1322530960663495331, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=6, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530960751575717, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960663495331, language=EN, stringName=Songli CUI, firstName=Songli, middleName=null, lastName=CUI, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=3, address=3Zhuzhou Central Hospital, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530960831267494, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960663495331, language=CN, stringName=崔松丽, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=3, address=3株洲市中心医院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959191294593, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=3, ext=[AuthorCompanyExt(id=1322530959199683202, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959191294593, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3Zhuzhou Central Hospital), AuthorCompanyExt(id=1322530959208071811, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959191294593, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3株洲市中心医院)])])], keywords=[Keyword(id=1322530960965485223, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=EN, orderNo=1, keyword=gynecology), Keyword(id=1322530961024205480, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=EN, orderNo=2, keyword=malignant tumor), Keyword(id=1322530961091314345, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=EN, orderNo=3, keyword=lower limb lymphedema), Keyword(id=1322530961154228906, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=EN, orderNo=4, keyword=comprehensive decongestive therapy), Keyword(id=1322530961238114987, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=EN, orderNo=5, keyword=prevention), Keyword(id=1322530961296835244, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=EN, orderNo=6, keyword=nursing), Keyword(id=1322530961359749805, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=EN, orderNo=7, keyword=group standard), Keyword(id=1322530961422664366, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=CN, orderNo=1, keyword=妇科), Keyword(id=1322530961489773231, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=CN, orderNo=2, keyword=恶性肿瘤), Keyword(id=1322530963192660656, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=CN, orderNo=3, keyword=下肢淋巴水肿), Keyword(id=1322530963276546737, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=CN, orderNo=4, keyword=综合消肿治疗), Keyword(id=1322530963339461298, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=CN, orderNo=5, keyword=预防), Keyword(id=1322530963410764467, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=CN, orderNo=6, keyword=护理), Keyword(id=1322530963507233460, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, language=CN, orderNo=7, keyword=团体标准)], refs=[Reference(id=1322530963733725877, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2021, volume=49, issue=2, pageStart=149, pageEnd=155, url=null, language=null, rfNumber=1, rfOrder=0, authorNames=孔为民, 张赫, journalName=中国临床医生杂志, refType=null, unstructuredReference=孔为民,张赫.妇科肿瘤治疗后下肢淋巴水肿专家共识[J].中国临床医生杂志,2021,49(2):149-155., articleTitle=妇科肿瘤治疗后下肢淋巴水肿专家共识, refAbstract=null), Reference(id=1322530963800834742, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2025, volume=40, issue=6, pageStart=1, pageEnd=10, url=null, language=null, rfNumber=2, rfOrder=1, authorNames=胡进, 刘华云, 刘高明, journalName=护理学杂志, refType=null, unstructuredReference=胡进,刘华云,刘高明,等.妇科肿瘤综合治疗后下肢淋巴水肿患者居家管理指南[J].护理学杂志,2025,40(6):1-10., articleTitle=妇科肿瘤综合治疗后下肢淋巴水肿患者居家管理指南, refAbstract=null), Reference(id=1322530963880526519, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2021, volume=null, issue=null, pageStart=1, pageEnd=null, url=null, language=null, rfNumber=3, rfOrder=2, authorNames=刘宁飞, journalName=淋巴水肿:诊断与治疗, refType=null, unstructuredReference=刘宁飞.淋巴水肿:诊断与治疗[M].2版.北京:科学出版社,2021:1., articleTitle=null, refAbstract=null), Reference(id=1322530963943441080, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2023, volume=29, issue=15, pageStart=1997, pageEnd=2003, url=null, language=null, rfNumber=4, rfOrder=3, authorNames=胡进, 刘高明, 叶沙, journalName=中华现代护理杂志, refType=null, unstructuredReference=胡进,刘高明,叶沙,等.肿瘤医院护士淋巴水肿防治知信行的现状调查及影响因素分析[J].中华现代护理杂志,2023,29(15):1997-2003., articleTitle=肿瘤医院护士淋巴水肿防治知信行的现状调查及影响因素分析, refAbstract=null), Reference(id=1322530964018938553, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2020, volume=100, issue=7, pageStart=1163, pageEnd=1179, url=null, language=null, rfNumber=5, rfOrder=4, authorNames=DAVIES C, LEVENHAGEN K, RYANS K, journalName=Physical Therapy, refType=null, unstructuredReference=DAVIES C,LEVENHAGEN K,RYANS K,et al.Interventions for breast cancer-related lymphedema:clinical practice guideline from the academy of oncologic physical therapy of APTA[J].Physical Therapy,2020,100(7):1163-1179., articleTitle=Interventions for breast cancer-related lymphedema:clinical practice guideline from the academy of oncologic physical therapy of APTA, refAbstract=null), Reference(id=1322530965944124090, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2022, volume=37, issue=4, pageStart=252, pageEnd=266, url=null, language=null, rfNumber=6, rfOrder=5, authorNames=LURIE F, MALGOR R D, CARMAN T, journalName=Phlebology, refType=null, unstructuredReference=LURIE F,MALGOR R D,CARMAN T,et al.The American Venous Forum,American Vein and Lymphatic Society and the Society for Vascular Medicine expert opinion consensus on lymphedema diagnosis and treatment[J].Phlebology,2022,37(4):252-266., articleTitle=The American Venous Forum,American Vein and Lymphatic Society and the Society for Vascular Medicine expert opinion consensus on lymphedema diagnosis and treatment, refAbstract=null), Reference(id=1322530967630234299, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2023, volume=56, issue=4, pageStart=1231, pageEnd=null, url=null, language=null, rfNumber=7, rfOrder=6, authorNames=International Society of Lymphology(ISL) Executive Committee, journalName=Lymphology, refType=null, unstructuredReference=International Society of Lymphology(ISL) Executive Committee.The diagnosis and treatment of peripheral lymphedema:2023 consensus document of the International Society of Lymphology[J].Lymphology,2023,56(4):1231., articleTitle=The diagnosis and treatment of peripheral lymphedema:2023 consensus document of the International Society of Lymphology, refAbstract=null), Reference(id=1322530967743480508, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2020, volume=36, issue=4, pageStart=355, pageEnd=360, url=null, language=null, rfNumber=8, rfOrder=7, authorNames=中华整形外科学分会淋巴水肿学组, journalName=中华整形外科杂志, refType=null, unstructuredReference=中华整形外科学分会淋巴水肿学组.