北京市健宫医院 泌尿外科, 北京, 100054
收稿:2026-05-29,
修回:2026-06-03,
录用:2026-06-16,
网络首发:2026-08-11,
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孟佳. 耳穴压丸联合中药贴敷治疗1例肾虚湿热型输尿管结石术后患者的护理报告[DB/OL].中西医结合临床案例库, 2026.
MENG Jia. Nursing Case Report of Auricular Acupressure Combined with Chinese Herbal Acupoint Application in Treating One Postoperative Patient with Ureteral Calculi of Kidney Deficiency and Dampness-Heat Pattern[DB/OL].Clinical Archives of Integrative Medicine, 2026.
孟佳. 耳穴压丸联合中药贴敷治疗1例肾虚湿热型输尿管结石术后患者的护理报告[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202605290001.
MENG Jia. Nursing Case Report of Auricular Acupressure Combined with Chinese Herbal Acupoint Application in Treating One Postoperative Patient with Ureteral Calculi of Kidney Deficiency and Dampness-Heat Pattern[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202605290001.
本文总结1例肾虚湿热型输尿管结石术后患者应用耳穴压丸联合中药贴敷治疗的护理经验。患者因左侧腰腹痛入院,CT示左侧输尿管腹段结石0.5 cm,行输尿管镜碎石取石术,术后辨证属石淋(肾虚湿热证),病机为“本虚标实”。在西医护理基础上,予耳穴压丸以理气止痛,中药穴位贴敷以利湿排石、预防感染,配合口服中药,辅以情志调护,实施个性化护理干预。患者术后疼痛显著缓解,无结石残留及感染,康复周期缩短。针对肾虚湿热型输尿管结石术后患者,采用耳穴压丸联合中药贴敷的中西医结合护理模式,可有效减轻疼痛、促进排石、预防并发症并加速术后康复,体现了中西医结合护理的优势,值得临床推广应用。
This paper summarizes the traditional Chinese medicine (TCM) nursing experience of applying auricular acupressure combined with Chinese herbal acupoint application for one postoperative patient with ureteral calculi of kidney deficiency and dampness-heat pattern. The patient was admitted to hospital due to left lumbar and abdominal pain. Computed tomography (CT) showed a 0.5 cm calculus in the abdominal segment of the left ureter, and ureteroscopic lithotripsy and stone extraction was performed. Postoperative TCM syndrome differentiation identified the condition as urolithic stranguria (kidney deficiency and dampness-heat pattern), with the pathogenesis of "deficiency in origin and excess in superficiality". On the basis of routine Western medicine nursing, auricular acupressure was administered to regulate qi and relieve pain, Chinese herbal acupoint application was applied to drain dampness, promote calculi expulsion and prevent infection; the interventions were combined with oral Chinese herbal medicine and adjuvant emotional nursing to implement individualized nursing interventions. The patient's postoperative pain was significantly relieved, with no residual calculi or infection, and the rehabilitation period was shortened. For postoperative patients with ureteral calculi of kidney deficiency and dampness-heat pattern, the integrated traditional Chinese and Western medicine nursing mode adopting auricular acupressure combined with Chinese herbal acupoint application can effectively alleviate pain, promote stone expulsion, prevent complications and accelerate postoperative rehabilitation, which reflects the advantages of integrated traditional Chinese and Western medicine nursing and is worthy of clinical promotion and application.
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