A report on integrated traditional Chinese and Western medicine nursing care for a patient with anti NMDAR encephalitis during the rehabilitation period

LI Rui; YANG Qianqian

doi:10.12209/CAIM202411290010

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A report on integrated traditional Chinese and Western medicine nursing care for a patient with anti NMDAR encephalitis during the rehabilitation period

更新时间：2024-12-31

- A report on integrated traditional Chinese and Western medicine nursing care for a patient with anti NMDAR encephalitis during the rehabilitation period
- Clinical Archives of Integrative Medicine (2024)
- 作者机构：
  
  1.北京市回民医院神经内科，北京， 100054
  2.北京市回民医院护理部，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202411290010
  CLC：
- Published Online：31 December 2024，
  
  Received：29 November 2024，
- 稿件说明：
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LI RUI, YANG QIANQIAN. A report on integrated traditional Chinese and Western medicine nursing care for a patient with anti NMDAR encephalitis during the rehabilitation period. [DB/OL].Clinical archives of integrative medicine, 2024.
DOI：

LI RUI, YANG QIANQIAN. A report on integrated traditional Chinese and Western medicine nursing care for a patient with anti NMDAR encephalitis during the rehabilitation period. [DB/OL].Clinical archives of integrative medicine, 2024. DOI： 10.12209/CAIM202411290010.

摘要

本文总结1例重症抗NMDAR脑炎患者经西医一线、二线免疫治疗、抗癫痫及呼吸支持等对症治疗后，病情逐步稳定。患者康复期接受西医常规护理与中医特色护理技术，如中药汤剂以益气活血通络，穴位贴敷以清热化痰，便秘推拿及穴位按摩以通便消胀，中药口腔护理以清热解毒、预防感染等特色技术的综合干预。经过29 d治疗与护理，患者的日常生活能力、痰液性状、便秘情况及焦虑抑郁状态均显著改善，最终康复出院。

Abstract

This article summarizes a case of severe anti NMDAR encephalitis patient who gradually stabilized after receiving symptomatic treatment such as first-line and second-line Western medicine immunotherapy， antiepileptic therapy， and respiratory support. During the rehabilitation period， patients receive routine Western medicine nursing and traditional Chinese medicine specialty nursing techniques， such as traditional Chinese medicine decoctions to nourish qi， promote blood circulation， and unblock collaterals， acupoint patches to clear heat and phlegm， constipation massage and acupoint massage to relieve constipation and bloating， and comprehensive interventions in traditional Chinese medicine oral care to clear heat and detoxify， prevent infections， and other specialty techniques. After 29 days of treatment and nursing， the patient's daily living ability， sputum characteristics， constipation status， and anxiety and depression were significantly improved， and ultimately recovered and discharged from the hospital.

关键词

抗NMDAR脑炎康复期中西医结合护理病例报告

Keywords

anti NMDAR encephalitisrehabilitation periodintegrated traditional Chinese and western medicine nursingcase report

references

REN H T， FAN S Y， ZHAO Y H， et al. The changing spectrum of antibody-mediated encephalitis in China［J］. J Neuroimmunol， 2021， 361： 577753.

中华医学会神经病学分会神经感染性疾病与脑脊液细胞学学组. 中国自身免疫性脑炎诊治专家共识（2022年版）［J］. 中华神经科杂志， 2022， 55（9）： 931-949.

Neuroinfectious diseases and Cerebrospinal Fluid Cytology Group， Society of Neurology， Chinese Medical Association.Chinese expert consensus on the diagnosis and management of autoimmune encephalitis （2022 edition）［J］. Chin J Neurol， 2022， 55（9）： 931-949.（in Chinese）

许楠，全凤英. 24例抗NMDA受体脑炎患者的临床特点及护理［J］. 心理医生， 2018， 24（11）： 208-209.

龚立超，刘芳. 重症抗NMDA受体脑炎患者并发症的护理［J］. 护理学杂志， 2015， 30（9）： 30-32.

GONG L C， LIU F. Nursing care of complications for severe N-methyl-D-asparate receptor encephalitis patients［J］. J Nurs Sci， 2015， 30（9）： 30-32.（in Chinese）

刘芳，龚立超，杨倩倩. 9例重症抗NMDA受体脑炎病人的护理［J］. 护理研究， 2015， 29（12）： 1526-1528.

LIU F， GONG L C， YANG Q Q. Nursing care of 9 patients with severe anti-NMDA receptor encephalitis［J］. Chin Nurs Res， 2015， 29（12）： 1526-1528.（in Chinese）

PETRISOR A， STANESCU A M A， PAPACOCEA I R， et al. Non-invasive laboratory， imaging and elastography markers in predicting varices with high risk of bleeding in cirrhotic patients［J］. Rev Roum De Med Interne， 2021， 59（2）： 194-200.

李晓华，李军，李洁. 便秘推拿联合穴位按摩对老年气虚血瘀证胸痹合并便秘患者护理观察［J］. 四川中医， 2022， 40（4）： 208-211.