外周淋巴水肿诊疗的中国专家共识[J].中华整形外科杂志,2020,36(4):355-360., articleTitle=外周淋巴水肿诊疗的中国专家共识, refAbstract=null), Reference(id=1322530968062247613, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2024, volume=41, issue=11, pageStart=284, pageEnd=null, url=null, language=null, rfNumber=9, rfOrder=8, authorNames=STOUT N L, IBRAHIM M, ARMER J, journalName=Medical Oncology, refType=null, unstructuredReference=STOUT N L,IBRAHIM M,ARMER J,et al.Consensus statement on non-cancer-related risk factors for development of secondary lymphedema[J].Medical Oncology,2024,41(11):284., articleTitle=Consensus statement on non-cancer-related risk factors for development of secondary lymphedema, refAbstract=null), Reference(id=1322530968460706494, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2021, volume=17, issue=6, pageStart=457, pageEnd=461, url=null, language=null, rfNumber=10, rfOrder=9, authorNames=中华医学会整形外科学分会淋巴水肿治疗学组, journalName=组织工程与重建外科, refType=null, unstructuredReference=中华医学会整形外科学分会淋巴水肿治疗学组.乳腺癌术后上肢淋巴水肿诊治指南与规范(2021年版)[J].组织工程与重建外科,2021,17(6):457-461., articleTitle=乳腺癌术后上肢淋巴水肿诊治指南与规范(2021年版), refAbstract=null), Reference(id=1322530968548786879, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2025, volume=60, issue=5, pageStart=558, pageEnd=560, url=null, language=null, rfNumber=11, rfOrder=10, authorNames=王影新, 刘飞, 武佩佩, journalName=中华护理杂志, refType=null, unstructuredReference=王影新,刘飞,武佩佩,等.乳腺癌术后患者淋巴水肿防治的居家运动专家共识[J].中华护理杂志,2025,60(5):558-560., articleTitle=乳腺癌术后患者淋巴水肿防治的居家运动专家共识, refAbstract=null), Reference(id=1322530968641061568, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2023, volume=58, issue=21, pageStart=2589, pageEnd=2597, url=null, language=null, rfNumber=12, rfOrder=11, authorNames=邢乃芳, 王国蓉, 杨婧, journalName=中华护理杂志, refType=null, unstructuredReference=邢乃芳,王国蓉,杨婧,等.乳腺癌相关淋巴水肿手法康复治疗的最佳证据总结[J].中华护理杂志,2023,58(21):2589-2597., articleTitle=乳腺癌相关淋巴水肿手法康复治疗的最佳证据总结, refAbstract=null), Reference(id=1322530968867553985, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2023, volume=null, issue=null, pageStart=1, pageEnd=null, url=null, language=null, rfNumber=13, rfOrder=12, authorNames=刘高明, 朱丽辉, 李旭英, journalName=淋巴水肿康复居家护理之道, refType=null, unstructuredReference=刘高明,朱丽辉,李旭英.淋巴水肿康复居家护理之道[M].北京:学苑出版社,2023:1., articleTitle=null, refAbstract=null), Reference(id=1322530968955634370, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2024, volume=24, issue=12, pageStart=1, pageEnd=4, url=null, language=null, rfNumber=14, rfOrder=13, authorNames=王霞, 蔡慧媛, 饶琳, journalName=上海护理, refType=null, unstructuredReference=王霞,蔡慧媛,饶琳,等.上海市护理学会《妇科恶性肿瘤治疗后下肢淋巴水肿患者的综合消肿疗法》团体标准解读[J].上海护理,2024,24(12):1-4., articleTitle=上海市护理学会《妇科恶性肿瘤治疗后下肢淋巴水肿患者的综合消肿疗法》团体标准解读, refAbstract=null), Reference(id=1322530969031131843, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2020, volume=25, issue=5, pageStart=963, pageEnd=971, url=null, language=null, rfNumber=15, rfOrder=14, authorNames=KUNITAKE T, KAKUMA T, USHIJIMA K, journalName=International Journal of Clinical Oncology, refType=null, unstructuredReference=KUNITAKE T,KAKUMA T,USHIJIMA K.Risk factors for lower limb lymphedema in gynecologic cancer patients after initial treatment[J].International Journal of Clinical Oncology,2020,25(5):963-971., articleTitle=Risk factors for lower limb lymphedema in gynecologic cancer patients after initial treatment, refAbstract=null), Reference(id=1322530969286984388, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2007, volume=30, issue=4, pageStart=E11, pageEnd=E18, url=null, language=null, rfNumber=16, rfOrder=15, authorNames=LOCKWOOD-RAYERMANN S, journalName=Cancer Nursing, refType=null, unstructuredReference=LOCKWOOD-RAYERMANN S.Lymphedema in gynecologic cancer survivors:an area for exploration[J].Cancer Nursing,2007,30(4):E11-E18., articleTitle=Lymphedema in gynecologic cancer survivors:an area for exploration, refAbstract=null), Reference(id=1322530969358287558, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2024, volume=31, issue=24, pageStart=7, pageEnd=12, url=null, language=null, rfNumber=17, rfOrder=16, authorNames=赵国瑞, 刘高明, 张凤, journalName=护理学报, refType=null, unstructuredReference=赵国瑞,刘高明,张凤,等.宫颈癌患者术后下肢淋巴水肿风险预测模型的构建及验证[J].护理学报,2024,31(24):7-12., articleTitle=宫颈癌患者术后下肢淋巴水肿风险预测模型的构建及验证, refAbstract=null), Reference(id=1322530969425396423, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2024, volume=72, issue=null, pageStart=102650, pageEnd=null, url=null, language=null, rfNumber=18, rfOrder=17, authorNames=HU J, LIU G M, LIU Y Y, journalName=European Journal of Oncology Nursing, refType=null, unstructuredReference=HU J,LIU G M,LIU Y Y,et al.Predicting lower limb lymphedema after cervical cancer surgery using artificial neural network and decision tree models[J].European Journal of Oncology Nursing,2024,72:102650., articleTitle=Predicting lower limb lymphedema after cervical cancer surgery using artificial neural network and decision tree models, refAbstract=null), Reference(id=1322530969479922376, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2023, volume=21, issue=2, pageStart=169, pageEnd=178, url=null, language=null, rfNumber=19, rfOrder=18, authorNames=LIU G M, HU J, LIU Y Y, journalName=Lymphatic Research and Biology, refType=null, unstructuredReference=LIU G M,HU J,LIU Y Y,et al.Factors influencing lower limb lymphedema after cervical cancer surgery:a case–control study[J].Lymphatic Research and Biology,2023,21(2):169-178., articleTitle=Factors influencing lower limb lymphedema after cervical cancer surgery:a case–control study, refAbstract=null), Reference(id=1322530969538642633, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2024, volume=41, issue=7, pageStart=47, pageEnd=51, url=null, language=null, rfNumber=20, rfOrder=19, authorNames=周颖, 刘高明, 张凤, journalName=军事护理, refType=null, unstructuredReference=周颖,刘高明,张凤,等.宫颈癌术后患者下肢淋巴水肿危险因素分析及预测模型构建[J].军事护理,2024,41(7):47-51., articleTitle=宫颈癌术后患者下肢淋巴水肿危险因素分析及预测模型构建, refAbstract=null), Reference(id=1322530969777717962, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2021, volume=36, issue=9, pageStart=102, pageEnd=105, url=null, language=null, rfNumber=21, rfOrder=20, authorNames=王玲, 尚少梅, 王海燕, journalName=护理学杂志, refType=null, unstructuredReference=王玲,尚少梅,王海燕,等.继发性淋巴水肿患者皮肤护理的最佳证据总结[J].