北京市健宫医院 重症医学科, 北京, 100054
收稿:2026-06-09,
修回:2026-06-17,
录用:2026-07-14,
网络首发:2026-09-28,
移动端阅览
马莉. 1例心脏搭桥术后行CRRT患者的中医外治护理[DB/OL].中西医结合临床案例库, 2026.
MA Li. Traditional Chinese Medicine External Treatment Nursing Care for a Patient Undergoing Continuous Renal Replacement Therapy Following Coronary Artery Bypass Grafting: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026.
马莉. 1例心脏搭桥术后行CRRT患者的中医外治护理[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202606090002.
MA Li. Traditional Chinese Medicine External Treatment Nursing Care for a Patient Undergoing Continuous Renal Replacement Therapy Following Coronary Artery Bypass Grafting: A Case Report[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202606090002.
总结1例心脏搭桥术后行连续性肾脏替代治疗(CRRT)患者应用中医外治法的护理经验。在西医综合治疗基础上,护理团队应用通便贴、耳穴压丸、中药热奄包及中药灌肠等中医外治法,配合心输出量管理、呼吸道护理、CRRT容量控制、感染防控及压疮预防等综合护理措施干预后,患者生命体征趋于稳定,心功能及气体交换改善,大便通畅,未发生新发压疮及导管相关性感染。
This article summarizes the nursing experience of applying Traditional Chinese Medicine (TCM) external therapies in a patient undergoing continuous renal replacement therapy (CRRT) after coronary artery bypass grafting (CABG). On the basis of comprehensive Western medical treatment, the nursing staff administered TCM external interventions, including constipation-relieving patches, auricular acupressure with vaccaria seeds, herbal hot compress packs, and herbal enemas, in conjunction with comprehensive nursing measures such as cardiac output management, respiratory care, CRRT volume control, infection prevention and control, and pressure injury prevention. Following intervention, the patient's vital signs stabilized, cardiac function and gas exchange improved, bowel movements became unobstructed, and no new-onset pressure injuries or catheter-related infections occurred.
王艳春 , 张波 , 冯娟娟 . 个体化精细护理联合程序化随访干预对心脏搭桥术后患者情绪、希望水平及遵医行为的影响 [J]. 反射疗法与康复医学 , 2025 , 6 ( 3 ): 182 - 185 .
Wang Y C , Zhang B , Feng J J . Effect of individualized fine nursing combined with programmatic follow-up intervention on emotions, hope levels and compliance behaviors of patients after cardiac bypass surgery [J]. Reflexology Rehabil Med , 2025 , 6 ( 3 ): 182 - 185 . (in Chinese)
Hudák M , Rašiová M , Moščovič M , et al . Exertional angina after cardiac bypass surgery successfully solved by endovascular occlusion of unligated lateral costal artery [J]. BMJ Case Rep , 2023 , 16 ( 12 ): e256654 .
蒋龙 , 郭仁楠 , 张大权 , 等 . 局部枸橼酸抗凝技术在ICU急性肾损伤患者连续性肾脏替代治疗中的临床应用研究 [J]. 中国中西医结合急救杂志 , 2023 , 30 ( 3 ): 333 - 337 .
Jiang L , Guo R N , Zhang D Q , et al . Clinical application of regional Citrate anticoagulation in renal replacement therapy for intensive care unit patients with acute renal injury [J]. Chin J Integr Tradit West Med Intensive Crit Care , 2023 , 30 ( 3 ): 333 - 337 . (in Chinese)
张钰 , 滕燊医 , 马伊笛 , 等 . 全国名老中医周亚滨教授分阶段诊疗心水病临床诊治经验 [J]. 中国中医急症 , 2026 , 35 ( 4 ): 468 - 470, 474 .
Zhang Y , Teng S Y , Ma Y D , et al . Clinical diagnosis and treatment experience of Professor Zhou Yabin, a famous old Chinese medicine practitioner in China, in treating cardiopathy by stages [J]. J Emerg Tradit Chin Med , 2026 , 35 ( 4 ): 468 - 470, 474 . (in Chinese)
张书亚 , 郝琳慧 , 曹晶 , 等 . 中药热奄包疗法的临床应用及作用机制研究进展 [J]. 中医药临床杂志 , 2022 , 34 ( 10 ): 1989 - 1993 .
Zhang S Y , Hao L H , Cao J , et al . Research progress on clinical application and action mechanism of traditional Chinese medicine hot pack therapy [J]. Clin J Tradit Chin Med , 2022 , 34 ( 10 ): 1989 - 1993 . (in Chinese)
魏雪静 . 快速康复外科理念对心脏搭桥术后的护理效果 [J]. 中国城乡企业卫生 , 2026 , 41 ( 1 ): 129 - 132 .
Wei X J . The impact of fast-track surgical concept on nursing outcomes after coronary artery bypass grafting [J]. Chin J Urban Rural Enterpr Hyg , 2026 , 41 ( 1 ): 129 - 132 . (in Chinese)
赖天为 , 覃纲 , 韦柳青 , 等 . 连续肾脏替代治疗护理质量评价指标的研究进展 [J]. 护理研究 , 2023 , 37 ( 17 ): 3120 - 3124 .
Lai T W , Qin G , Wei L Q , et al . Research progress on nursing quality evaluation index of continuous renal replacement therapy [J]. Chin Nurs Res , 2023 , 37 ( 17 ): 3120 - 3124 . (in Chinese)
郝丽莎 . 《皮肤和伤口循证护理规范》: 压疮护理应用中药外敷的效果研究 [J]. 介入放射学杂志 , 2023 , 32 ( 11 ): 1168 .
Hao L S . Evidence-based nursing standard for skin and wound: Study on the effect of external application of traditional Chinese medicine in pressure sore nursing [J]. J Interv Radiol , 2023 , 32 ( 11 ): 1168 . (in Chinese)
于海云 . 理虚通便贴穴位贴敷联合穴位按摩治疗气阴两虚型老年功能性便秘的临床研究 [D]. 山东中医药大学 , 2024 .
杜莹 , 盛娟娟 , 汪川 , 等 . 健康教育联合程序化随访对心脏搭桥术后患者遵医行为及心理应激的影响 [J]. 中国健康教育 , 2022 , 38 ( 1 ): 52 - 55 .
Du Y , Sheng J J , Wang C , et al . Influence of health education combined with programmed follow-up plan on compliance behavior and psychological stress of patients after cardiac bypass surgery [J]. Chin J Heal Educ , 2022 , 38 ( 1 ): 52 - 55 . (in Chinese)
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621
