Nursing care of a patient with systemic inflammatory response syndrome treated with TCM bowel modulation

LI Yuan; FANG Li; MA Linlin

doi:10.12209/CAIM202312140001

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Nursing care of a patient with systemic inflammatory response syndrome treated with TCM bowel modulation

更新时间：2024-01-22

- Nursing care of a patient with systemic inflammatory response syndrome treated with TCM bowel modulation
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  中国中医科学院西苑医院急诊科，北京 100091
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202312140001
  CLC：
- Published Online：11 January 2024，
  
  Received：14 December 2023，
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LI Yuan, FANG Li, MA Linlin. Nursing care of a patient with systemic inflammatory response syndrome treated with TCM bowel modulation. [DB/OL].Clinical Archives of Integrative Medicine (2024)
DOI：

LI Yuan, FANG Li, MA Linlin. Nursing care of a patient with systemic inflammatory response syndrome treated with TCM bowel modulation. [DB/OL].Clinical Archives of Integrative Medicine (2024) DOI： 10.12209/CAIM202312140001.

摘要

本文总结1例全身炎症反应综合征肠功能障碍患者的中医调肠护理经验。护理要点包括参照四证四法辨治理论，根据“辨体—辨病—辨证”三维辨证施护模式，科学辨别患者体质、病位、证型，辨证施护，证法对应，制定中医调肠护理方案。总体治疗分3个阶段施治施护，实施中医适宜技术。经过45 d治疗后，患者发热、咳嗽症状好转，危重症评分从18分降至13分，肠功能障碍评分从4分降至1分，患者病情平稳，顺利出院。

Abstract

This article summarizes the nursing experience of traditional Chinese medicine bowel adjustment in a patient with systemic inflammatory response syndrome with intestinal dysfunction. The key points of nursing included the reference to the theory of four syndromes and four methods of differentiation and treatment， according to the three-dimensional syndrome differentiation nursing model of "body identification-disease identification-syndrome differentiation"， scientific identification of the patient's constitution， disease location and syndrome type， syndrome differentiation nursing， and the correspondence of syndrome and method， and the formulation of traditional Chinese medicine bowel adjustment nursing plan. The overall treatment was divided into three stages， and the appropriate technology of traditional Chinese medicine was implemented. After 45 days of treatment， the symptoms of fever and cough were improved， the critical illness score decreased from 18 to 13， and the intestinal dysfunction score decreased from 4 to 1. The patient's condition was stable and he was discharged smoothly.

关键词

全身炎症反应综合征“辨体—辨病—辨证”三维辨证中医调肠护理

Keywords

systemic inflammatory response syndromeThe three-dimensional syndrome differentiation of "entity identification-disease identification-syndrome differentiation"TCM regulating the intestinenursing care

references

Xu-Zhao L ， Cheng-Shan R ， Zhong-Jie G .Systemic inflammatory response syndrome and multiple organ dysfunction syndrome in critical patients［J］.CHINESE JOURNAL OF CRITICAL CARE MEDICINE， 2000.DOI：10.1016/j.theriogenology.2010.03.019http://dx.doi.org/10.1016/j.theriogenology.2010.03.019.

刘德培. 中华医学百科全书-临床医学，普通外科学：临床医学普通外科学［M］. 北京：中国协和医科大学出版社， 2017.

邓怒骄. 大黄素、栀子苷配伍对酵母多糖致全身炎症反应综合征大鼠模型肠屏障功能受损保护作用的研究［D］. 长沙：湖南中医药大学， 2019.

李岩涛，陈分乔，梅建强. 中医集束化调肠方案治疗脓毒症肠功能障碍的疗效及其对炎症水平的影响［J］. 实用临床护理学电子杂志， 2016， 1（7）： 8-9.

LI Y T， CHEN F Q， MEI J Q. Therapeutic effect of traditional Chinese medicine （TCM） cluster intestinal regulation scheme on intestinal dysfunction in sepsis and its influence on inflammatory level［J］. J Clin Nursing’s Pract， 2016， 1（7）： 8-9.（in Chinese）

杨飞宇，郭力恒，张敏州，等. 基于“四证四法” 辨治脓毒症心肌病的研究进展［J］. 中华中医药杂志， 2022， 37（8）： 4263-4268.

YANG F Y， GUO L H， ZHANG M Z， et al. Research progress in the syndrome differentiation and treatment of sepsis-induced cardiomyopathy by the theories of ‘four patterns and four methods’［J］. China J Tradit Chin Med Pharm， 2022， 37（8）： 4263-4268.（in Chinese）

李淑芳，庞辉群. 脓毒症中医证型研究的思路和探讨［J］. 中国中医急症， 2014， 23（9）： 1683-1684， 1688.

LI S F， PANG H Q. Thoughts and discussion on TCM syndrome types of sepsis［J］. J Emerg Tradit Chin Med， 2014， 23（9）： 1683-1684， 1688.（in Chinese）

柳冬兵，刘加新，徐甦，等. “肠通贴” 穴位贴敷对便秘患者肠镜检查肠道准备的干预作用研究：附80例临床资料［J］. 江苏中医药， 2023， 55（1）： 41-44.

LIU D B， LIU J X， XU S， et al. Study on the effect of “Changtong paste” Acupoint application on intestinal preparation of colonoscopy in patients with constipation-clinical data of 80 cases attached［J］. Jiangsu J Tradit Chin Med， 2023， 55（1）： 41-44.（in Chinese）

李倩，郝丽. 功能性便秘的中医护理体会［C］//全国第13届老年护理学术交流暨专题讲座会议，全国中医，中西医结合护理学术交流暨专题讲座会议论文汇编. 中华护理学会， 2010.

刘金苗，王玉玲. 穴位贴敷联合中药热奄包在腹腔镜胆囊切除术后胃肠功能恢复中的应用［J］. 中国中西医结合外科杂志， 2022， 28（5）： 679-682.

LIU J M， WANG Y L. Application of acupoint application combined with traditional Chinese medicine hot package in the recovery of gastrointestinal function after laparoscopic cholecystectomy［J］. Chin J Surg Integr Tradit West Med， 2022， 28（5）： 679-682.（in Chinese）

梁艳东，黄小文，刘秋江. 腹部穴位按摩联合皮内针对危重患者胃肠功能障碍的影响［J］. 中医外治杂志， 2020， 29（3）： 9-11.

LIANG Y D， HUANG X W， LIU Q J. Effect of abdominal acupoints massage combined with intradermal needle therapy on gastrointestinal dysfunction in critically ill patients［J］. J Extern Ther Tradit Chin Med， 2020， 29（3）： 9-11.（in Chinese）

章思佳，齐诗仪，龚萌，等. 中医外治法治疗全身炎症反应综合征作用机制探析［J］. 甘肃中医药大学学报， 2021， 38（5）： 13-16.

ZHANG S J， QI S Y， GONG M， et al. Analysis of action mechanism of TCM external treatment for systemic inflammatory response syndrome［J］. J Gansu Univ Chin Med， 2021， 38（5）： 13-16.（in Chinese）

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Department of General Internal Medicine， Beijing Chaoyang Emergency Integrative Medicine Rescue andFirst Aid Hospital

Department of Hepatology， Shuguang Hospital Affiliated to Shanghai University of Traditional;Chinese Medicine

Department of Nursing， Shuguang Hospital Affiliated to Shanghai University of Traditional;Chinese Medicine

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EICU， Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

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