护理学杂志,2021,36(9):102-105., articleTitle=继发性淋巴水肿患者皮肤护理的最佳证据总结, refAbstract=null), Reference(id=1322530969849021131, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2021, volume=44, issue=1, pageStart=111, pageEnd=115, url=null, language=null, rfNumber=22, rfOrder=21, authorNames=WU X L, LIU Y L, ZHU D D, journalName=Asian Journal of Surgery, refType=null, unstructuredReference=WU X L,LIU Y L,ZHU D D,et al.Early prevention of complex decongestive therapy and rehabilitation exercise for prevention of lower extremity lymphedema after operation of gynecologic cancer[J].Asian Journal of Surgery,2021,44(1):111-115., articleTitle=Early prevention of complex decongestive therapy and rehabilitation exercise for prevention of lower extremity lymphedema after operation of gynecologic cancer, refAbstract=null), Reference(id=1322530969911935692, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2022, volume=9, issue=1, pageStart=32, pageEnd=38, url=null, language=null, rfNumber=23, rfOrder=22, authorNames=ZHANG J J, JU X Z, FENG Z, journalName=Asia-Pacific Journal of Oncology Nursing, refType=null, unstructuredReference=ZHANG J J,JU X Z,FENG Z,et al.Progressive resistance exercise training to prevent lower-limb lymphedema after cervical cancer surgery:a feasibility study[J].Asia-Pacific Journal of Oncology Nursing,2022,9(1):32-38., articleTitle=Progressive resistance exercise training to prevent lower-limb lymphedema after cervical cancer surgery:a feasibility study, refAbstract=null), Reference(id=1322530970192954061, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2017, volume=5, issue=5, pageStart=756, pageEnd=765, url=null, language=null, rfNumber=24, rfOrder=23, authorNames=DAMSTRA R J, HALK A B, DAMSTRA R J, journalName=Journal of Vascular Surgery, refType=null, unstructuredReference=DAMSTRA R J,HALK A B,DAMSTRA R J,et al.The Dutch lymphedema guidelines based on the international classification of functioning,disability,and health and the chronic care model[J].Journal of Vascular Surgery,2017,5(5):756-765., articleTitle=The Dutch lymphedema guidelines based on the international classification of functioning,disability,and health and the chronic care model, refAbstract=null), Reference(id=1322530970310394574, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2024, volume=24, issue=4, pageStart=599, pageEnd=603, url=null, language=null, rfNumber=25, rfOrder=24, authorNames=赵国瑞, 刘高明, 张凤, journalName=中国护理管理, refType=null, unstructuredReference=赵国瑞,刘高明,张凤,等.妇科恶性肿瘤术后下肢淋巴水肿患者居家护理的研究进展[J].中国护理管理,2024,24(4):599-603., articleTitle=妇科恶性肿瘤术后下肢淋巴水肿患者居家护理的研究进展, refAbstract=null), Reference(id=1322530970549469903, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2023, volume=38, issue=9, pageStart=91, pageEnd=94, url=null, language=null, rfNumber=26, rfOrder=25, authorNames=王焕焕, 吕永利, 王培红, journalName=护理学杂志, refType=null, unstructuredReference=王焕焕,吕永利,王培红,等.宫颈癌根治术后患者下肢淋巴水肿自我护理的最佳证据总结[J].护理学杂志,2023,38(9):91-94., articleTitle=宫颈癌根治术后患者下肢淋巴水肿自我护理的最佳证据总结, refAbstract=null), Reference(id=1322530972076196560, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2019, volume=49, issue=2, pageStart=610, pageEnd=616, url=null, language=null, rfNumber=27, rfOrder=26, authorNames=KOSTANOĞLU A, journalName=Turkish Journal of Medical Sciences, refType=null, unstructuredReference=KOSTANOĞLU A.Results of home-based modified combined decongestive therapy in patients with lower extremity lymphedema[J].Turkish Journal of Medical Sciences,2019,49(2):610-616., articleTitle=Results of home-based modified combined decongestive therapy in patients with lower extremity lymphedema, refAbstract=null), Reference(id=1322530972176859857, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2021, volume=28, issue=1, pageStart=455, pageEnd=470, url=null, language=null, rfNumber=28, rfOrder=27, authorNames=SHALLWANI S M, TOWERS A, NEWMAN A, journalName=Current Oncology, refType=null, unstructuredReference=SHALLWANI S M,TOWERS A,NEWMAN A,et al.Feasibility of a pilot randomized controlled trial examining a multidimensional intervention in women with gynecological cancer at risk of lymphedema[J].Current Oncology,2021,28(1):455-470., articleTitle=Feasibility of a pilot randomized controlled trial examining a multidimensional intervention in women with gynecological cancer at risk of lymphedema, refAbstract=null), Reference(id=1322530972243968722, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2024, volume=11, issue=1, pageStart=100333, pageEnd=null, url=null, language=null, rfNumber=29, rfOrder=28, authorNames=ZHANG J J, ZHOU C M, MA Q, journalName=Asia-Pacific Journal of Oncology Nursing, refType=null, unstructuredReference=ZHANG J J,ZHOU C M,MA Q,et al.Preventing lower limb lymphedema after pelvic lymphadenectomy with progressive resistance exercise training:a randomized controlled trial[J].Asia-Pacific Journal of Oncology Nursing,2024,11(1):100333., articleTitle=Preventing lower limb lymphedema after pelvic lymphadenectomy with progressive resistance exercise training:a randomized controlled trial, refAbstract=null), Reference(id=1322530972319466195, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2017, volume=52, issue=3, pageStart=311, pageEnd=315, url=null, language=null, rfNumber=30, rfOrder=29, authorNames=王霞, 蔡慧媛, 丁焱, journalName=中华护理杂志, refType=null, unstructuredReference=王霞,蔡慧媛,丁焱.妇科恶性肿瘤患者术后下肢淋巴水肿评估方法的研究进展[J].中华护理杂志,2017,52(3):311-315., articleTitle=妇科恶性肿瘤患者术后下肢淋巴水肿评估方法的研究进展, refAbstract=null), Reference(id=1322530972390769364, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2010, volume=117, issue=2, pageStart=317, pageEnd=323, url=null, language=null, rfNumber=31, rfOrder=30, authorNames=CARTER J, RAVIV L, APPOLLO K, journalName=Gynecologic Oncology, refType=null, unstructuredReference=CARTER J,RAVIV L,APPOLLO K,et al.A pilot study using the Gynecologic Cancer Lymphedema Questionnaire(GCLQ) as a clinical care tool to identify lower extremity lymphedema in gynecologic cancer survivors[J].Gynecologic Oncology,2010,117(2):317-323., articleTitle=A pilot study using the Gynecologic Cancer Lymphedema Questionnaire(GCLQ) as a clinical care tool to identify lower extremity lymphedema in gynecologic cancer survivors, refAbstract=null), Reference(id=1322530972457878229, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2013, volume=93, issue=5, pageStart=694, pageEnd=703, url=null, language=null, rfNumber=32, rfOrder=31, authorNames=YOST K J, CHEVILLE A L, WEAVER A L, journalName=Physical Therapy, refType=null, unstructuredReference=YOST K J,CHEVILLE A L,WEAVER A L,et al.Development and validation of a self-report lower-extremity lymphedema screening questionnaire in women[J].Physical Therapy,2013,93(5):694-703., articleTitle=Development and validation of a self-report lower-extremity lymphedema screening questionnaire in women, refAbstract=null), Reference(id=1322530972524987094, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2013, volume=32, issue=6, pageStart=541, pageEnd=574, url=null, language=null, rfNumber=33, rfOrder=32, authorNames=LEE B B, ANDRADE M, ANTIGNANI P