北京市回民医院 民族医学科, 北京, 100054
收稿:2026-06-12,
修回:2026-07-14,
录用:2026-07-15,
网络首发:2026-09-24,
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陈潇然, 刘爽. 1例晚期结肠癌并发恶性肠梗阻患者的中西医结合护理体会[DB/OL].中西医结合临床案例库, 2026.
CHEN Xiaoran, LIU Shuang. Nursing Experience of Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Advanced Colon Cancer Complicated by Malignant Bowel Obstruction[DB/OL].Clinical Archives of Integrative Medicine, 2026.
陈潇然, 刘爽. 1例晚期结肠癌并发恶性肠梗阻患者的中西医结合护理体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202606120003.
CHEN Xiaoran, LIU Shuang. Nursing Experience of Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Advanced Colon Cancer Complicated by Malignant Bowel Obstruction[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202606120003.
本文总结1例结肠癌晚期并发肠梗阻伴多脏器转移患者的护理经验。针对患者存在的重度癌性疼痛、恶性肠梗阻、焦虑抑郁及营养失调等护理问题,实施中西医结合整体护理。通过中医辨证施膳、五音疗法、穴位贴敷及中药热奄包等中医特色护理技术,结合西医三阶梯止痛、营养支持及并发症预防等干预措施,有效缓解患者躯体症状,改善心理状态。
This article summarizes the nursing experience of a patient with advanced colon cancer complicated by malignant bowel obstruction with multiple organ metastases. In response to the major nursing problems identified in this patient, including severe cancer pain, malignant bowel obstruction, anxiety and depression, and nutritional imbalance, an integrated traditional Chinese and Western medicine holistic nursing approach was implemented. TCM-specific nursing techniques, including syndrome differentiation-based dietary therapy, five-element music therapy, acupoint application, and traditional Chinese herbal hot compress, were combined with Western medicine interventions such as the three-step analgesic ladder, nutritional support, and complication prevention. These measures effectively alleviated the patient's physical symptoms and improved the psychological status.
唐贞贞 , 张燕 , 王曼曼 , 等 . 安宁疗护联合舒芬太尼患者自控静脉镇痛对晚期结直肠癌患者疼痛程度患者疼痛程度, 焦虑情绪和主观幸福感的影响焦虑情绪和主观幸福感的影响 [J]. 癌症进展 , 2024 , 22 ( 15 ): 1648 - 1651 .
Tang Z Z , Zhang Y , Wang M M , et al . The effect of palliative care combined with sufentanil patient-controlled intravenous analgesia on pain intensity, anxiety, and subjective well-being in patients with advanced colorectal cancer [J]. Cancer Progress , 2024 , 22 ( 15 ): 1648 - 1651 . (in Chinese)
张新悦 , 高晓明 . 癌性爆发痛护理管理研究进展 [J]. 中华疼痛学杂志 , 2025 , 21 ( 3 ): 468 - 475 .
Zhang X Y , Gao X M . Advances in nursing intervention for cancer patients with breakthrough pain [J]. Chin J Painology , 2025 , 21 ( 3 ): 468 - 475 . (in Chinese)
邓艺帆 , 王建宁 , 彭梦婷 , 等 . 决策辅助工具在失智症患者照护中应用的范围综述 [J]. 中华护理杂志 , 2024 , 59 ( 6 ): 758 - 764 .
Deng Y F , Wang J N , Peng M T , et al . Decision aids for care decision making in dementia patients: a scoping review [J]. Chin J Nurs , 2024 , 59 ( 6 ): 758 - 764 . (in Chinese)
王顺星 , 徐超 , 尚磊 , 等 . 简明疼痛量表在疼痛评估中的应用 [J]. 河北医药 , 2024 , 46 ( 21 ): 3322 - 3328 .
Wang S X , Xu C , Shang L , et al . Application of the brief pain inventory in pain assessment [J]. Hebei Med J , 2024 , 46 ( 21 ): 3322 - 3328 . (in Chinese)
刘文静 , 王志稳 , 余跃琳 , 等 . 老年人内在能力评估与维护指南 [J]. 中华护理杂志 , 2025 , 60 ( 3 ): 261 - 265 .
Liu W J , Wang Z W , Yu Y L , et al . Guideline for assessment and maintenance of intrinsic capacity in older adults [J]. Chin J Nurs , 2025 , 60 ( 3 ): 261 - 265 . (in Chinese)
赵诺 , 黄湘媛 , 刘春梅 , 等 . 《五行音乐疗法应用护理规范》团体标准解读 [J]. 护理管理杂志 , 2025 , 25 ( 3 ): 253 - 256 .
Zhao N , Huang X Y , Liu C M , et al . Interpretation of group standard of the application of five elements music therapy in nursing [J]. J Nurs Adm , 2025 , 25 ( 3 ): 253 - 256 . (in Chinese)
王玉慧 , 郭敬 , 陈扬 , 等 . 优化版中药热熨敷技术改善癌性疼痛的临床效果观察 [J]. 北京中医药 , 2023 , 42 ( 2 ): 133 - 136 .
Wang Y H , Guo J , Chen Y , et al . Observation of clinical effect of optimized TCM hot ironing compress technique on cancer pain [J]. Beijing J Tradit Chin Med , 2023 , 42 ( 2 ): 133 - 136 . (in Chinese)
亓蕾 . 中药灌肠加穴位贴敷中医特色护理在肠梗阻中的应用 [J]. 当代医药论丛 , 2025 , 23 ( 9 ): 157 - 160 .
Qi L . Application of traditional Chinese medicine enema plus acupoint application in traditional Chinese medicine characteristic nursing in intestinal obstruction [J]. Contemp Med Symp , 2025 , 23 ( 9 ): 157 - 160 . (in Chinese)
龚丽 , 薛玉萍 , 周瑜 , 等 . 中西医结合特色护理对肠梗阻患者疗效及康复指标的影响 [J]. 现代中西医结合杂志 , 2023 , 32 ( 8 ): 1157 - 1159, 1163 .
Gong L , Xue Y P , Zhou Y , et al . The Impact of Integrated Traditional Chinese and Western Medicine Nursing on Treatment Outcomes and Rehabilitation Indicators in Patients with Intestinal Obstruction [J]. Mod J Integr Tradit Chin West Med , 2023 , 32 ( 8 ): 1157 - 1159, 1163 . (in Chinese)
罗纯宾 , 吴秀琼 , 蔡小慧 . 营养支持结合姑息护理对消化道肿瘤患者营养状态、胃肠激素水平及生存质量的影响 [J]. 国际护理学杂志 , 2022 , 41 ( 1 ): 144 - 147 .
Luo C B , Wu X Q , Cai X H . Effect of nutritional support combined with palliative care on nutritional status, gastrointestinal hormone level and quality of life of patients with digestive tract tumors [J]. Int J Nurs , 2022 , 41 ( 1 ): 144 - 147 . (in Chinese)
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