北京中医药大学东直门医院 耳鼻咽喉头颈外科, 北京, 100700
张莹, E-mail: 13811873022@163.com
收稿:2026-07-29,
修回:2026-08-24,
录用:2026-08-26,
网络首发:2026-11-12,
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尹梦雨, 姜明月, 潘雨晴, 等. 1例特发性耳鸣伴焦虑抑郁状态患者的中医特色护理报告[DB/OL].中西医结合临床案例库, 2026.
YIN Mengyu, JIANG Mingyue, PAN Yuqing, et al. Report of Traditional Chinese Medicine Characteristic Nursing for One Patient with Idiopathic Tinnitus Complicated with Anxiety and Depression[DB/OL].Clinical Archives of Integrative Medicine, 2026.
尹梦雨, 姜明月, 潘雨晴, 等. 1例特发性耳鸣伴焦虑抑郁状态患者的中医特色护理报告[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202607290009.
YIN Mengyu, JIANG Mingyue, PAN Yuqing, et al. Report of Traditional Chinese Medicine Characteristic Nursing for One Patient with Idiopathic Tinnitus Complicated with Anxiety and Depression[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202607290009.
总结1例特发性耳鸣伴焦虑抑郁状态患者应用中医特色外治疗法的护理经验。本次护理构建“评估、干预、评价”结构化护理模式,实施耳穴压丸治疗护理同步配合睡眠管理;开展中药热奄包局部护理并同步落实温度监测;运用中医五行音乐疗法开展情志调护,为患者建立个性化曲目库;实施耳鸣习服训练帮助患者逐步重建对异常声音的耐受能力;开展延续性护理服务,确保患者出院后疗效得到有效巩固。经过21 d的中医特色护理干预,患者耳鸣响度视觉模拟评分从7分降至2分,焦虑自评量表评分从58分降至42分,睡眠效率从65%提升至85%,临床疗效满意,随访3个月未出现病情复发。
This paper summarizes the nursing experience of characteristic external therapies of traditional Chinese medicine in one patient with idiopathic tinnitus accompanied by anxiety and depression. A structured nursing model of “assessment, intervention and evaluation” was established in this nursing practice. Auricular point pellet pressure was applied together with sleep management; local therapy with Chinese herbal hot compress package was performed with real-time temperature monitoring; five-element music therapy of traditional Chinese medicine was adopted for emotional regulation, and a personalized music library was built for the patient. Tinnitus retraining therapy was carried out to help the patient gradually rebuild tolerance to abnormal sounds. Continuous nursing service was provided to effectively consolidate the therapeutic effect after discharge. After 21 days of characteristic TCM nursing intervention, the patient’s visual analogue scale score of tinnitus loudness decreased from 7 to 2, the Self-Rating Anxiety Scale score dropped from 58 to 42, and sleep efficiency increased from 65% to 85%, with satisfactory clinical efficacy. No recurrence was observed during the 3-month follow-up.
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