Nursing care of a case of decompensated hepatitis B cirrhosis complicated with hepatic encephalopathy treated with Shenque point application combined with retention enema of traditional Chinese medicine

WANG Xiaochen; PAN Yongle; GU Qin; ZHAN Xuan; TAN Xiaohong

doi:10.12209/CAIM202407290002

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Nursing care of a case of decompensated hepatitis B cirrhosis complicated with hepatic encephalopathy treated with Shenque point application combined with retention enema of traditional Chinese medicine

更新时间：2024-11-06

- Nursing care of a case of decompensated hepatitis B cirrhosis complicated with hepatic encephalopathy treated with Shenque point application combined with retention enema of traditional Chinese medicine
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  上海中医药大学附属曙光医院肝病科，上海， 201203
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202407290002
  CLC：
- Published Online：06 November 2024，
  
  Received：29 July 2024，
- 稿件说明：
移动端阅览
WANG Xiaochen, PAN Yongle, GU Qin, et al. Nursing care of a case of decompensated hepatitis B cirrhosis complicated with hepatic encephalopathy treated with Shenque point application combined with retention enema of traditional Chinese medicine. [DB/OL].Clinical Archives of Integrative Medicine, 2024.
DOI：

WANG Xiaochen, PAN Yongle, GU Qin, et al. Nursing care of a case of decompensated hepatitis B cirrhosis complicated with hepatic encephalopathy treated with Shenque point application combined with retention enema of traditional Chinese medicine. [DB/OL].Clinical Archives of Integrative Medicine, 2024. DOI： 10.12209/CAIM202407290002.

摘要

本文总结1例神阙穴贴敷联合中药保留灌肠辅助治疗失代偿期乙肝肝硬化合并肝性脑病患者的中西医护理经验。在中医辨证施护指导下采取针对性的护理措施，包括基础护理、休息与运动、情志护理、病情观察、饮食调护及用药指导等，同时运用中医护理技术，包括神阙穴贴敷和中药保留灌肠技术。经个性化精心治疗与护理后，患者腹胀、腹水及肝性脑病等症状得到明显改善。

Abstract

This paper summarized the experience of traditional Chinese and western medicine nursing care of a patient with decompensated hepatitis B cirrhosis complicated with hepatic encephalopathy who was treated with Shenque point application combined with retention enema of traditional Chinese medicine. Under the guidance of traditional Chinese medicine syndrome differentiation， targeted nursing measures are taken， including basic nursing， rest and exercise， emotional nursing， disease observation， dietary regulation， and medication guidance. At the same time， traditional Chinese medicine nursing techniques are used， including Shenque acupoint application and traditional Chinese medicine retention enema technique. After personalized and meticulous treatment and care， the patient's symptoms such as abdominal distension， ascites， and hepatic encephalopathy were significantly improved.

关键词

乙肝肝硬化失代偿期腹水肝性脑病中医护理康复护理

Keywords

decompensation period of hepatitis B cirrhosisasciteshepatic encephalopathyTraditional Chinese Medicine nursingrehabilitation nursing

references

XU R R， HU P P， LI Y W， et al. Advances in HBV infection and replication systems in vitro［J］. Virol J， 2021， 18（1）： 105.

李清峰，高云飞. 核苷类抗病毒药物联合前列地尔治疗乙型肝炎肝硬化失代偿期并发难治性腹水的临床疗效观察［J］. 贵州医药， 2022， 46（3）： 427-428.

LI Q F， GAO Y F. Clinical observation of nucleoside antiviral drugs combined with alprostadil in the treatment of refractory ascites in decompensated stage of hepatitis B cirrhosis［J］. Guizhou Med J， 2022， 46（3）： 427-428.（in Chinese）

黄夏萍，黄洁琼. 循证护理在复合蛋白营养剂治疗乙型肝炎肝硬化患者中的应用［J］. 护理实践与研究， 2019， 16（10）： 47-49.

HUANG X P， HUANG J Q. Application of evidence-based nursing in the treatment of patients with hepatitis B cirrhosis by compound protein nutrient［J］. Nurs Pract Res， 2019， 16（10）： 47-49.（in Chinese）

中华医学会肝病学会. 肝硬化肝性脑病诊疗指南［J］. 实用肝脏病杂志， 2018， 21（6）： 999-1014.

Chinese Society of Hepatology， Chinese Medical Association. Guidelines on the management of hepatic encephalopathy in cirrhosis［J］. J Pract Hepatol， 2018， 21（6）： 999-1014.（in Chinese）

徐小元，丁惠国，李文刚，等. 肝硬化肝性脑病诊疗指南（2018年，北京）［J］. 中华胃肠内镜电子杂志， 2018， 5（3）： 97-113.