L, journalName=Int Angiol, refType=null, unstructuredReference=LEE B B,ANDRADE M,ANTIGNANI P L,et al.Diagnosis and treatment of primary lymphedema.Consensus document of the International Union of Phlebology(IUP)-2013[J].Int Angiol,2013,32(6):541-574., articleTitle=Diagnosis and treatment of primary lymphedema.Consensus document of the International Union of Phlebology(IUP)-2013, refAbstract=null), Reference(id=1322530972587901655, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2022, volume=54, issue=3, pageStart=1121, pageEnd=null, url=null, language=null, rfNumber=34, rfOrder=33, authorNames=LIU F, LIU N, WANG L, journalName=Lymphology, refType=null, unstructuredReference=LIU F,LIU N,WANG L,et al.Treatment of secondary lower limb lymphedema after gynecologic cancer with complex decongestive therapy[J].Lymphology,2022,54(3):1121., articleTitle=Treatment of secondary lower limb lymphedema after gynecologic cancer with complex decongestive therapy, refAbstract=null), Reference(id=1322530972659204825, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2021, volume=null, issue=null, pageStart=1, pageEnd=null, url=null, language=null, rfNumber=35, rfOrder=34, authorNames=李旭英, 谌永毅, 刘高明, journalName=淋巴水肿康复护理技术, refType=null, unstructuredReference=李旭英,谌永毅,刘高明.淋巴水肿康复护理技术[M].北京:学苑出版社,2021:1., articleTitle=null, refAbstract=null), Reference(id=1322530972726313690, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, doi=null, pmid=null, pmcid=null, year=2021, volume=38, issue=7, pageStart=903, pageEnd=908, url=null, language=null, rfNumber=36, rfOrder=35, authorNames=李龙, journalName=中国医学物理学杂志, refType=null, unstructuredReference=李龙.医用梯度压力袜的作用机制与临床选择策略[J].中国医学物理学杂志,2021,38(7):903-908., articleTitle=医用梯度压力袜的作用机制与临床选择策略, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)]), AuthorCompany(id=1322530959107408510, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=2, ext=[AuthorCompanyExt(id=1322530959115797119, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959107408510, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2The Third Xiangya Hospital of Central South University), AuthorCompanyExt(id=1322530959124185728, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959107408510, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2中南大学湘雅三医院)]), AuthorCompany(id=1322530959191294593, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=3, ext=[AuthorCompanyExt(id=1322530959199683202, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959191294593, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3Zhuzhou Central Hospital), AuthorCompanyExt(id=1322530959208071811, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959191294593, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3株洲市中心医院)])], figs=null, attaches=null, journal=Journal(id=1220037649855897604, delFlag=0, nameCn=护理研究, nameEn=Chinese Nursing Research, nameHistory1=null, nameHistory2=null, issn=1009-6493, eissn=null, cn=14-1272/R, coden=null, periodic=3, language=CN, oaType=null, ccby=null, superviseOffice=null, ownerOffice=null, pubOffice=null, editorOffice=null, officeType=null, aims=null, clcCode=null, officeProv=null, officeCity=null, officeAddr=null, officeZip=null, officeEmail=null, officePhone=null, editDirector=null, officeDirector=null, officeDirectorPhone=null, officeStaffNum=null, officeEmpNum=null, coverPicUrl=5ND/w5RQYz//x8ucn+e6Vw==, journalPrice=null, startedYear=null, abbrevIsoEn=Chinese Nursing Research, journalRemark=null, publicationField=null, createdTime=1768809242933, updatedTime=1789628561524, createdBy=18614031015, updatedBy=13041195026, firstLetterCn=H, firstLetterEn=H, subjectCode=Medical and Pharmaceutical Sciences, subjectName=null, subjectCodeEn=Medical and Pharmaceutical Sciences, subjectNameEn=null, picCn=5ND/w5RQYz//x8ucn+e6Vw==, picEn=vXneBBf6WfTz/ls4yy3nnA==, jcr=null, cjcr=null, exts=[JournalExt(id=1307360202571928186, language=CN, name=护理研究, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1789628561871, updatedTime=1789628561871, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=1de4c13f-4807-4ea4-8d8a-5, submissionEditorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=321a724c-d51d-4f08-a85e-2, submissionReviewUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=dadec7f2-d93c-4f73-8f97-e, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""}), JournalExt(id=1307360202618065531, language=EN, name=Chinese Nursing Research, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1789628561882, updatedTime=1789628561882, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=1de4c13f-4807-4ea4-8d8a-5, submissionEditorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=321a724c-d51d-4f08-a85e-2, submissionReviewUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=dadec7f2-d93c-4f73-8f97-e, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""})], databaseList=null, tenantJournalId=1220038315760373764, websiteList=[Website(id=1220043903038837076, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1220038315760373764, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/hlyj/CN, language=CN, createTime=1768810733804, createBy=18614031015, updateTime=1768811130580, updateBy=18614031015, name=护理研究-中文, tplId=1146099689490845704, title=护理研究, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1228001613021904925, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=articleTextType, value=kx, createTime=1770707999711, updateTime=1770707999711, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613005127706, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=banner, value=null, createTime=1770707999707, updateTime=1770707999707, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613038682144, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=grayFlag, value=0, createTime=1770707999715, updateTime=1770707999715, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613000933401, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=logo, value=https://castjournals.cast.org.cn/joweb/hlyj/CN/file/pic?fileId=pB29yYO+7WdTp0HLQ4KSzg==, createTime=1770707999706, updateTime=1770707999706, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613047070754, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=minRunFlag, value=0, createTime=1770707999717, updateTime=1770707999717, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613017710620, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/hlyj/CN/file/pic, createTime=1770707999710, updateTime=1770707999710, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613042876449, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=silenceFlag, value=0, createTime=1770707999716, updateTime=1770707999716, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613013516315, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_cn_619/, createTime=1770707999709, updateTime=1770707999709, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613026099230, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=themeColor, value=null, createTime=1770707999712, updateTime=1770707999712, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613034487839, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=themeStyle, value=null, createTime=1770707999714, updateTime=1770707999714, creator=18614031015, updator=18614031015)]), Website(id=1220043903097557352, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1220038315760373764, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/hlyj/EN, language=EN, createTime=1768810733819, createBy=18614031015, updateTime=1768811154181, updateBy=18614031015, name=护理研究-英文, tplId=1146101810881728533, title=Chinese