Experience of integrated traditional Chinese and Western medicine nursing care for a patient with acute severe perianal necrotizing fasciitis after surgery

MA Jing; YIN Huijun; GAO Xiaomei

doi:10.12209/CAIM202406270015

您当前的位置：

首页 >

文章列表页 >

Experience of integrated traditional Chinese and Western medicine nursing care for a patient with acute severe perianal necrotizing fasciitis after surgery

更新时间：2024-10-10

- Experience of integrated traditional Chinese and Western medicine nursing care for a patient with acute severe perianal necrotizing fasciitis after surgery
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  天津中医药大学第一附属医院肛肠科，天津， 300381
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202406270015
  CLC：
- Published Online：10 October 2024，
  
  Received：27 June 2024，
- 稿件说明：
移动端阅览
MA Jing, YIN Huijun, GAO Xiaomei. Experience of integrated traditional Chinese and Western medicine nursing care for a patient with acute severe perianal necrotizing fasciitis after surgery. [DB/OL].Clinical Archives of Integrative Medicine, 2024.
DOI：

MA Jing, YIN Huijun, GAO Xiaomei. Experience of integrated traditional Chinese and Western medicine nursing care for a patient with acute severe perianal necrotizing fasciitis after surgery. [DB/OL].Clinical Archives of Integrative Medicine, 2024. DOI： 10.12209/CAIM202406270015.

摘要

本文总结1例急性重症肛周坏死性筋膜炎术后患者的中西医结合护理体会。此患者病情危重，伴焦虑、营养不良及疼痛等多种护理问题，护理难度极大，护理人员通过充分评估，从整体观念出发，以加速康复外科护理为核心，在常规护理的基础上运用中医特色护理及创面护理，有效缓解患者焦虑症状，减轻患者疼痛，促进创面愈合，加快疾病康复，提升患者满意度。

Abstract

This article summarizes the experience of integrated traditional Chinese and Western medicine nursing for a patient with acute severe perianal necrotizing fasciitis after surgery. The patient's condition is critical， accompanied by various nursing problems such as anxiety， malnutrition， and pain， making nursing extremely difficult. Through thorough evaluation and a holistic approach， the nursing staff focused on accelerating rehabilitation surgery nursing as the core， and applied traditional Chinese medicine characteristic nursing and wound care on the basis of routine nursing to effectively alleviate the patient's anxiety symptoms， reduce pain， promote wound healing， accelerate disease recovery， and improve patient satisfaction.

关键词

坏死性筋膜炎中医特色护理加速康复外科

Keywords

necrotizing fasciitistraditional Chinese medicine characteristic nursingaccelerated rehabilitation surgery

references

魏东. 肛周坏死性筋膜炎临床诊治中国专家共识（2019年版）［J］. 中华胃肠外科杂志， 2019， 22（7）： 689-693.

WEI D. Chinese expert consensus on diagnosis and treatment of perianal necrotizing fasciitis （2019）［J］. Chin J Gastrointest Surg， 2019， 22（7）： 689-693.（in Chinese）

陈龑，郭修田. 坏死性筋膜炎误诊为肛周脓肿1例［J］. 中国肛肠病杂志， 2024， 44（2）： 64-65.

CHEN Y， GUO X T. Necrotizing fasciitis was misdiagnosed as perianal abscess in 1 case［J］. Chin J Coloproctology， 2024， 44（2）： 64-65.（in Chinese）

冯乔林，李国年. 肛周坏死性筋膜炎并感染性休克12例诊治体会［J］. 中国肛肠病杂志， 2022， 42（7）： 30-31.

FENG Q L， LI G N. The experience from diagnosis & treatment of 12 patients with perianal necrotizing fascilitis complicated with infectious shock［J］. Chin J Coloproctology， 2022， 42（7）： 30-31.（in Chinese）

MYERS C M， MILLER J J， DAVIS W D. Skin and soft tissue infections： a case of necrotizing fasciitis［J］. Adv Emerg Nurs J， 2019， 41（4）： 322-329.

黄建平. 中医药在围手术期快速康复外科中的作用［J］. 上海医药， 2017， 38（8）： 3-6.

