A Case Report on Perioperative Integrated Traditional Chinese and Western Medicine Nursing for a Diabetic Patient with Hiatal Hernia

ZHAN Zhiming; LI Jin

doi:10.12209/CAIM202411290024

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A Case Report on Perioperative Integrated Traditional Chinese and Western Medicine Nursing for a Diabetic Patient with Hiatal Hernia

更新时间：2025-10-27

- A Case Report on Perioperative Integrated Traditional Chinese and Western Medicine Nursing for a Diabetic Patient with Hiatal Hernia
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  北京市健宫医院普外科，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202411290024
  CLC：
- Received：29 November 2024，
  
  Revised：2025-08-01，
  
  Accepted：04 August 2025，
  
  Published Online：27 October 2025，
- 稿件说明：
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ZHAN Zhiming, LI Jin. A Case Report on Perioperative Integrated Traditional Chinese and Western Medicine Nursing for a Diabetic Patient with Hiatal Hernia[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

ZHAN Zhiming, LI Jin. A Case Report on Perioperative Integrated Traditional Chinese and Western Medicine Nursing for a Diabetic Patient with Hiatal Hernia[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202411290024.

摘要

本文报告1例58岁男性食管裂孔疝合并糖尿病患者的围手术期中西医结合护理实践。患者长期血糖控制不佳，术前护理涵盖体格检查、辅助检查、心理干预、饮食指导及动态血糖监测，其中血糖调控采用术前6 h禁食、2 h静脉输注葡萄糖氯化钠溶液联合胰岛素调整的方案。术后护理重点包括生命体征监测、引流管维护、体位优化，并辅以中医特色疗法（如穴位贴敷、耳穴压丸、针灸）以促进康复。通过上述综合干预，患者术后未发生并发症，恢复良好并短期出院。本案例旨在总结食管裂孔疝合并糖尿病患者的围手术期中西医结合护理路径，为临床提供实践参考。

Abstract

This paper presents a case study on the perioperative integrated traditional Chinese and Western medicine nursing for a 58-year-old male patient with hiatal hernia complicated by diabetes mellitus. The patient had a long-term history of poorly controlled blood glucose. Preoperative nursing interventions included physical examination， auxiliary tests， psychological counseling， dietary guidance， and dynamic blood glucose monitoring. Blood glucose management involved a 6-hour preoperative fasting period followed by a 2-hour intravenous infusion of glucose-sodium chloride solution combined with insulin adjustment. Postoperative care focused on vital signs monitoring， drainage tube maintenance， optimal positioning， and complementary traditional Chinese medicine therapies （e.g.， acupoint application， auricular acupressure， and acupuncture） to enhance recovery. Through these comprehensive interventions， the patient recovered well without complications and was discharged shortly after surgery. This case aims to summarize the perioperative integrated nursing pathway for hiatal hernia patients with diabetes， providing clinical practice references.

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references

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