Nursing Research, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1220045841042166147, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=articleTextType, value=kx, createTime=1768811195860, updateTime=1768811195860, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841017000320, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=banner, value=null, createTime=1768811195854, updateTime=1768811195854, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841063137670, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=grayFlag, value=0, createTime=1768811195865, updateTime=1768811195865, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841008611711, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=logo, value=https://castjournals.cast.org.cn/joweb/hlyj/EN/file/pic?fileId=pB29yYO+7WdTp0HLQ4KSzg==, createTime=1768811195852, updateTime=1768811195852, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841075720584, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=minRunFlag, value=0, createTime=1768811195868, updateTime=1768811195868, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841033777538, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/hlyj/EN/file/pic, createTime=1768811195858, updateTime=1768811195858, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841071526279, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=silenceFlag, value=0, createTime=1768811195867, updateTime=1768811195867, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841025388929, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_en_623/, createTime=1768811195857, updateTime=1768811195857, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841046360452, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=themeColor, value=null, createTime=1768811195861, updateTime=1768811195861, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841054749061, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=themeStyle, value=null, createTime=1768811195863, updateTime=1768811195863, creator=18614031015, updator=18614031015)])], journalTitle=护理研究, weixinUrl=null, journalUrl=https://www.hlyjzz.com/, iacademicId=null, status=1, seqNo=null, journalTitleEn=Chinese Nursing Research, journalPhotoCn=5ND/w5RQYz//x8ucn+e6Vw==, journalPhotoEn=vXneBBf6WfTz/ls4yy3nnA==, journalFirstLetter=H, journalRecommend=null, journalNew=null, journalCollection=null, jcrJf=null, cjcrJf=null, jcrJfStr=null, cjcrJfStr=null, submissionFirstDecision=null, sciSubjectClassification=null, casSubjectClassification=null, citeScore=null, totalCitationFrequency=null, icpCode=null, psCode=null, advertisingLicenseCode=null, copyrightInformation=null, country=null, option=, provinceCode=null, provinceName=null, collectFlag=false, interPubPlatform=, interPubPlatformUrl=null), detailUrlCn=https://castjournals.cast.org.cn/joweb/hlyj/CN/10.12102/j.issn.1009-6493.2026.09.001, detailUrlEn=https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.09.001, pdfUrlCn=https://castjournals.cast.org.cn/joweb/hlyj/CN/PDF/10.12102/j.issn.1009-6493.2026.09.001, pdfUrlEn=https://castjournals.cast.org.cn/joweb/hlyj/EN/PDF/10.12102/j.issn.1009-6493.2026.09.001, aliStartDate=0, aliEndDate=0, collectionFlag=false, citedCount=null, citedUrl=null, previewStatus=0, delFlag=0, hasFullText=1, orderTime=1778342400000, fullTextJson=null, articleText=null, reference=null)
收藏切换
《妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理》团体标准解读
收藏切换
刘高明 1 , 胡进 1, *, * , 曾元丽 1 , 刘媛媛 1 , 叶沙 1 , 戴婵媛 2 , 崔松丽 3
护理研究 | 指南与共识 2026,40(9): 1425-1430
收起
收藏切换
护理研究 |指南与共识 2026 , 40 (9) : 1425 -1430
《妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理》团体标准解读
全屏
[Author(id=1322530959262597765, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530959342289543, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959262597765, language=EN, stringName=Gaoming LIU, firstName=Gaoming, middleName=null, lastName=LIU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530959409398408, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959262597765, language=CN, stringName=刘高明, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1湖南省肿瘤医院,湖南 410000, bio={"content":"

刘高明,主任护师,博士研究生

"}, bioImg=null, bioContent=

刘高明,主任护师,博士研究生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530959476507274, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=hujin@hnca.org.cn, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={EN=AuthorExt(id=1322530959543616140, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959476507274, language=EN, stringName=Jin HU, firstName=Jin, middleName=null, lastName=HU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530959606530701, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959476507274, language=CN, stringName=胡进, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, *, *, address=1湖南省肿瘤医院,湖南 410000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530959682028175, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=2, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530959761719953, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959682028175, language=EN, stringName=Yuanli ZENG, firstName=Yuanli, middleName=null, lastName=ZENG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530959828828818, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959682028175, language=CN, stringName=曾元丽, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1湖南省肿瘤医院,湖南 410000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530959908520596, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=3, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530959984018070, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959908520596, language=EN, stringName=Yuanyuan