Nursing report of integrated therapy of traditional Chinese medicine for a patient with hemuria due to capsular renal rupture secondary to intestinal obstruction in refractory peritonitis

YANG Ye; MENG Yan; JIANG Chen

doi:10.12209/CAIM202410180004

您当前的位置：

首页 >

文章列表页 >

Nursing report of integrated therapy of traditional Chinese medicine for a patient with hemuria due to capsular renal rupture secondary to intestinal obstruction in refractory peritonitis

更新时间：2025-01-08

- Nursing report of integrated therapy of traditional Chinese medicine for a patient with hemuria due to capsular renal rupture secondary to intestinal obstruction in refractory peritonitis
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  天津中医药大学第一附属医院肾病科，天津， 300381
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202410180004
  CLC：
- Published Online：08 January 2025，
  
  Received：18 October 2024，
- 稿件说明：
移动端阅览
YANG YE, MENG YAN, JIANG CHEN. Nursing report of integrated therapy of traditional Chinese medicine for a patient with hemuria due to capsular renal rupture secondary to intestinal obstruction in refractory peritonitis. [DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

YANG YE, MENG YAN, JIANG CHEN. Nursing report of integrated therapy of traditional Chinese medicine for a patient with hemuria due to capsular renal rupture secondary to intestinal obstruction in refractory peritonitis. [DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202410180004.

摘要

本文总结1例难治性腹膜炎并发肠梗阻继发囊肾破裂尿血患者的中医整合疗法护理经验。基于中医辨证施护理论，护理过程中随着患者病情变化动态调整护理措施，并在患者出院前进行腹透操作再培训、饮食宣教及制定居家护理方案。经26 d治疗和护理，患者病情好转出院，出院后6个月随访，腹膜炎未反复，未再发作肉眼血尿。

Abstract

This article summarizes the nursing experience of traditional Chinese medicine integrated therapy for a patient with refractory peritonitis complicated with intestinal obstruction and secondary rupture of the bladder and kidney， and hematuria. Based on the theory of traditional Chinese medicine syndrome differentiation and nursing care， nursing measures are dynamically adjusted during the nursing process as the patient's condition changes. Before the patient is discharged， abdominal dialysis operation retraining， dietary education， and home care plans are developed. After 26 days of treatment and nursing， the patient's condition improved and was discharged. Follow up at 6 months after discharge showed no recurrence of peritonitis and no recurrence of gross hematuria.

关键词

难治性腹膜炎肠梗阻多囊肾血尿中医护理

Keywords

refractory peritonitisintestinal obstructionpolycystic kidney diseasehematuriaTraditional Chinese Medicine nursing

references

乔雨萌，徐潇，董捷. 腹膜透析相关性腹膜炎痊愈后营养不良-炎症-动脉粥样硬化综合征对患者临床不良预后的影响［J］. 中国血液净化， 2023， 22（5）： 349-354.

QIAO Y M， XU X， DONG J. Effect of malnutrition-inflammation-atherosclerosis（MIA） syndrome on clinical adverse prognosis among patients with peritoneal dialysis associated peritonitis after recovery［J］. Chin J Blood Purif， 2023， 22（5）： 349-354. （in Chinese）

REITEROVÁ J， TESAŘ V. Autosomal dominant polycystic kidney disease： from pathophysiology of cystogenesis to advances in the treatment［J］. Int J Mol Sci， 2022， 23（6）： 3317.

安玲，刘文花，吉栋德，等. 腹膜透析腹膜炎的影响因素及短期预后分析［J］. 中国现代医学杂志， 2020， 30（13）： 51-55.

AN L， LIU W H， JI D D， et al. Analysis of the risk factors and short-term prognosis of peritoneal dialysis peritonitis［J］. China J Mod Med， 2020， 30（13）： 51-55. （in Chinese）

陈洋洋，杨立明，朱学研，等. 早发性腹膜透析相关性腹膜炎的临床特点与治疗转归：一项多中心回顾性研究［J］. 中华肾脏病杂志， 2020（12）： 911-917.

CHEN Y Y， YANG L M， ZHU X Y， et al. Clinical features and treatment outcomes of early-onset peritoneal dialysis-associated peritonitis： a multi-center retrospective study［J］. Chin J Nephrol， 2020（12）： 911-917. （in Chinese）

刘颖. 耳穴埋籽配合穴位按压在剖宫产腹胀病人中的应用［J］. 循证护理， 2019， 5（3）： 270-272.

LIU Y. Application of ear acupoint burial seed with acupoint pressing therapy in relieving abdominal distention after cesarean section［J］. Chin Evid Based Nurs， 2019， 5（3）： 270-272. （in Chinese）

中华医学会肠外肠内营养学分会“营养风险营养不足支持结局成本效果比” 多中心数据共享协作组. 营养风险及营养风险筛查工具营养风险筛查2002临床应用专家共识（2018版）［J］. 中华临床营养杂志， 2018， 26（3）： 131-135.

Multi-center data sharing collaborative group on "Cost-effectiveness ratio of nutritional risk undernutrition Support Outcome"， Chinese Society of Parenteral and Enteral Nutrition. Nutrition risk and nutrition risk screening tool expert consensus on clinical application of nutrition risk screening in 2002 （2018 edition）［J］. Chin J Clin Nutr， 2018， 26（3）： 131-135. （in Chinese）

孙玉仲. 气阴两虚型慢传输型便秘应用加味增液汤治疗的效果观察［J］. 内蒙古中医药， 2023， 42（8）： 53-55.

