Nursing experience of integrated traditional Chinese and western medicine for a patient with type 2 diabetic ketoacidosis combined with femoral neck fracture

YAO Yan; WANG Jing

doi:10.12209/CAIM202312260001

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Nursing experience of integrated traditional Chinese and western medicine for a patient with type 2 diabetic ketoacidosis combined with femoral neck fracture

更新时间：2024-01-11

- Nursing experience of integrated traditional Chinese and western medicine for a patient with type 2 diabetic ketoacidosis combined with femoral neck fracture
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  上海中医药大学附属曙光医院 EICU，上海 200120
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202312260001
  CLC：
- Published Online：11 January 2024，
  
  Received：26 December 2023，
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YAO Yan, WANG Jing. Nursing experience of integrated traditional Chinese and western medicine for a patient with type 2 diabetic ketoacidosis combined with femoral neck fracture. [DB/OL].Clinical Archives of Integrative Medicine (2024)
DOI：

YAO Yan, WANG Jing. Nursing experience of integrated traditional Chinese and western medicine for a patient with type 2 diabetic ketoacidosis combined with femoral neck fracture. [DB/OL].Clinical Archives of Integrative Medicine (2024) DOI： 10.12209/CAIM202312260001.

摘要

本文总结1例2型糖尿病酮症酸中毒合并股骨颈骨折患者实施中西医结合治疗和护理经验。在常规护理基础上，予患者中西医结合治疗和护理，西医给予纠正酸碱平衡，降糖，抗感染治疗；中医根据患者的辨证分型，即气阴两伤证，给予天灸、中药鼻饲、耳穴压丸等中医干预措施，缓解患者不适症状，促进患者康复。患者治疗18 d后营养状况改善，19 d后拔除胃管经口进食，23 d后遵医嘱出院。

Abstract

This article summarizes the experience of integrated traditional Chinese and western medicine treatment and nursing for a patient with type 2 diabetic ketoacidosis and femoral neck fracture. On the basis of routine nursing， the patients were given integrated traditional Chinese and western medicine treatment and nursing， and western medicine was given to correct acid-base balance， reduce blood glucose， and anti-infection treatment. According to the syndrome differentiation of patients， that is， the syndrome of qi and Yin injury， TCM interventions such as natural moxibustion， nasal feeding with Chinese medicine， and auricular point pressure pills were given to relieve the discomfort symptoms of patients and promote the recovery of patients. After 18 days of treatment， the nutritional status of the patient improved， the stomach tube was removed after 19 days of oral feeding， and the patient was discharged after 23 days of medical advice.

关键词

2型糖尿病酮症酸中毒股骨颈骨折中西医结合护理

Keywords

type 2 diabetic ketoacidosisfemoral neck fracturesintegrated traditional Chinese and western medicinenursing care

references

陈丽霞，刘莉，邬少兰. 急救护理在急诊糖尿病酮症酸中毒患者中的应用效果分析［J］. 糖尿病新世界， 2023， 26（12）： 125-128.

CHEN L X， LIU L， WU S L. Analysis of the effectiveness of emergency care in patients with diabetic ketoacidosis in the emergency department［J］. Diabetes N World， 2023， 26（12）： 125-128.（in Chinese）

KONDRUP J， RASMUSSEN H H， HAMBERG O， et al. Nutritional risk screening （NRS 2002）： a new method based on an analysis of controlled clinical trials［J］. Clin Nutr， 2003， 22（3）： 321-336.

谢育光，林世湾，李望平. 胫骨、股骨骨折经切开复位钛板内固定与交锁髓内钉内固定术治疗的疗效对比［J］. 当代临床医刊， 2021， 34（1）： 59-60.

XIE Y G， LIN S W， LI W P. Comparison of therapeutic effects between open reduction and titanium plate internal fixation and interlocking intramedullary nail internal fixation for tibial and femoral fractures［J］. J Contemp Clin Med， 2021， 34（1）： 59-60.（in Chinese）

浙江省医师协会营养医师专业委员会，浙江省临床营养中心，浙江省医学会肠外肠内营养学分会，等.营养风险筛查疾病严重程度评分专家共识［J］.浙江医学， 2022， 44（13）：6.

Nutrition Physicians Committee of Zhejiang Medical Doctor Association， Clinical Nutrition Center of Zhejiang Province， Parenteral and Enteral Nutrition Branch of Zhejiang Medical Association， et al. Expert consensus on disease severity score for nutritional risk screening ［J］. Zhejiang Medicine， 2022， 44（13）：6.

韩金海，陈志远，杜玮强. 股骨颈骨折术后骨折延迟愈合的危险因素及其相关性分析［J］. 中国烧伤创疡杂志， 2023， 35（4）： 306-309.

HAN J H， CHEN Z Y， DU W Q. Risk factors and correlation analysis of delayed fracture healing after femoral neck fracture surgery［J］. Chin J Burns Wounds Surf Ulcers， 2023， 35（4）： 306-309.（in Chinese）

JIE B， JIANG Z M， NOLAN M T， et al. Impact of nutritional support on clinical outcome in patients at nutritional risk： a multicenter， prospective cohort study in Baltimore and Beijing teaching hospitals［J］. Nutrition， 2010， 26（11/12）： 1088-1093.

