前交叉韧带重建术后患者血流限制训练的最佳证据总结
简介
该文系统检索并评价了截至2025年4月ACL重建术后血流限制训练（BFR）的循证证据，纳入18篇文献，提取21条证据，涉及训练原则、适用人群、禁忌证、方案及安全监测等11个主题。结果显示，BFR对ACL术后康复具有较好的循证支持，临床实施应根据患者个体情况制定方案以确保安全与疗效。
英文摘要
OBJECTIVE: This study systematically retrieved, evaluated, and synthesized the best available evidence on blood flow restriction training for patients following anterior cruciate ligament reconstruction, aiming to provide evidence-based guidance for clinical implementation of this training modality among healthcare professionals. METHODS: A systematic search was conducted to identify the best available evidence on blood flow restriction training for patients undergoing anterior cruciate ligament reconstruction. The search encompassed multiple types of literature, including clinical guidelines, expert consensus statements, systematic reviews, meta-analyses, and evidence summaries. The following databases were searched up to April 2025: UpToDate, BMJ Best Practice, and the Cochrane Library. Two researchers independently screened the retrieved literature, assessed methodological quality using standardized tools [Appraisal of Guidelines for Research and Evaluation II (AGREE II) for guidelines and Joanna Briggs Institute (JBI) critical appraisal checklists for other study types], and graded the level of evidence according to prespecified criteria. RESULTS: A total of 18 studies were included in this review, consisting of two clinical guidelines, one evidence summary, two expert consensus statements, and 13 systematic reviews. In total, 21 evidence points were extracted and categorized into 11 thematic categories: multidisciplinary team involvement, training principles, applicable populations, contraindications, assessment indicators, training equipment, training protocols, training intensity, training frequency and duration, real-time assessment and monitoring, and safety precautions. CONCLUSIONS: The evidence summary on blood flow restriction training for patients following anterior cruciate ligament reconstruction is both scientifically rigorous and comprehensive, providing a robust evidence-based foundation for clinical implementation. Healthcare providers should tailor the training to individual patient circumstances to ensure both safety and therapeutic efficacy. SYSTEMATIC REVIEW REGISTRATION: identifier ES20257963.