SUN Y Z. Observation on the therapeutic effect of Jiawei Zengye Decoction on slow transit constipation with deficiency of both qi and Yin［J］. Inn Mong J Tradit Chin Med， 2023， 42（8）： 53-55. （in Chinese）

胡姣姣，王鹤云，郭亚崴. 基于风险防控的全方位护理干预对老年慢性肾衰竭腹膜透析患者的效果［J］. 护理实践与研究， 2023， 20（17）： 2573-2577.

HU J J， WANG H Y， GUO Y W. Nursing effect of all-directional nursing intervention based on risk prevention and control on elderly peritoneal dialysis patients with chronic renal failure［J］. Nurs Pract Res， 2023， 20（17）： 2573-2577. （in Chinese）

马雅楠，林如，孟冉，等. 控制营养状况评分与腹膜透析相关性腹膜炎患者治疗预后的关系研究［J］. 中国血液净化， 2023， 22（7）： 512-515.

MA Y N， LIN R， MENG R， et al. Correlation between controlled nutritional status（CONUT） score and prognosis of peritoneal dialysis-associated peritonitis patients［J］. Chin J Blood Purif， 2023， 22（7）： 512-515. （in Chinese）

刘继洪. 耳穴诊疗入门［M］. 北京：中国中医药出版社， 2020.

易枝秀，张婷婷，卢颜，等. 1例腹透相关性腹膜炎并发肠梗阻患者的护理体会［J］. 当代护士（上旬刊）， 2020， 27（2）： 160-162.

YI Z X， ZHANG T T， LU Y， et al. Nursing experience of a patient with peritoneal dialysis-related peritonitis complicated with intestinal obstruction［J］. Today Nurse， 2020， 27（2）： 160-162. （in Chinese）

郭水仙，庞卓超. 中药热奄包对腹腔镜术后患者胃肠功能紊乱的改善作用及肠道菌群的治疗效果研究［J］. 生命科学仪器， 2023， 21（5）： 46-49.

GUO S X， PANG Z C. The ameliorating effect of Remai Bao on gastrointestinal dysfunction and the therapeutic effect of intestinal flora in patients after laparoscopic surgery［J］. Life Sci Instrum， 2023， 21（5）： 46-49. （in Chinese）

董静雯，焦凤丽，贾红玲，等. 中医五音疗法治疗抑郁症的研究进展［J］. 中国民间疗法， 2024， 32（6）： 101-107.

DONG J W， JIAO F L， JIA H L， et al. Research progress of traditional Chinese medicine five-tone therapy in treating depression［J］. China’s Naturopathy， 2024， 32（6）： 101-107. （in Chinese）

黄超，李伟，刘正升，等. 多囊肾破裂大出血1例并文献复习［J］. 疑难病杂志， 2021， 20（12）： 1266-1267.

HUANG C， LI W， LIU Z S， et al. Polycystic kidney rupture induced massive hemorrhage： a case report and literatures review［J］. Chin J Difficult Complicat Cases， 2021， 20（12）： 1266-1267. （in Chinese）

DEANGELIS L M. Tumors of the central nervous system and intracranial hypertension and hypotension［M］//Goldman’s Cecil Medicine. Amsterdam： Elsevier， 2012： 1246-1257.

邢海涛，杨波，姜晨，等. 单中心腹膜透析胃肠功能紊乱中医一体化治疗［J］. 辽宁中医杂志， 2024， 51（11）： 47-50.

XING H T， YANG B， JIANG C， et al. Integrated traditional Chinese medicine treatment for gastrointestinal dysfunction in single-center peritoneal dialysis［J］. Liaoning J Tradit Chin Med， 2024， 51（11）： 47-50. （in Chinese）

程钰，王芳，朱世杰，等. 中医外治法在恶性肠梗阻治疗中的研究进展［J］. 河南中医， 2019， 39（10）： 1608-1611.

CHENG Y， WANG F， ZHU S J， et al. Advances in the treatment of malignant bowel obstruction by external therapy of TCM［J］. Henan Tradit Chin Med， 2019， 39（10）： 1608-1611. （in Chinese）

杨艳，郁小莉，邓蓓蓓. 基于奥马哈系统的延续性护理在维持性血液透析患者中的应用［J］. 中外医疗， 2023， 42（34）： 171-174.

YANG Y， YU X L， DENG B B. Application of Omaha system-based continuity of care in maintenance hemodialysis patients［J］. China Foreign Med Treat， 2023， 42（34）： 171-174. （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing report on a case of severe acute pancreatitis complicated with intestinal obstruction treated by improved Chinese medicine hot package technology

Nursing experience of using finger acupoints combined with traditional Chinese medicine ointment for the treatment of a patient with phlegm stasis obstruction and collaterals type chest obstruction and heart pain

Nursing report on the treatment of one case of hypertension with liver yang hyperactivity by ear tip bloodletting

A nursing report on the treatment of postoperative abdominal distension in anal fistula with moxibustion combined with traditional Chinese medicine ointment

Nursing experience of using ear acupressure pills to improve a hypertensive patient undergoing hemodialysis

Related Author

RONG Lu

WANG Yanhong

LIU Yabo

GUO Zaiqiang

YANG Jie

ZHANG Jingxuan

CHEN Xiaoke

GAO Yu

Related Institution

Second Department of External Medicine， Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine

Nursing Department， Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine

Science and Education Department， Beijing Fengtai Hospital of Integrated Traditional Chinese and Western Medicine

Department of Cardiovascular Diseases， Fangshan Hospital Beijing University of Traditional Chinese Medicine

Cardiovascular Ward Six， Jianxi District of Luoyang Hospital， Dongzhimen Hospital Beijing University of Chinese Medicine

⁰