摘要目的:评价总结妇科恶性肿瘤患者下肢淋巴水肿综合消肿治疗的相关证据，为临床开展淋巴水肿综合消肿治疗干预提供循证依据。方法:本研究为循证护理研究，检索BMJ最佳临床实践、UpToDate、PubMed、中国知网、万方等国内外数据库，以及澳大利亚淋巴学会、国际淋巴水肿、欧洲临床肿瘤协会等网站中关于妇科恶性肿瘤患者下肢淋巴水肿综合治疗的相关证据并评价，检索时限为建库至2022年4月1日。结果:最终共纳入18篇文献，包括2篇指南、5篇系统评价、4篇专家共识、2篇证据总结、4篇随机对照试验、1篇最佳临床实践。从治疗周期和水肿分期、徒手淋巴引流、绷带加压包扎、梯度压力袜、皮肤护理、功能锻炼、健康教育7个方面总结了28条证据。结论:本研究总结的证据可为临床医护人员制订下肢淋巴水肿的综合治疗方案提供参考，循证实践时应考虑患者的个体状况以及临床情景，尽早为妇科恶性肿瘤下肢淋巴水肿患者提供个性化的综合治疗方案，提高患者的生命质量。

abstractsObjective:To evaluate and summarize the relevant evidence of comprehensive detumescence treatment of lower limb lymphedema in patients with gynecological malignant tumors, and to provide evidence-based basis for clinical intervention of comprehensive detumescence treatment of lymphedema.Methods:This study was an evidence - based nursing research. Databases such as BMJ Best Practice, UpToDate, PubMed, CNKI, Wanfang and other domestic and foreign databases, as well as websites such as the Australian Lymphology Society, the International Lymphedema, and the European Clinical Oncology Association were searched for relevant evidence and evaluation of comprehensive treatment of gynecological malignant tumor-related lower limb lymphedema. The search time was from the establishment of the database to April 1, 2022.Results:A total of 18 articles were included, including 2 guidelines, 5 systematic reviews, 4 expert consensus, 2 evidence summaries, 4 randomized controlled trials and 1 best practice. Twenty-eight evidence were summarized from 7 aspects : treatment cycle and edema stage, free-hand lymphatic drainage, graduated compression stockings, skin care, elastic socks, functional exercise and health education.Conclusions:The evidence summarized in this study can provide reference for clinical medical staff to formulate comprehensive treatment plans for lower limb lymphedema. Evidence-based practice should consider the individual status of patients and clinical scenarios, and provide personalized comprehensive treatment plans for patients with lower limb lymphedema of gynecological malignant tumors as soon as possible to improve the quality of life of patients.