Abstract: Objective: To search, evaluate and integrate the best evidence of limb management in patients with liver cancer after femoral artery puncture intervention, so as to provide the best evidence for clinical decision-making. Methods: "6S" evidence pyramid model was used to search the relevant literature, and the search time was from the establishment of the database to April 2025. Evaluated the quality of various literatures, extracted the literatures that met the criteria according to the subject, graded the evidence, and put forward evidence-based practical suggestions. Results: A total of 10 literatures were included, comprising 1 guideline, 1 systematic review, 4 evidence summaries, 1 randomized controlled studies, 2 meta-analyses, and 1 expert consensus. Finally, 15 best evidences for limb management of patients with liver cancer after femoral artery puncture intervention were summarized, including four themes of arterial pressure release, turning over in bed and affected limb activity, getting out of bed activity, and observation of affected limb. Conclusion: The best evidence summarized in this study provides a reference for the limb movement and management of liver cancer patients after interventional procedures performed via femoral artery puncture.

Key words: Liver cancer, Femoral artery puncture, Intervention, Limb management, Evidence-based nursing, Summary of evidence

摘要： 目的：检索、评价及整合肝癌患者经股动脉穿刺介入术后肢体管理的最佳证据，为临床决策提供循证证据。方法：应用“6S”证据金字塔模型检索相关文献，检索时限为建库至 2025 年 4 月。对各类文献进行质量评价，根据主题对符合标准的文献进行资料提取，并对各项证据进行分级判定，提出循证实践建议。结果：共纳入 10 篇文献，其中指南 1 篇，系统评价 1 篇，证据总结 4 篇，随机对照研究 1 篇，Meta 分析 2 篇，专家共识 1 篇。最终总结了 15 条肝癌患者经股动脉穿刺介入术后肢体管理的最佳证据，包括动脉压迫器松解方法、床上翻身及术肢活动、下床活动、术肢观察 4 个证据主题。结论：总结的最佳证据可为肝癌患者经股动脉穿刺介入术后的肢体活动与管理提供循证依据。

关键词: 肝癌, 股动脉穿刺, 介入, 肢体管理, 循证护理, 证据总结