XU X Y， DING H G， LI W G， et al. Guidelines on the management of hepatic encephalopathy in cirrhosis （2018， Beijing）［J］. Chin J Gastrointest Endosc Electron Ed， 2018， 5（3）： 97-113.（in Chinese）

NEWHOUSE R P， DEARHOLT S， POE S， et al. Organizational change strategies for evidence-based practice［J］. J Nurs Adm， 2007， 37（12）： 552-557.

王玉龙，吕星，郭珊珊，等. 日常生活自理能力情景图示评定方法的设计［J］. 中华物理医学与康复杂志， 2018， 40（11）： 840-843.

WANG Y L，（LÜ/LV/LU/LYU） X， GUO S S， et al. Design of graphic assessment method for daily life self-care ability［J］. Chin J Phys Med Rehabil， 2018， 40（11）： 840-843.（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.

李爽，陶艳艳，邢枫，等. 消胀贴膏治疗肝硬化腹水的效果及其对肾素-血管紧张素-醛固酮系统的影响［J］. 临床肝胆病杂志， 2019， 35（7）： 1496-1500.

LI S， TAO Y Y， XING F， et al. Effect of Xiaozhang plaster in treatment of cirrhotic ascites and its influence on the renin-angiotensin-aldosterone system［J］. J Clin Hepatol， 2019， 35（7）： 1496-1500.（in Chinese）

商斌仪，陈建杰，卓蕴慧，等. 石军颗粒经结肠途径治疗仪灌肠治疗代偿期肝硬化轻微肝性脑病临床研究［J］. 上海中医药杂志， 2010， 44（6）： 45-47.

SHANG B Y， CHEN J J， ZHUO Y H， et al. Clinical observation of “Shijun Granule” by colonic administration in treating minimal hepatic encephalopathy in patients with compensatory cirrhosis［J］. Shanghai J Tradit Chin Med， 2010， 44（6）： 45-47.（in Chinese）

陈珊，祝峻峰. 中药敷脐治疗肝硬化腹水的国内研究进展［J］. 成都中医药大学学报， 2016， 39（4）： 110-114.

CHEN S， ZHU J F. The domestic research advances in Chinese drug hilum applications for cirrhotic ascites［J］. J Chengdu Univ Tradit Chin Med， 2016， 39（4）： 110-114.（in Chinese）

刘成海. 重视肝硬化的中西医结合诊治研究［J］. 中国中西医结合消化杂志， 2023， 31（2）： 77-78.

LIU C H. More research on the diagnosis and treatment of cirrhosis with integrative medicine［J］. Chin J Integr Tradit West Med Dig， 2023， 31（2）： 77-78.（in Chinese）

金丽霞，金丽军，栾仲秋，等. 大黄的化学成分和药理研究进展［J］. 中医药信息， 2020， 37（1）： 121-126.

JIN L X， JIN L J， LUAN Z Q， et al. Research progress on chemical constituents and pharmacology of rhubarb［J］. Inf Tradit Chin Med， 2020， 37（1）： 121-126.（in Chinese）

李鑫，赵红蕾，刘爽. 醋炙甘遂减毒机制的研究进展［J］. 广东化工， 2020， 47（23）： 55-56.

LI X， ZHAO H L， LIU S. Research progress on mechanism of reducing toxicity of vinegar processed Kansui［J］. Guangdong Chem Ind， 2020， 47（23）： 55-56.（in Chinese）

蒋洁莹，郁韶明，刘瑾. 石军颗粒治疗肝性脑病的作用机制研究［J］. 分子诊断与治疗杂志， 2022， 14（7）： 1158-1162.

JIANG J Y， YU S M， LIU J. Study on the mechanism of Shijun granules in the treatment of hepatic encephalopathy［J］. J Mol Diagn Ther， 2022， 14（7）： 1158-1162.（in Chinese）

周峰峰，权黎明，高月求，等. 清开颗粒综合干预慢性肝病后肝硬化并发轻微型肝性脑病的临床研究［J］. 河北中医， 2019， 41（5）： 673-678.

ZHOU F F， QUAN L M， GAO Y Q， et al. Clinical study of Qingkai granules in comprehensive intervention of liver cirrhosis complicated with mild hepatic encephalopathy after chronic liver disease［J］. Hebei J Tradit Chin Med， 2019， 41（5）： 673-678.（in Chinese）

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