LIU, firstName=Yuanyuan, middleName=null, lastName=LIU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530960059515543, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530959908520596, language=CN, stringName=刘媛媛, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1湖南省肿瘤医院,湖南 410000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530960139207321, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=4, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530960231482011, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960139207321, language=EN, stringName=Sha YE, firstName=Sha, middleName=null, lastName=YE, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1Hunan Cancer Hospital, Hunan 410000 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530960290202268, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960139207321, language=CN, stringName=叶沙, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1湖南省肿瘤医院,湖南 410000, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959031911035, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=1, ext=[AuthorCompanyExt(id=1322530959044493948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1Hunan Cancer Hospital, Hunan 410000 China), AuthorCompanyExt(id=1322530959048688253, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959031911035, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1湖南省肿瘤医院,湖南 410000)])]), Author(id=1322530960374088350, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=5, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530960537666208, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960374088350, language=EN, stringName=Chanyuan DAI, firstName=Chanyuan, middleName=null, lastName=DAI, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2The Third Xiangya Hospital of Central South University, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530960604775073, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960374088350, language=CN, stringName=戴婵媛, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=2, address=2中南大学湘雅三医院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959107408510, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=2, ext=[AuthorCompanyExt(id=1322530959115797119, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959107408510, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2The Third Xiangya Hospital of Central South University), AuthorCompanyExt(id=1322530959124185728, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959107408510, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2中南大学湘雅三医院)])]), Author(id=1322530960663495331, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, orderNo=6, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322530960751575717, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960663495331, language=EN, stringName=Songli CUI, firstName=Songli, middleName=null, lastName=CUI, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=3, address=3Zhuzhou Central Hospital, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322530960831267494, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, authorId=1322530960663495331, language=CN, stringName=崔松丽, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=3, address=3株洲市中心医院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322530959191294593, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, xref=3, ext=[AuthorCompanyExt(id=1322530959199683202, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959191294593, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3Zhuzhou Central Hospital), AuthorCompanyExt(id=1322530959208071811, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322168669212357221, companyId=1322530959191294593, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=3株洲市中心医院)])])]
刘高明1, 胡进1, *, * , 曾元丽1, 刘媛媛1, 叶沙1, 戴婵媛2, 崔松丽3
作者信息
  • 1湖南省肿瘤医院,湖南 410000
  • 2中南大学湘雅三医院
  • 3株洲市中心医院
通讯作者:
胡进,E-mail:
HU Jin, E-mail:
作者简介:

刘高明,主任护师,博士研究生

Interpretation of the group standard for "Prevention and nursing of lower limb lymphedema after gynecologic malignant tumor treatment"
Gaoming LIU1, Jin HU1 , Yuanli ZENG1, Yuanyuan LIU1, Sha YE1, Chanyuan DAI2, Songli CUI3
Affiliations
  • 1Hunan Cancer Hospital, Hunan 410000 China
  • 2The Third Xiangya Hospital of Central South University
  • 3Zhuzhou Central Hospital
出版时间: 2026-05-10 doi: 10.12102/j.issn.1009-6493.2026.09.001
文章导航
收藏切换

2025年5月湖南省护理学会发布《妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理》团体标准(T/HNNAS 10—2025),对妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理的基本要求、管理路径、风险筛查、预防措施、评估、护理和随访进行规范。现针对该标准中的重要内容进行解读,以期帮助各级各类医疗机构从事淋巴水肿预防与护理相关工作的医务人员更好地理解并运用该标准,为进一步规范下肢淋巴水肿的预防与护理实践提供参考。

妇科  /  恶性肿瘤  /  下肢淋巴水肿  /  综合消肿治疗  /  预防  /  护理  /  团体标准

In May 2025, the Hunan Nursing Association issued the group standard for "Prevention and nursing of lower limb lymphedema after gynecologic malignant tumor treatment"(T/HNNAS 10—2025),which standardizes the basic requirements,management pathways,risk screening, preventive measures,assessment,nursing care,and follow-up for the prevention and nursing of lower limb lymphedema after gynecologic malignant tumor treatment.This article interprets the key content of the standard to help medical staff engaged in the prevention and nursing of lymphedema in various medical institutions at all levels better understand and apply the standard.It could provide a reference for further standardizing the prevention and nursing practices of lower limb lymphedema.

gynecology  /  malignant tumor  /  lower limb lymphedema  /  comprehensive decongestive therapy  /  prevention  /  nursing  /  group standard
刘高明, 胡进, 曾元丽, 刘媛媛, 叶沙, 戴婵媛, 崔松丽. 《妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理》团体标准解读. 护理研究, 2026 , 40 (9) : 1425 -1430 . DOI: 10.12102/j.issn.1009-6493.2026.09.001
Gaoming LIU, Jin HU, Yuanli ZENG, Yuanyuan LIU, Sha YE, Chanyuan DAI, Songli CUI. Interpretation of the group standard for "Prevention and nursing of lower limb lymphedema after gynecologic malignant tumor treatment"[J]. Chinese Nursing Research, 2026 , 40 (9) : 1425 -1430 . DOI: 10.12102/j.issn.1009-6493.2026.09.001
下肢淋巴水肿(lower limb lymphedema,LLL)是妇科恶性肿瘤综合治疗后最常见的远期并发症之一,一旦发生,常呈进行性加重,患肢短期内显著增粗,导致外观异常和运动功能障碍;至晚期,病变可累及双下肢,反复出现丹毒等感染,最终发展为象皮肿,甚至造成肢体残疾[1-2]。世界卫生组织(WHO)将淋巴水肿列为全球致残率排名第2位的疾病,其治疗难度大,目前尚不能治愈,给病人带来沉重的身心负担,严重影响病人的生活质量[3]。目前,很多医院医护人员对下肢淋巴水肿认知不足,缺少其预防和护理的专业知识及技能,未能对病人予以及时正确的干预与管理[4]。同时,目前妇科恶性肿瘤治疗后下肢淋巴水肿管理路径未统一、缺乏风险筛查工具,下肢淋巴水肿评估工具、预防与护理知识普及不够。虽然当前国内外已有部分淋巴水肿相关指南规范及专家共识,但这些规范及共识主要是围绕淋巴水肿病因与机制、临床表现和分期、诊断及鉴别诊断、治疗等内容[1,5-9]。国内关于淋巴水肿的研究多集中于乳腺癌相关上肢淋巴水肿[10-12],乳腺癌术后淋巴水肿的防治及健康教育知识在临床较为重视,而妇科恶性肿瘤治疗后下肢淋巴水肿的研究相对较少,目前尚未检索到妇科恶性肿瘤治疗后下肢淋巴水肿预防和护理团体标准,缺少相关内容的标准规范。鉴于此,湖南省护理学会组织相关专家结合有关临床决策及指南等证据起草了《妇科恶性肿瘤治疗后下肢淋巴水肿的预防与护理》团体标准(以下简称《标准》)并于2025年5月正式发布。《标准》规定了其实施的基本要求、管理路径和具体实施内容,适用于各级各类医疗机构从事淋巴水肿预防与护理相关工作的医务人员。《标准》旨在建立妇科恶性肿瘤治疗后下肢淋巴水肿标准化的管理路径(筛查-预防-评估-护理-随访全周期管理模式),从而实现对下肢淋巴水肿的早期识别、有效防治和规范化管理,提高医护人员和病人对淋巴水肿的正确认知与预防,进而降低下肢淋巴水肿的发病率;同时,有利于病人加强自我管理,减轻水肿症状,降低致残率,提高生活质量。
