Nursing of a patient with stroke-related pneumonia treated with integrated traditional Chinese and western medicine

GUAN Wei; ZHANG Jin; LI Hongyu

doi:10.12209/CAIM202404250005

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Nursing of a patient with stroke-related pneumonia treated with integrated traditional Chinese and western medicine

更新时间：2024-06-02

- Nursing of a patient with stroke-related pneumonia treated with integrated traditional Chinese and western medicine
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  天津市中医药研究院附属医院针灸二科，天津， 300120
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202404250005
  CLC：
- Published Online：31 May 2024，
  
  Received：25 April 2024，
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GUAN Wei, ZHANG Jin, LI Hongyu. Nursing of a patient with stroke-related pneumonia treated with integrated traditional Chinese and western medicine. [DB/OL].Clinical Archives of Integrative Medicine (2024)
DOI：

GUAN Wei, ZHANG Jin, LI Hongyu. Nursing of a patient with stroke-related pneumonia treated with integrated traditional Chinese and western medicine. [DB/OL].Clinical Archives of Integrative Medicine (2024) DOI： 10.12209/CAIM202404250005.

摘要

脑卒中患者由于意识障碍、吞咽困难、饮食水呛咳、误吸等原因，或因肢体功能障碍导致长期卧床等原因，易发生脑卒中相关肺炎。本文总结1例脑卒中相关肺炎患者的中西医结合护理经验。密切监测患者生命体征，基于中医辨证理论，实施适宜中医护理技术、生活护理、情志护理、健康宣教指导，通过中西医结合护理达到控制感染、提高患者生活质量的目的。

Abstract

Stroke patients are prone to stroke-related pneumonia， which is the most common complication of stroke patients， due to consciousness disorders， swallowing difficulties， coughing with diet and water， aspiration and other reasons， or limb dysfunction and long-term bed rest. This paper summarizes the nursing practice of a case of stroke-related pneumonia treated with integrated traditional Chinese and western medicine. Based on the theory of Traditional Chinese Medicine syndrome differentiation， appropriate Traditional Chinese Medicine nursing techniques， daily life support， emotional nursing， health education guidance and monitoring of vital signs were carried out to control infection and improve the quality of life of the patient.

关键词

中西医结合护理脑卒中肺炎健康宣教

Keywords

integrated nursing of traditional Chinese and western medicinestrokepneumoniahealth education

references

王拥军，陈玉国，吕传柱，等. 卒中相关性肺炎诊治中国专家共识（2019更新版）［J］. 中国急救医学， 2019， 39（12）： 1135-1143.

WANG Y J， CHEN Y G， LYU C Z， et al. China Expert Consensus on Diagnosis and Treatment of Stroke-related Pneumonia （updated version in 2019）［J］. Chin J Crit Care Med， 2019， 39（12）： 1135-1143.（in Chinese）

史肃育，吴同启，王克俭，等. 通腑法治疗重症肺炎（实热证）的临床观察［J］. 中国中医急症， 2014， 23（6）： 1125-1127.

SHI S Y， WU T Q， WANG K J， et al. A clinic research of tongfu therapy on patients with excess-heat syndrome of severe pneumonia［J］. J Emerg Tradit Chin Med， 2014， 23（6）： 1125-1127.（in Chinese）

张孟繁. 艾本多夫—科隆量表和格拉斯哥昏迷评分对创伤后意识障碍患者预后评估的比较［D］. 保定：河北大学， 2022.

ZHANG M F. Comparison of Eppendorf-Cologne Scale and Glasgow Coma Score for Prognostic Evaluation of Patients with Post-traumatic Disorder of Consciousness［D］. Baoding： Hebei University， 2022.（in Chinese）

赵加芳，赵平. 吞咽言语治疗仪联合针灸治疗吞咽障碍临床疗效观察［J］. 中医临床研究， 2014， 6（31）： 36-37.

ZHAO J F， ZHAO P. Clinical observation on treating swallowing disorders by swallowing， speech treating instrument plus acupuncture［J］. Clin J Chin Med， 2014， 6（31）： 36-37.（in Chinese）

石春辉，黄卫. 中药漱口预防呼吸机相关性肺炎效果观察［J］. 实用中医药杂志， 2017， 33（9）： 1012-1013.

SHI C H， HUANG W. Observation of effect on ventilator-associated pneumonia prevented by gargle with Chinese herbs［J］. J Pract Tradit Chin Med， 2017， 33（9）： 1012-1013.（in Chinese）

秦路峰，王媛，彭玲. 康复训练联合中频电疗和蜡疗用于脑卒中后偏瘫患者康复治疗中的应用进展［J］. 青岛医药卫生， 2023， 55（3）： 222-224.

QIN L F， WANG Y， PENG L. Progress in rehabilitation training combined with medium frequency electrotherapy and wax therapy for patients with hemiplegia after stroke［J］. Qingdao Med J， 2023， 55（3）： 222-224.（in Chinese）

程艳红，王宇亮. 颅脑损伤气管切开患者的护理干预［J］. 中国实用神经疾病杂志， 2022， 25（2）： 231-234.

CHENG Y H， WANG Y L. Nursing intervention for patients with craniocerebral injury undergoing tracheotomy［J］. Chin J Pract Nerv Dis， 2022， 25（2）： 231-234.（in Chinese）

鲁芳勤. 等速肌力训练仪联合康复训练对脑血管疾病康复的效果评价［J］. 现代诊断与治疗， 2019， 30（7）： 1108-1110.

LU F Q. Effect evaluation of isokinetic muscle strength training instrument combined with rehabilitation training on rehabilitation of cerebrovascular diseases［J］. Mod Diagn Treat， 2019， 30（7）： 1108-1110.（in Chinese）

赵晓雯. 重症脑卒中并肺部感染的原因分析及临床护理［J］. 医学研究与教育， 2012， 29（2）： 50-53.

ZHAO X W. Cause analysis and clinical care of severe stroke and lung infections［J］. Med Res Educ， 2012， 29（2）： 50-53.（in Chinese）

孔雯雯. 耳穴压豆联合穴位拔罐治疗脑卒中后便秘临床观察［J］. 中国城乡企业卫生， 2016， 31（2）： 54-56.

KONG W W. Observation of patients with corstipation after cerebral apoplexy by ear acupoint bean pressing combined with acupoint cupping［J］. Chin J Urban Rural Enterp Hyg， 2016， 31（2）： 54-56.（in Chinese）

丁少敏，王伟，汪瑛，等. 中药涂擦及蜡疗联合牵伸康复训练降低中风偏瘫患者肢体肌张力的应用价值［J］. 中医药导报， 2024， 30（3）： 96-100.

DING S M， WANG W， WANG Y， et al. Application Value of Traditional Chinese Medicine Inunction and Kerotherapy combined with Drafting Rehabilitation Training on Reducing Limb Muscle Tension in Patients with Stroke Hemiplegia［J］. Guid J Tradit Chin Med Pharm， 2024， 30（3）： 96-100.（in Chinese）

肖文霞，郝娜，李洪梅，等. “桑桂双枝” 中药湿敷方联合蜡疗治疗阳虚寒凝型中风后肩痛患者的临床疗效观察［J］. 世界中西医结合杂志， 2023， 18（7）： 1444-1447， 1452.

XIAO W X， HAO N， LI H M， et al. CClinical effect of wet compress with self-designed sanggui Shuangzhi Decoction combined with wax therapy in treating patients with shoulder pain after stroke with syndrome of Yang deficiency and cold coagulation［J］. World J Integr Tradit West Med， 2023， 18（7）： 1444-1447， 1452.（in Chinese）

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