A Report on the Application of Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Ascites and Repeated Esophageal and Gastric Variceal Bleeding during the Perioperative Period of Transjugular Intrahepatic Portosystemic Shunt （TIPS）

SHI Bingqing; LIU Shuhua; LI Xiaona; HE Lili; MA Na; LI Wenwen; XU Fang; WANG Yawen

doi:10.12209/CAIM202503040002

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A Report on the Application of Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Ascites and Repeated Esophageal and Gastric Variceal Bleeding during the Perioperative Period of Transjugular Intrahepatic Portosystemic Shunt （TIPS）

更新时间：2025-03-27

- A Report on the Application of Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Ascites and Repeated Esophageal and Gastric Variceal Bleeding during the Perioperative Period of Transjugular Intrahepatic Portosystemic Shunt （TIPS）
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  1.首都医科大学附属北京中医医院肝病科，北京， 100010
  2.首都医科大学附属北京中医医院护理部，北京， 100010
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202503040002
  CLC：
- Received：04 March 2025，
  
  Accepted：2025-03-24，
  
  Published Online：27 March 2025，
- 稿件说明：
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SHI Bingqing, LIU Shuhua, LI Xiaona, et al. A Report on the Application of Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Ascites and Repeated Esophageal and Gastric Variceal Bleeding during the Perioperative Period of Transjugular Intrahepatic Portosystemic Shunt （TIPS）[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

SHI Bingqing, LIU Shuhua, LI Xiaona, et al. A Report on the Application of Integrated Traditional Chinese and Western Medicine Nursing Care for a Patient with Ascites and Repeated Esophageal and Gastric Variceal Bleeding during the Perioperative Period of Transjugular Intrahepatic Portosystemic Shunt （TIPS）[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202503040002.

摘要

本文总结1例中西医结合治疗肝硬化引发的顽固性腹水，并反复食管胃底静脉曲张破裂引发上消化道出血患者的护理报告。基于患者实际病情，制定个体护理计划，实施穴位贴敷、中药热奄包等中医特色护理技术，同时结合辨证施膳、情志指导等护理措施，提升护理服务质量，以达到辨证施护的效果，促进患者康复及提高患者满意度。

Abstract

This paper presents a comprehensive nursing care report for a patient with ascites secondary to decompensated liver cirrhosis and recurrent esophageal and gastric variceal bleeding who underwent transjugular intrahepatic portosystemic shunt （TIPS）. An individualized nursing plan was developed based on the patient's clinical condition， incorporating integrated traditional Chinese and Western medicine nursing strategies. Specific techniques such as acupoint application and hot compress with traditional Chinese medicine were implemented. Additionally， syndrome differentiation-based dietary therapy and emotional support were provided to enhance the quality of nursing care， achieve personalized nursing outcomes， promote patient recovery， and improve patient satisfaction.

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references

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