《标准》的呈现格式参照《GB/T1-标准化工作导则》和《GB/T20000—标准化工作指南》,从适用范围、术语和定义、缩略语、基本要求、下肢淋巴水肿管理路径、风险筛查、预防措施、评估、护理、随访和资料性附录进行规范,具体内容围绕下肢淋巴水肿的管理路径(筛查—预防—评估—护理—随访)展开,并采用“应”“宜”“可”来分层、分级描述相关内容。《标准》在编制过程中遵循以下原则。1)合规性:《标准》的制订流程、确定内容和文本格式遵循国家有关法律法规和标准的要求,符合国家、地方和标准化方面的相关规定。2)普适性:《标准》内容以适用于各级各类医疗机构从事淋巴水肿防治工作的医务人员开展相关工作为出发点,经过多轮专家论证后形成统一意见,可直接用于下肢淋巴水肿的临床管理,有利于促进妇科恶性肿瘤治疗后下肢淋巴水肿防治与护理的规范化和同质化。3)创新性:《标准》由来自全国8所医疗机构的17名淋巴水肿专科、妇科肿瘤、康复医学、护理管理和循证专家共同编写。编写过程基于大量文献研究并广泛征询专家意见,历经多轮修改完善,确定了下肢淋巴水肿管理路径、风险筛查、预防措施、评估和护理等关键内容。
基本要求明确了实施人员的资质条件、管理流程等,对于其基本要求需要在执行过程中共同遵守。实施人员资质规定下肢淋巴水肿的预防与护理必须由完成系统化淋巴水肿专科培训并考核合格的医务人员开展[8]。同时,考虑到该病程管理的长期性,为兼顾治疗连续性与病人生活便利,在医务人员专业指导、确保操作规范的前提下,可由病人或其照护者在居家环境中承担日常自我护理工作[13]。医疗机构应建立完整的淋巴水肿管理流程,包括风险筛查、预防措施、评估、护理及随访多个环节。下肢淋巴水肿的慢性、进展性及难治愈性特点要求建立完整管理流程,应对高危病人实施动态评估。应尽早识别淋巴水肿病人,一旦确诊应立即启动治疗程序。同时,《标准》要求对高危病人和淋巴水肿病人持续追踪随访。高危病人和确诊病人居家维持治疗阶段,应建立长效随访制度,以监测病人居家自我管理情况。
《标准》规定了妇科恶性肿瘤治疗后下肢淋巴水肿的标准化管理路径(附录A),包括妇科肿瘤治疗后下肢淋巴水肿的风险筛查、预防措施、评估、护理及随访。《标准》突出全周期管理特色,区别于上海市护理学会发布的《妇科恶性肿瘤治疗后下肢淋巴水肿病人的综合消肿疗法》团体标准,其聚焦于淋巴水肿综合消肿治疗(complete decongestive therapy,CDT)[14]。
1)医务人员应在病人每次治疗出院时进行淋巴水肿风险筛查。下肢淋巴水肿发病多集中于肿瘤术后2年以内[15],早期淋巴水肿因症状隐匿、缺乏典型表现[16],往往难以被及时识别,从而错失干预的最佳时机。因此,病人每次治疗出院时进行系统的风险因素筛查尤为关键,防止漏诊风险。同时,风险筛查可以识别高危人群,有利于将资源倾斜于真正高危病人,避免“一刀切”式护理。2)宜采用妇科恶性肿瘤治疗后淋巴水肿风险评分表识别高危病人。该评分表是团队在前期研究[17-20]的基础上结合专家临床经验、现有的相关研究结果自制评分表初稿,并进行了3轮专家函询、预调查后修改制定,可用作妇科肿瘤治疗后下肢淋巴水肿风险筛查工具。
下肢淋巴水肿一旦发生将会严重降低病人生活质量,尽早采取预防措施至关重要。《标准》规定低危病人应实施基础预防措施,高危病人应实施基础预防+高危预防措施。
1)识别下肢及下腹部/外阴淋巴水肿早期症状:淋巴水肿重在早发现、早治疗。继发性淋巴水肿的早期发现主要依靠病人自我症状感知,医务人员应指导病人自我监测腿围大小变化,识别有无下肢肢体无力、疲乏、沉重,有无下肢及下腹部/外阴肿胀感、紧绷感、麻木感、僵硬、疼痛,有无皮肤增厚、皮温升高、发红、起水疱,有无臀部、膝盖、脚踝、脚趾活动受限等淋巴水肿早期症状。一旦发生以上症状,应及时就医。2)下肢及下腹部/外阴皮肤保护:精细化的皮肤保护和护理,能够保持皮肤完整、阻断感染侵袭途径,进而降低炎症发生风险,从而延缓淋巴水肿的发生[21]。《标准》在附件C详细列出了皮肤保护的具体内容,包括使用对皮肤无刺激的pH值为中性或弱酸性的清洁用品和润肤品保持皮肤清洁;避免下肢及下腹部/外阴发生任何外伤以保持皮肤的完整性;避免低、高温损伤皮肤,避免紫外线强光晒伤皮肤;避免皮肤及软组织感染,如出现任何感染或过敏症状如发红、皮温增高、疼痛、皮疹、瘙痒、溃烂时,应立即就医。此外,还指出不宜在下肢进行治疗性操作,如采血、输液、测量血压等[2,13]。3)适宜的功能锻炼:有研究已证实,术后早期开展功能锻炼兼具安全性与临床获益[22-23]。其预防淋巴水肿的机制:运动能够加速肌肉骨骼的泵送作用,同时优化心血管系统的血流动力学参数,从而有效驱动淋巴液的回流与循环。因此,《标准》提出医务人员指导病人应在术后早期进行功能锻炼。术后第1天开始做踝泵运动,术后第3天开始做股四头肌等长收缩训练、直腿抬高运动等,术后第7天开始做膝胸运动、髋外展、主动髋关节运动及空中骑车或行走等运动。但是要避免高强度运动,适宜的运动项目包括深呼吸锻炼及全身有氧运动,如散步、慢跑、低层慢爬楼梯、轻骑、游泳等[3,13]。4)良好的生活方式:生活方式在淋巴水肿的发生、发展与管理中扮演着不可或缺的角色,也为重要的可干预因素。肥胖和术后体重增加是妇科恶性肿瘤术后下肢淋巴水肿发生的主要危险因素[1,24],病人应控制体质指数≤25 kg/m2。饮食宜低盐、低脂肪、高纤维、高维生素、易消化,宜多进食新鲜水果、蔬菜和优质蛋白,应避免油腻、辛辣刺激的食物。但需特别指出的是,盆腔放疗病人进食粗纤维会显著增加肠道黏膜损伤、引起放射性肠炎,进食宜适量,且食物需要研磨细碎。生活上,病人穿着应宽松、透气、棉质、舒适,避免肢体活动受限;应穿干净吸汗的袜子,不穿着带有松紧口的袜子和裤子,运动、长途旅行时应穿戴压力袜/压力裤。日常应避免长时间站立或坐立,避免跷二郎腿;卧床休息时可将肢体抬高略高于心脏水平。此外,还应避免下肢过冷或过热刺激,如蒸桑拿、日光浴、长时间热水/凉水泡脚等[2,25-26]。
1)应指导高危病人严格遵守淋巴水肿基础预防措施,基础预防措施贯穿于病人的全病程管理周期。2)自我淋巴引流(self-lymphatic drainage,SLD)是通过轻柔且简单的滑抚手法对毛细淋巴管进行间歇性、温和地压力刺激,以增加淋巴管的收缩来改善该区域淋巴回流,达到消肿目的。目前,自我淋巴引流在实施频次、引流时间及引流时机等均未标准化。Kostanoğlu[27]建议每日至少进行1次或2次,每次持续10~15 min。一项病人居家管理指南建议每日至少进行1次自我淋巴引流,每次引流30 min[2]。《标准》综合文献资料及专家意见提出应教会病人进行自我淋巴引流,每天2次或3次,每次15~20 min。3)应指导病人穿戴压力制品(压力袜/压力裤),并根据腿围选择不同型号的Ⅰ级压力制品,白天长期穿戴,每日持续时间≥12 h;应定期检查压力制品的压力与张力,宜每6个月更换1次。相关研究表明,Ⅰ级压力袜配合适度的功能锻炼,可有效延缓下肢淋巴水肿的发病进程,且在随访1年内,78%的病人持续穿戴压力袜[28-29]。提示Ⅰ级压力袜的穿戴在预防下肢淋巴水肿中发挥持续性作用,有助于提高病人使用的依从性。4)应指导病人进行下肢渐进式抗阻运动,如坐式划船、腿部卷曲、髋关节屈曲、仰卧直腿抬起和小腿抬高等,并指导病人根据耐受程度逐渐增加运动强度。5)宜协助病人获取家庭与社会支持,加强照护者健康教育,必要时转介至社区医疗机构。下肢淋巴水肿具有治疗难度大、易反复发作的特点,其管理有赖于医务人员、病人、家庭及社会各方的共同参与和长期协作[2]。
评估内容包括评估时机、评估工具和评估注意事项。应对高危病人进行即刻评估,并于病人出院后3、6、12个月(以后每年1次)和病人主动报告或出现淋巴水肿症状时进行动态评估。解决了临床实践中医务人员不知何时进行淋巴水肿评估的现实问题。评估工具宜采用妇科恶性肿瘤淋巴水肿问卷、下肢淋巴水肿自感症状评估问卷或周径测量法[30-32],包括但不限于使用上述工具对病人进行专业的淋巴水肿评估。《标准》在附件D中详细列出了评估方法及相应的判断标准。需要注意的是,不同时间点的评估宜采用同一种评估工具;对于不方便返院复查的病人,宜选用上述问卷进行随访评估。有条件的医疗机构可采用人体水分测量仪、淋巴水肿扫描仪或皮肤纤维化测量仪等进行淋巴水肿评估。评估发现淋巴水肿时,应立即转介病人至淋巴水肿相关科室进一步确诊。
宜基于评估结果与病人的具体情况,制定以CDT为主的个体化治疗方案。CDT是目前国际上公认的淋巴水肿一线保守治疗方案,已获得国际淋巴协会[7]、国际静脉学联盟[33]等多个权威组织的推荐。该疗法为综合性干预模式,主要包含皮肤护理、手法淋巴引流(manual lymphatic drainage,MLD)、压力治疗及功能锻炼等核心内容[3,34]。但如保守治疗效果不佳时,可转介至淋巴水肿外科治疗。在实施CDT前,需对病人的基础健康状况进行评估,并严格排除相关治疗禁忌证,如任何种类的急性感染、恶性病变、急性深静脉血栓、严重心功能不全、肾衰竭、严重周围神经病变、严重动脉功能不全、下肢大面积溃疡等。CDT实施方法及基本原则如下。
皮肤护理贯穿于淋巴水肿防治的全过程,优质的皮肤照护是延缓病情进展的关键手段。《标准》附件E围绕皮肤保护、皮肤检查、皮肤清洁及皮肤感染防护四个方面,明确提出了下肢淋巴水肿皮肤护理的核心内容,为临床医务人员及病人提供了系统、具体的实践指导。强化治疗阶段应由经过培训的医务人员为病人进行皮肤护理,病人配合参与;维持治疗阶段应由病人在医务人员指导下进行自我皮肤护理。
MLD是遵循淋巴系统的解剖和生理通路,沿着特定的方向在皮肤上徒手引流的一种轻柔的治疗技术。《标准》在附件E中详细列出了MLD的步骤。其中徒手淋巴引流的手法可使用传统CDT的静止旋转、泵送、铲送及环推手法[3],亦可使用新型CDT的填充-冲洗手法等[35]。MLD应遵循先躯干再肢体、先肢体近端再肢体远端的操作原则;操作时手宜直接接触病人皮肤(皮肤破损或淋巴漏除外);引流手法轻柔,以不引起局部皮肤发红为宜。MLD不仅能够有效改变淋巴回流的路径,显著减少淋巴液在组织间隙中滞留,还能软化组织,缓解组织纤维化。强化治疗阶段应由经过培训的医务人员实施MLD,鉴于淋巴水肿管理的长期性,此阶段专业医务人员需要耐心指导病人或其照护者学习并掌握MLD的正确操作方法。维持治疗阶段应在医务人员指导下,由掌握操作方法的病人或其照护者参照MLD引流顺序进行自我淋巴引流。
压力治疗是指采用低延展性压力绷带/特定材质与编织工艺(一般为平织)的淋巴水肿专用压力制品(如压力袜/压力裤)等,通过使肢体远端至近端产生梯度压力差促进淋巴液循环,以减少淋巴液在组织中聚集,从而有效防治肢体水肿的方法。压力治疗是CDT的核心部分,压力制品的选择直接影响压力治疗的效果。强化治疗阶段应由专业的医务人员采用低延展性压力绷带,在MLD结束后实施。低延展性压力绷带为公认的淋巴水肿治疗中的首选材料,原因在于:病人活动或在休息状态下,该材料均能维持有效压力,且长期使用也不会对肢体血液循环造成不良影响[3]。采用适宜的材料并配合正确的包扎技术,是取得理想治疗效果的核心要素。《标准》附件E对绷带包扎的具体操作步骤进行了详细阐述。绷带包扎后医护人员应密切关注病人情况,指导病人自我监测,注意观察肢体末端血运情况,包括是否出现疼痛、皮肤青紫和脚趾发冷等循环受阻情况。强化治疗阶段,在病人可耐受的情况下包扎时间宜每天保持23 h以上;维持治疗阶段,应指导病人佩戴适宜压力级别与型号的淋巴水肿专用压力袜/压力裤替换压力绷带。其中,Ⅲ级压力级别的压力袜/压力裤为常规推荐[2,24]。
运动锻炼对妇科恶性肿瘤治疗后下肢淋巴水肿的改善有显著效果,能减轻下肢淋巴水肿的症状,提高病人的生活质量。指导病人进行运动前热身,如深呼吸、四肢伸展等。适宜的功能锻炼方法包括踝泵运动、膝部弯向躯干、直腿抬高运动、单侧或双侧膝到胸运动、臀部挤压、点趾运动、蛙腿式运动、空中踏车及仰卧抬臀等,以上动作幅度应以病人最大耐受度为限,可每次做2组或3组,每组5~10次。其他推荐运动也可选择,如散步、滚球、轻骑、八段锦、游泳等。需要注意的是,功能锻炼应在压力治疗的基础上进行,每次运动宜≤30 min,应在餐后间隔30 min开始;可在日常生活和工作中灵活进行。运动时应穿着宽松、舒适、透气,运动量适度,循序渐进,不应进行高强度运动,如踢足球、快速奔跑、爬山及长途跋涉等,因为这些活动可能会加剧下肢淋巴系统的负担,进而加重淋巴水肿症状[2,13]。
CDT强化治疗期间应指导病人持续严格遵守淋巴水肿基础预防措施。应密切监测病人治疗期间可能出现的并发症(如皮肤过敏或损伤、血液循环障碍等),一旦发现并发症迹象应立即采取相应措施。同时应加强病人健康教育,增强其淋巴水肿防治意识,指导病人掌握并落实居家的维持治疗措施。
在病人居家维持治疗阶段,应至少每6个月随访1次,随访内容包括病人皮肤护理、功能锻炼、自我淋巴引流和压力袜/压力裤穿戴情况等,并评价淋巴水肿的治疗效果。有研究指出,维持治疗阶段应建立长效随访制度,至少每半年进行1次随访[1,14]。此外,我国医药行业标准规定,压力袜在正常使用中宜保持其相应级别的压缩力6个月,建议6个月更换1次压力袜[36],更换压力袜应在专业人员的评估与指导下进行。
研究指出,在亚临床阶段(0期)管理可以获得最佳干预效果[6]。但0期症状往往难以察觉,不利于临床医务人员识别并及早进行预防。建议临床根据《标准》中给出的风险筛查表在病人每次治疗出院时进行淋巴水肿风险筛查。对高危病人及其出院后3、6、12个月(以后每年1次)和病人主动报告或出现淋巴水肿症状时,综合客观及主观评估方法进行动态评估,提高病人的早期识别率,以及时进行干预。有条件的医疗机构可借助人体水分测量仪、淋巴水肿扫描仪或皮肤纤维化测量仪等进行评估以提高精准度。
《标准》将风险筛查、预防措施、评估、护理和随访纳入统一管理路径,确保各环节无缝衔接。各级医疗机构可结合诊疗条件制定院内淋巴水肿管理流程,多学科协作并明确分工,从制度上进行保障。同时,建议管理者建立评估与反馈体系对下肢淋巴水肿管理路径的各个环节进行质量管理,及时发现实施过程中存在的问题,规范临床实践。为促进《标准》应用同质化,医疗机构可采取包括开设专项培训课程、工作坊、研讨会及提供实训机会等多元化的培训方式,提升专业医护人员对下肢淋巴水肿的筛查、评估以及实施CDT操作等技能。另外,病人经医院规范化CDT治疗后,需转为居家长期自我管理。医务人员可通过制作科普文、教学视频、开展反复实操练习等措施,提升病人及其照护者的技术规范性和自我管理能力,帮助其更好地执行自我淋巴引流、压力制品穿戴、皮肤护理及功能锻炼等,促进自我管理和康复。同时,通过随访机制监督居家管理质量,从而巩固疗效并降低复发风险。
《标准》为医务人员预防与护理妇科恶性肿瘤治疗后下肢淋巴水肿提供了清晰、科学的管理路径,为开展标准化、同质化的下肢淋巴水肿防治提供了依据。《标准》对管理路径的每个环节(筛查-预防-评估-护理-随访)进行了详细阐释,可操作性强,可直接用于指导临床实践,同时为病人的居家康复提供参考。

参考文献 引证文献
排序方式:
1
孔为民,张赫.妇科肿瘤治疗后下肢淋巴水肿专家共识[J].中国临床医生杂志,2021,49(2):149-155.
