引用文本：刘付恒, 元志龙, 陈双, 等. 腹壁功能的研究进展[J/CD]. 消化肿瘤杂志（电子版）, 2025, 17(4): 489-498.

作者：刘付恒，元志龙，陈双，曾兵，李英儒

单位：中山大学附属第六医院疝与腹壁外科，广东 广州 510655

Authors：Liu Fuheng, Yuan Zhilong, Chen Shuang, Zeng Bing, Li Yingru

Unit：Department of Hernia and Abdominal Wall Surgery, the Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655, Guangdong, China

摘要：

腹壁功能（abdominal wall function, AWF）是指腹直肌、腹外斜肌、腹内斜肌和腹横肌等肌肉群在维持躯体稳定、控制躯干运动及调节腹内压方面的综合作用。AWF障碍与腹壁疝、慢性腰痛、盆底功能障碍、呼吸效率下降及姿势异常等临床问题密切相关。本文系统梳理了AWF三大主要功能的评估方法，包括躯体稳定功能评估（直腿放下测试、Janda肌肉功能测试、腹部躯干功能测试、以表现为导向的行动能力测试量表以及Cybex/Biodex测力计）、运动控制能力评估（躯干抬起测试、仰卧起坐测试、Cybex/Biodex测力计、简易测力计及问卷量表评估）和腹内压调节能力评估（采用腹壁张力测量、便携式口腔压力计等间接反映）。当前评估工具提供了多样的选择，但需根据评估目的、目标人群、可用资源及患者因素进行个体化权衡与组合应用。未来需提升简易工具的客观性，并整合客观数据与患者报告结局，以优化AWF评估策略，精准指导康复干预。

关键词：腹壁功能；核心稳定性；运动控制；个体化评估；术后康复

Abstract：

The abdominal wall function (AWF) refers to the comprehensive role of muscle groups such as the rectus abdominis, external oblique abdominis, internal oblique abdominis and transverse abdominis in maintaining body stability, controlling trunk movement and regulating intra-abdominal pressure. AWF disorder is closely related to clinical problems such as abdominal wall hernia, chronic low back pain, pelvic floor dysfunction, decreased respiratory efficiency and abnormal posture. This article systematically reviews the evaluation methods of the three core functions of AWF, including body stability assessment (straight leg lowering test, Janda muscle function test, abdominal trunk function protocol, performance-oriented mobility assessment scale and Cybex/Biodex dynamometer), motor control ability assessment (trunk lifting test, sit-up test, Cybex/Biodex dynamometer, simple dynamometer and questionnaire scale) and intra-abdominal pressure regulation ability assessment (indirect reflection through abdominal wall tension measurement, portable oral manometry, etc.). The current assessment tools offer a variety of options, but individualized trade-offs and combined applications need to be made based on the assessment purpose, target population, available resources and patient factors. In the future, it is necessary to enhance the objectivity of simple tools, and integrate objective data and patient-reported outcomes to optimize the AWF assessment strategy and precisely guide rehabilitation intervention.

Key words：Abdominal wall function; Core stability; Motor control; Individualized assessment; Postoperative rehabilitation

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