HUANG J P. The role of traditional Chinese medicine in perioperative period with enhanced recovery after surgery［J］. Shanghai Med Pharm J， 2017， 38（8）： 3-6.（in Chinese）

吴宇姣，魏佳琪，黄玮铮，等. 坏死性筋膜炎临床研究进展［J］. 中华医院感染学杂志， 2024， 34（5）： 793-800.

WU Y J， WEI J Q， HUANG W Z， et al. Progress of clinical research on necrotizing fasciitis［J］. Chin J Nosocomiology， 2024， 34（5）： 793-800.（in Chinese）

李垒，刘保池，俞晓峰，等. 坏死性筋膜炎的救治［J］. 中华卫生应急电子杂志， 2017， 3（5）： 272-276.

LI L， LIU B C， YU X F， et al. Treatment of necrotizing fasciitis［J］. Chin J Hyg Rescue Electron Ed， 2017， 3（5）： 272-276.（in Chinese）

汤维萍，商小元，夏文君，等. 1例糖尿病肾病患者肛周脓肿伴坏死性筋膜炎的护理［J］. 中华护理杂志， 2023， 58（15）： 1874-1877.

TANG W P， SHANG X Y， XIA W J， et al. Nursing care of a case of perianal abscess with necrotizing fasciitis in the fifth stage of diabetic nephropathy［J］. Chin J Nurs， 2023， 58（15）： 1874-1877.（in Chinese）

吴昕，李秉璐，孙嘉，等. 围手术期加速康复外科理念用于胆囊癌患者的诊治经验初探［J］. 中华外科杂志， 2022， 60（4）： 372-377.

WU X， LI B L， SUN J， et al. Application of enhanced recovery after surgery in perioperative management of patients with gallbladder carcinoma［J］. Chin J Surg， 2022， 60（4）： 372-377.（in Chinese）

郑洁，赵艳君，程建云. 基于快速康复外科理念的疼痛管理联合中医疼痛护理干预在腹腔镜日间手术患者围术期护理中的应用效果［J］. 广西医学， 2021， 43（7）： 896-899.

ZHENG J， ZHAO Y J， CHENG J Y. Application effect of pain management based on the concept of enhanced recovery after surgery combined with traditional Chinese medicine pain care intervention in perioperative care of patients with laparoscopic day surgery［J］. Guangxi Med J， 2021， 43（7）： 896-899.（in Chinese）

赵静. 中医护理适宜技术对肛肠手术患者的护理价值研究［J］. 中华养生保健， 2023（13）： 91-93.

ZHAO J. Study on nursing value of traditional Chinese medicine nursing technology for anorectal surgery patients［J］. Chin Health Care， 2023（13）： 91-93.（in Chinese）

李兰，龙艳，郭淑莉. 快速康复护理技术对老年腹腔镜胆道探查取石患者疗效的影响［J］. 贵州医药， 2019， 43（10）： 1663-1665.

LI L， LONG Y， GUO S L. Effect of rapid rehabilitation nursing technique on the efficacy of elderly patients with laparoscopic biliary exploration and lithotomy［J］. Guizhou Med J， 2019， 43（10）： 1663-1665.（in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing experience of ear tip bloodletting treatment for a child with external fever

Perioperative nursing care of an emergency cesarean section patient with high paraplegia during pregnancy

Nursing experience of a case of occipital necrotizing fasciitis complicated with diabetes

Nursing experience of treating lower limb swelling in a patient with femoral swelling using traditional Chinese medicine characteristic techniques

Nursing experience of Yuexincao combined with auricular point sticking treatment for a case of vertigo patient

Related Author

WEI Fenfen

HU Li

SU Jiani

XIANG Xin

WU Weiwei

WU Chunli

DENG Jianhua

LIU Sichun

Related Institution

Department of Pediatrics， Changping District Hospital of Traditional Chinese and Western Medicine

Department of Obstetrics and Gynecology， Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Department of Comprehensive Surgery， Hebei Provincial Hospital of Traditional Chinese Medicine

Department of Nephrology， Dongfang Hospital Beijing University of Traditional Chinese Medicine

Second zone of the heart， Chaoyang Emergency Rescue Hospital of Integrated Traditional Chinese andWestern Medicine

⁰