ZHANG H， WANG Y， JIANG Z M， et al. Impact of nutrition support on clinical outcome and cost-effectiveness analysis in patients at nutritional risk： a prospective cohort study with propensity score matching［J］. Nutrition， 2017， 37： 53-59.

彭莉.舒适护理在股骨颈骨折护理中的应用效果［J］.当代医药论丛， 2014（2）：1.DOI：10.3969/j.issn.2095-7629.2014.02.214http://dx.doi.org/10.3969/j.issn.2095-7629.2014.02.214.

PENG L. Effect of comfortable nursing in the application of femoral neck fracture care ［J］. Journal of contemporary medical sciences， 2014 （2）： 1. The DOI： 10.3969 / j.i SSN. 2095-7629.2014.02.214http://dx.doi.org/10.3969/j.iSSN.2095-7629.2014.02.214.

于清波，王宸. 血清VEGF及VCAM-1水平与老年股骨颈骨折患者术后延迟愈合的相关性［J］. 中国实用医刊， 2021， 48（5）： 49-52.

YU Q B， WANG C. Correlation of levels of serum VEGF and VCAM-1 with postoperative delayed union in elderly patients with femoral neck fracture［J］. Chin J Pract Med， 2021， 48（5）： 49-52.（in Chinese）

邱越. 协同护理与核心肌群强化训练联用对老年股骨颈骨折并高血压患者术后VAS与HHS评分及血压水平的影响［J］. 心血管病防治知识， 2023， 13（8）： 69-71.

QIU Y. Effect of collaborative nursing combined with intensive training of core muscles on postoperative VAS and HHS scores and blood pressure level of elderly patients with femoral neck fracture complicated with hypertension［J］. Prev Treat Cardiovasc Dis， 2023， 13（8）： 69-71.（in Chinese）

刘丽霞，李萍. 舒适护理在股骨颈骨折患者中的应用效果分析［J］. 智慧健康， 2023， 9（5）： 268-271.

LIU L X， LI P. Application effect analysis of comfort nursing for femoral neck fracture patients［J］. Smart Healthc， 2023， 9（5）： 268-271.（in Chinese）

陈沈燕，马波，张群. 中医情志护理对股骨颈骨折患者的影响［J］. 心理月刊， 2022， 17（11）： 113-115.

CHEN S Y， MA B， ZHANG Q. Effect of TCM emotional nursing on the prognosis of patients with femoral neck fracture［J］. Psychological Monthly， 2022， 17（11）： 113-115.（in Chinese）

李娜，李正，高尚秋，等. 穴位贴敷疗法治疗糖尿病胃轻瘫临床观察［J］. 光明中医， 2022， 37（7）： 1251-1254.

LI N， LI Z， GAO S Q， et al. Clinical observation on acupoint application therapy in the treatment of diabetic gastroparesis［J］. Guangming J Chin Med， 2022， 37（7）： 1251-1254.（in Chinese）

陈晓桐，李琪，黄馨云，等. “天灸” 溯源及潜在应用价值探析［J］. 世界科学技术-中医药现代化， 2021， 23（9）： 3169-3174.

CHEN X T， LI Q， HUANG X Y， et al. Analysis of filiation and potential application value of vesiculation［J］. Mod Tradit Chin Med Mater Med World Sci Technol， 2021， 23（9）： 3169-3174.（in Chinese）

周舒梅，龚卓群，李夏. 中药穴位敷贴辅助治疗气阴两虚夹瘀型老年糖尿病肾病疗效观察［J］. 西部中医药， 2023， 36（7）： 117-120.

ZHOU S M， GONG Z Q， LI X. Clinical observation on acupoint application of Chinese medicine as adjunctive therapy in the treatment of senile diabetic kidney disease of qi and Yin deficiency intermingled with blood stasis pattern［J］. West J Tradit Chin Med， 2023， 36（7）： 117-120.（in Chinese）

王艳宏，刘书博，王锐，等. 中药挥发油促透皮吸收及透皮吸收作用的研究进展［J］. 中国实验方剂学杂志， 2017， 23（3）： 192-199.

WANG Y H， LIU S B， WANG R， et al. Research progress on skin penentration enhancing effect and skin penentration effect of volatile oil from Chinese medicine［J］. Chin J Exp Tradit Med Formulae， 2017， 23（3）： 192-199.（in Chinese）

宋娜. 中西药合用治疗2型糖尿病气阴两虚型临床观察［J］. 实用中医药杂志， 2023， 39（5）： 973-975.

SONG N. Clinical observation on treatment of type 2 diabetes mellitus with deficiency of both qi and Yin by combination of Chinese and western medicine［J］. J Pract Tradit Chin Med， 2023， 39（5）： 973-975.（in Chinese）

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