LI X H， LI J， LI J. Nursing observation of constipation massage combined with acupoint massage for elderly patients with qi-deficiency and blood-stasis syndrome of thoracic obstruction and constipation［J］. J Sichuan Tradit Chin Med， 2022， 40（4）： 208-211.（in Chinese）

章开发. 胃肠按摩保健法在老年便秘患者中的应用分析与探究［J］. 医学食疗与健康， 2020， 18（16）： 15， 17.

ZHANG K F. Analysis and exploration on the application of gastrointestinal massage health care in elderly constipation patients［J］. Med Diet Health， 2020， 18（16）： 15， 17.（in Chinese）

徐振宏，凌鑫，段晓梅，等. 抗NMDAR脑炎的病因及诊疗研究进展［J］. 中国医师杂志， 2024， 26（7）： 990-994.

XU Z H， LING X， DUAN X M， et al. Research progress on the etiology and diagnosis and treatment of anti NMDAR encephalitis［J］. J Chin Physician， 2024， 26（7）： 990-994.（in Chinese）

中华医学会神经病学分会，中华医学会神经病学分会神经重症协作组. 重症自身免疫性脑炎监测与治疗中国专家共识（2024版）［J］. 中华神经科杂志， 2024， 57（10）： 1075-1089.

Chinese Society of Neurology， Chinese Society of Neurology， Chinese Society of Neurology.Chinese expert consensus on the monitoring and treatment of severe autoimmune encephalitis （2024 edition）［J］. Chin J Neurol， 2024， 57（10）： 1075-1089.（in Chinese）

MCKEON G， PARKER S， WARREN N， et al. The patient experience of recovery following anti-NMDA receptor encephalitis： a qualitative content analysis［J］. J Neuropsychiatry Clin Neurosci， 2021， 33（1）： 57-63.

王永炎，范逸品，张华敏，等. 从五运六气学说认识疫病流行的经验积累：读《黄帝内经·素问》遗篇《刺法论篇》《本病论篇》有感［J］. 北京中医药大学学报， 2020， 43（6）： 445-448.

WANG Y Y， FAN Y P， ZHANG H M， et al. Experience of understanding pestilence from the perspective of five-circuit six-qi theory： reading notes of two supplemented chapters in suwen［J］. J Beijing Univ Tradit Chin Med， 2020， 43（6）： 445-448.（in Chinese）

王永炎，王昊，王子旭. 形神兼养身心医学之美［J］. 北京中医药大学学报， 2021， 44（2）： 104-107.

WANG Y Y， WANG H， WANG Z X. Practical aesthetics of psychosomatic medicine in cultivating both the body and mind［J］. J Beijing Univ Tradit Chin Med， 2021， 44（2）： 104-107.（in Chinese）

裴晓璐，王桂倩，龙鹏依，等. 中医特色护理方法在急危重症护理中的应用现状［J］. 北京中医药， 2021， 40（9）： 1049-1052.

PEI X L， WANG G Q， LONG P Y， et al. Application of nursing methods with TCM characteristics in acute and critical care［J］. Beijing J Tradit Chin Med， 2021， 40（9）： 1049-1052.（in Chinese）

王炫懿，李柱，丁瑞丛，等. 王松龄从痰瘀论治癫狂病经验［J］. 国医论坛， 2022， 37（6）： 51-53.

WANG X Y， LI Z， DING R C， et al. Wang Songling’s experience in treating madness from phlegm and blood stasis［J］. Forum Tradit Chin Med， 2022， 37（6）： 51-53.（in Chinese）

方晶，唐娅琴. 腹部推拿结合神阙穴贴敷治疗高血压脑出血患者便秘的疗效观察［J］. 中国急救医学， 2016， 36（S1）： 230-231.

FANG J， TANG Y Q. Observation on therapeutic effect of abdominal massage combined with Shenque acupoint application on constipation in patients with hypertensive cerebral hemorrhage［J］. Chin J Crit Care Med， 2016， 36（S1）： 230-231.（in Chinese）

黄妮妮，胡美春，韦思尊，等. 呼吸机相关肺炎发病率及危险因素前瞻性研究［J］. 中国感染控制杂志， 2016， 15（11）： 845-848.

HUANG N N， HU M C， WEI S Z， et al. Prospective study on the incidence and risk factors of ventilator-associated pneumonia［J］. Chin J Infect Contr， 2016， 15（11）： 845-848.（in Chinese）

单晨曦，王梁敏，郭红，等. 中药口腔护理预防呼吸机相关性肺炎效果的Meta分析［J］. 中华医院感染学杂志， 2021， 31（24）： 3827-3831.

SHAN C X， WANG L M， GUO H， et al. Meta-analysis of effect of oral care of traditional Chinese medicine on prevention of ventilator-associated pneumonia［J］. Chin J Nosocomiology， 2021， 31（24）： 3827-3831.（in Chinese）

王敏，徐榛敏，张昕洋，等. 重症患者中药口腔护理的临床应用进展［J］. 全科口腔医学电子杂志， 2018， 5（32）： 20-21.

WANG M， XU Z M， ZHANG X Y， et al. Advances in the clinical application of Chinese traditional medicine oral care in severe patients［J］. Gen J Stomatol， 2018， 5（32）： 20-21.（in Chinese）

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