Nursing Report on Acupoint Injection Combined with Chinese Herbal Hot Compress to Alleviate Nausea and Vomiting After Chemotherapy in Gallbladder Cancer： A Case Study

GUO Meng

doi:10.12209/CAIM202504300002

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Nursing Report on Acupoint Injection Combined with Chinese Herbal Hot Compress to Alleviate Nausea and Vomiting After Chemotherapy in Gallbladder Cancer： A Case Study

更新时间：2025-08-15

- Nursing Report on Acupoint Injection Combined with Chinese Herbal Hot Compress to Alleviate Nausea and Vomiting After Chemotherapy in Gallbladder Cancer： A Case Study
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  北京市健宫医院呼吸与危重症医学科，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202504300002
  CLC：
- Received：30 April 2025，
  
  Accepted：25 June 2025，
  
  Published Online：15 August 2025，
- 稿件说明：
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GUO Meng. Nursing Report on Acupoint Injection Combined with Chinese Herbal Hot Compress to Alleviate Nausea and Vomiting After Chemotherapy in Gallbladder Cancer： A Case Study[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

GUO Meng. Nursing Report on Acupoint Injection Combined with Chinese Herbal Hot Compress to Alleviate Nausea and Vomiting After Chemotherapy in Gallbladder Cancer： A Case Study[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202504300002.

摘要

本研究聚焦1例74岁女性胆囊癌术后肝转移患者，其化疗后出现重度恶心呕吐，且合并高血压、糖尿病等基础疾病，具有病情复杂的特异性。通过采用中西医结合方案，即西医常规化疗、抑酸护胃、营养支持，中医辨证为脾胃虚弱证，予穴位注射（内关、足三里）联合中药热奄包（中脘、神阙穴）干预，同时实施多维度护理，包括生理—心理—社会评估、精准护理诊断、个性化方案制定、中西医措施实施及动态效果评价。结果显示，患者恶心呕吐频率显著降低，营养指标与心理状态明显改善，出院随访症状稳定。本病例体现中西医结合护理在肿瘤化疗胃肠道反应管理中的独特优势，为临床难治性化疗相关性恶心呕吐提供了安全、有效的个案范式与经验借鉴。

Abstract

This study focused on a 74-year-old female patient with postoperative liver metastasis of gallbladder cancer who developed severe nausea and vomiting after chemotherapy， complicated by underlying conditions such as hypertension and diabetes， reflecting the complexity of her condition. An integrated Chinese-Western medical approach was adopted， including conventional chemotherapy， acid suppression， gastric protection， and nutritional support in Western medicine， while Traditional Chinese Medicine （TCM） identified the syndrome as spleen-stomach deficiency. Interventions included acupoint injection （Neiguan ［PC6］ and Zusanli ［ST36］） combined with Chinese herbal hot compress （applied to Zhongwan ［CV12］ and Shenque ［CV8］）， alongside multidimensional nursing care involving physiological-psychological-social assessment， precise nursing diagnosis， personalized intervention design， implementation of integrated measures， and dynamic outcome evaluation. Results demonstrated a significant reduction in nausea and vomiting frequency， marked improvement in nutritional indices and psychological status， and stable symptom control during follow-up after discharge. This case highlights the unique advantages of integrated Chinese-Western nursing in managing chemotherapy-induced gastrointestinal reactions， offering a safe and effective paradigm for refractory chemotherapy-related nausea and vomiting （CINV） in clinical practice.

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references

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