A case report of integrated traditional chinese and western medicine nursing care for a stroke patient with qi deficiency and blood stasis syndrome

Zhiwei WANG; Lu WANG; Ying KOU; Qian ZHANG

doi:10.12209/CAIM202209260001

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A case report of integrated traditional chinese and western medicine nursing care for a stroke patient with qi deficiency and blood stasis syndrome

更新时间：2022-12-22

- A case report of integrated traditional chinese and western medicine nursing care for a stroke patient with qi deficiency and blood stasis syndrome
- Clinical Archives of Integrative Medicine (2022)
- 作者机构：
  
  北京市东城区第一人民医院急诊科，北京， 100075
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202209260001
  CLC：
- Published Online：22 December 2022，
  
  Received：26 September 2022，
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Zhiwei WANG, Lu WANG, Ying KOU, et al. A case report of integrated traditional chinese and western medicine nursing care for a stroke patient with qi deficiency and blood stasis syndrome. [DB/OL].Clinical Archives of Integrative Medicine (2022)
DOI：

Zhiwei WANG, Lu WANG, Ying KOU, et al. A case report of integrated traditional chinese and western medicine nursing care for a stroke patient with qi deficiency and blood stasis syndrome. [DB/OL].Clinical Archives of Integrative Medicine (2022) DOI： 10.12209/CAIM202209260001.

摘要

为进一步提高对中风老年患者的临床护理质量，本次选取我院收治的1例气虚血瘀证中风老年患者进行护理个案研究。入院后患者经西医确诊为左侧腔隙性脑梗塞，冠心病并行冠脉搭桥术后，心功能1级，中医诊断为中风（气虚血瘀证），给予对症治疗，并实施中西医结合护理，措施包括耳穴压豆护理、穴位按摩、情志护理、饮食护理等。患者恢复良好于2022年9月19日出院。可见，对中风患者实施个性化、优质的中西医护理能够使两种护理模式优势互补，提升护理效果，值得在临床推广应用。

Abstract

In order to further improve the quality of clinical care for elderly patients with stroke， this time we selected one elderly patient with stroke of qi deficiency and blood stasis type treated in our hospital for nursing case study. After admission， the patient was diagnosed as left lacunar cerebral infarction by western medicine. After coronary heart disease and coronary artery bypass grafting， the cardiac function of the patient was Grade 1. The patient was diagnosed as stroke （Qi deficiency and blood stasis syndrome） by traditional Chinese medicine， and was given symptomatic treatment. Integrated Chinese and western medicine care was implemented. The measures included ear point pressing bean care， point massage， functional exercise， emotional care， diet care， etc. The patient recovered well and was discharged on September 19， 2022. It can be seen that the implementation of personalized and high-quality Chinese and Western medicine nursing for stroke patients can complement the advantages of the two nursing models and improve the nursing effect， which is worth popularizing in clinical practice.

关键词

中风气虚血瘀证中西医护理病例报告

Keywords

strokeQi deficiency and blood stasis syndromeChinese and Western medicine nursingcase report

references

王安安，李文娟，谢霞，等. 中西医结合治疗脑梗死恢复期气虚血瘀证的临床疗效［J］. 中西医结合心脑血管病杂志， 2020， 18（4）： 661-663.

WANG A N， LI W J， XIE X， et al. Clinical efficacy of integrated traditional Chinese and western medicine in treating qi deficiency and blood stasis syndrome in convalescence of cerebral infarction［J］. Chin J Integr Med Cardio Cerebrovasc Dis， 2020， 18（4）： 661-663.（in Chinese）

王朝辉，唐娜，封彬. 急性脑卒中吞咽障碍患者早期康复护理的效果观察［J］. 中国中西医结合急救杂志， 2020， 27（6）： 709-712.

WANG C /Z）H， TANG N， FENG B. Effect observation of early rehabilitation nursing on patients with dysphagia after acute stroke［J］. Chin J Integr Tradit West Med Intensive Crit Care， 2020， 27（6）： 709-712.（in Chinese）

郑春华，徐斌斌. 急性脑梗死中医治疗的临床护理体会［J］. 重庆医学， 2021（S02）： 461-463.

ZHENG C H， XU B B. Clinical nursing experience of acute cerebral infarction treated with traditional Chinese medicine［J］. Chongqing Med， 2021（S02）： 461-463.（in Chinese）

MIN ying，LU Yi；LU Shengzhen. Discussion on the Practice and Optimization Method of Traditional Chinese Medicine Nursing in the Convalescent Stage of Apoplexy［J］.Chinese Medicine Modern Distance Education of China，2021，（23）：156-157.

金静芬，李梅，陈圆圆，等. 脑卒中患者早期运动康复护理方案的构建［J］. 中华护理杂志， 2020， 55（9）： 1360-1365.

JIN J F， LI M， CHEN Y Y， et al. Construction of early motor rehabilitation nursing program based on Modified Barthel Index grading for stroke patients［J］. Chin J Nurs， 2020， 55（9）： 1360-1365.（in Chinese）

丁春戈，张振香，刘晓虹，等. 居家脑卒中患者护理等级简易判定卡的研制［J］. 中华护理杂志， 2020， 55（4）： 595-599.

DING C G， ZHANG Z X， LIU X H， et al. Development of a simple judgment card for classification of nursing care level for home-stayed stroke patients［J］. Chin J Nurs， 2020， 55（4）： 595-599.（in Chinese）

薛建红，朱勤贤，张玉华，等. 气虚血瘀证中风患者应用中西医结合康复护理的效果分析［J］. 河北医药， 2021， 43（20）： 3195-3197.

XUE J H， ZHU Q X， ZHANG Y H， et al. Therapeutic effects of integrated TCM with western medicine rehabilitation nursing for stroke patients with Qi deficiency and blood stasis［J］. Hebei Med J， 2021， 43（20）： 3195-3197.（in Chinese）

何兴月，郝佳琪，杨辉，等. 脑卒中患者家庭护理评估工具的研究进展［J］. 中国全科医学， 2021， 24（12）： 1564-1569.

HE X Y， HAO J Q， YANG H， et al. Recent advances in home care assessment tools for stroke patients［J］. Chin Gen Pract， 2021， 24（12）： 1564-1569.（in Chinese）

蔡卫新，尹志科，张冉，等. 脑卒中患者护理质量控制系统的构建及应用研究［J］. 中华护理杂志， 2020， 55（11）： 1612-1619.

CAI W X， YIN Z K， ZHANG R， et al. Construction and application of a multi-center stroke nursing quality control system［J］. Chin J Nurs， 2020， 55（11）： 1612-1619.（in Chinese）

王娟，魏琼. 脑卒中康复护理在神经内科护理中的临床效果分析［J］. 重庆医学， 2021（S01）： 362-364.

WANG J， WEI Q. Clinical effect analysis of stroke rehabilitation nursing in neurology nursing［J］. Chongqing Med， 2021（S01）： 362-364.（in Chinese）

刘玉婵，王丽丽，陆萍，等. 临床护理路径在缺血性脑卒中康复护理中的应用［J］. 重庆医学， 2021（S01）： 353-355.

LIU Y C， WANG L L， LU P， et al. Application of clinical nursing pathway in rehabilitation nursing of ischemic stroke［J］. Chongqing Med， 2021（S01）： 353-355.（in Chinese）

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Nursing Department， Beijing Longfu Hospital

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