2
胡进,刘华云,刘高明,等.妇科肿瘤综合治疗后下肢淋巴水肿患者居家管理指南[J].护理学杂志,2025,40(6):1-10.
3
刘宁飞.淋巴水肿:诊断与治疗[M].2版.北京:科学出版社,2021:1.
4
胡进,刘高明,叶沙,等.肿瘤医院护士淋巴水肿防治知信行的现状调查及影响因素分析[J].中华现代护理杂志,2023,29(15):1997-2003.
5
DAVIES C,LEVENHAGEN K,RYANS K,et al.Interventions for breast cancer-related lymphedema:clinical practice guideline from the academy of oncologic physical therapy of APTA[J].Physical Therapy,2020,100(7):1163-1179.
6
LURIE F,MALGOR R D,CARMAN T,et al.The American Venous Forum,American Vein and Lymphatic Society and the Society for Vascular Medicine expert opinion consensus on lymphedema diagnosis and treatment[J].Phlebology,2022,37(4):252-266.
7
International Society of Lymphology(ISL) Executive Committee.The diagnosis and treatment of peripheral lymphedema:2023 consensus document of the International Society of Lymphology[J].Lymphology,2023,56(4):1231.
8
中华整形外科学分会淋巴水肿学组.外周淋巴水肿诊疗的中国专家共识[J].中华整形外科杂志,2020,36(4):355-360.
9
STOUT N L,IBRAHIM M,ARMER J,et al.Consensus statement on non-cancer-related risk factors for development of secondary lymphedema[J].Medical Oncology,2024,41(11):284.
10
中华医学会整形外科学分会淋巴水肿治疗学组.乳腺癌术后上肢淋巴水肿诊治指南与规范(2021年版)[J].组织工程与重建外科,2021,17(6):457-461.
11
王影新,刘飞,武佩佩,等.乳腺癌术后患者淋巴水肿防治的居家运动专家共识[J].中华护理杂志,2025,60(5):558-560.
12
邢乃芳,王国蓉,杨婧,等.乳腺癌相关淋巴水肿手法康复治疗的最佳证据总结[J].中华护理杂志,2023,58(21):2589-2597.
13
刘高明,朱丽辉,李旭英.淋巴水肿康复居家护理之道[M].北京:学苑出版社,2023:1.
14
王霞,蔡慧媛,饶琳,等.上海市护理学会《妇科恶性肿瘤治疗后下肢淋巴水肿患者的综合消肿疗法》团体标准解读[J].上海护理,2024,24(12):1-4.
15
KUNITAKE T,KAKUMA T,USHIJIMA K.Risk factors for lower limb lymphedema in gynecologic cancer patients after initial treatment[J].International Journal of Clinical Oncology,2020,25(5):963-971.
16
LOCKWOOD-RAYERMANN S.Lymphedema in gynecologic cancer survivors:an area for exploration[J].Cancer Nursing,2007,30(4):E11-E18.
17
赵国瑞,刘高明,张凤,等.宫颈癌患者术后下肢淋巴水肿风险预测模型的构建及验证[J].护理学报,2024,31(24):7-12.
18
HU J,LIU G M,LIU Y Y,et al.Predicting lower limb lymphedema after cervical cancer surgery using artificial neural network and decision tree models[J].European Journal of Oncology Nursing,2024,72:102650.
19
LIU G M,HU J,LIU Y Y,et al.Factors influencing lower limb lymphedema after cervical cancer surgery:a case–control study[J].Lymphatic Research and Biology,2023,21(2):169-178.
20
周颖,刘高明,张凤,等.宫颈癌术后患者下肢淋巴水肿危险因素分析及预测模型构建[J].军事护理,2024,41(7):47-51.
21
王玲,尚少梅,王海燕,等.继发性淋巴水肿患者皮肤护理的最佳证据总结[J].护理学杂志,2021,36(9):102-105.
22
WU X L,LIU Y L,ZHU D D,et al.Early prevention of complex decongestive therapy and rehabilitation exercise for prevention of lower extremity lymphedema after operation of gynecologic cancer[J].Asian Journal of Surgery,2021,44(1):111-115.
23
ZHANG J J,JU X Z,FENG Z,et al.Progressive resistance exercise training to prevent lower-limb lymphedema after cervical cancer surgery:a feasibility study[J].Asia-Pacific Journal of Oncology Nursing,2022,9(1):32-38.
24
DAMSTRA R J,HALK A B,DAMSTRA R J,et al.The Dutch lymphedema guidelines based on the international classification of functioning,disability,and health and the chronic care model[J].Journal of Vascular Surgery,2017,5(5):756-765.
25
赵国瑞,刘高明,张凤,等.妇科恶性肿瘤术后下肢淋巴水肿患者居家护理的研究进展[J].中国护理管理,2024,24(4):599-603.
26
王焕焕,吕永利,王培红,等.宫颈癌根治术后患者下肢淋巴水肿自我护理的最佳证据总结[J].护理学杂志,2023,38(9):91-94.
27
KOSTANOĞLU A.Results of home-based modified combined decongestive therapy in patients with lower extremity lymphedema[J].Turkish Journal of Medical Sciences,2019,49(2):610-616.
28
SHALLWANI S M,TOWERS A,NEWMAN A,et al.Feasibility of a pilot randomized controlled trial examining a multidimensional intervention in women with gynecological cancer at risk of lymphedema[J].Current Oncology,2021,28(1):455-470.
29
ZHANG J J,ZHOU C M,MA Q,et al.Preventing lower limb lymphedema after pelvic lymphadenectomy with progressive resistance exercise training:a randomized controlled trial[J].Asia-Pacific Journal of Oncology Nursing,2024,11(1):100333.
30
王霞,蔡慧媛,丁焱.妇科恶性肿瘤患者术后下肢淋巴水肿评估方法的研究进展[J].中华护理杂志,2017,52(3):311-315.
31
CARTER J,RAVIV L,APPOLLO K,et al.A pilot study using the Gynecologic Cancer Lymphedema Questionnaire(GCLQ) as a clinical care tool to identify lower extremity lymphedema in gynecologic cancer survivors[J].Gynecologic Oncology,2010,117(2):317-323.
32
YOST K J,CHEVILLE A L,WEAVER A L,et al.Development and validation of a self-report lower-extremity lymphedema screening questionnaire in women[J].Physical Therapy,2013,93(5):694-703.
33
LEE B B,ANDRADE M,ANTIGNANI P L,et al.Diagnosis and treatment of primary lymphedema.Consensus document of the International Union of Phlebology(IUP)-2013[J].Int Angiol,2013,32(6):541-574.
34
LIU F,LIU N,WANG L,et al.Treatment of secondary lower limb lymphedema after gynecologic cancer with complex decongestive therapy[J].Lymphology,2022,54(3):1121.
35
李旭英,谌永毅,刘高明.淋巴水肿康复护理技术[M].北京:学苑出版社,2021:1.
36
李龙.医用梯度压力袜的作用机制与临床选择策略[J].中国医学物理学杂志,2021,38(7):903-908.
2026年第40卷第9期
26
9
引用本文
BibTeX
文章信息
doi: 10.12102/j.issn.1009-6493.2026.09.001
  • 接收时间:2025-07-19
  • 首发时间:2026-10-28
  • 出版时间:2026-05-10
补充材料
相关文章
文章信息
作者
出版历史
  • 收稿日期:2025-07-19
  • 修回日期:2026-03-21
基金
作者信息
    1湖南省肿瘤医院,湖南 410000
    2中南大学湘雅三医院
    3株洲市中心医院

通讯作者:

胡进,E-mail:
HU Jin, E-mail:
参考文献
分享链接
https://castjournals.cast.org.cn/joweb/hlyj/CN/10.12102/j.issn.1009-6493.2026.09.001
分享至
全文二维码

扫描看全文

引用本文
BibTeX
本文的引用情况
2种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
关闭全屏