Nursing Experience of Integrated Traditional Chinese and Western Medicine in a Patient with Optic Atrophy Combined with Anterior Ischemic Optic Neuropathy

LUO Qiong

doi:10.12209/CAIM202506250023

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Nursing Experience of Integrated Traditional Chinese and Western Medicine in a Patient with Optic Atrophy Combined with Anterior Ischemic Optic Neuropathy

更新时间：2025-11-13

- Nursing Experience of Integrated Traditional Chinese and Western Medicine in a Patient with Optic Atrophy Combined with Anterior Ischemic Optic Neuropathy
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  天津中医药大学第一附属医院国家中医针灸临床医学研究中心眼科，天津， 300381
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202506250023
  CLC：
- Received：25 June 2025，
  
  Revised：2025-08-24，
  
  Accepted：25 August 2025，
  
  Published Online：13 November 2025，
- 稿件说明：
移动端阅览
LUO Qiong. Nursing Experience of Integrated Traditional Chinese and Western Medicine in a Patient with Optic Atrophy Combined with Anterior Ischemic Optic Neuropathy[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

LUO Qiong. Nursing Experience of Integrated Traditional Chinese and Western Medicine in a Patient with Optic Atrophy Combined with Anterior Ischemic Optic Neuropathy[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202506250023.

摘要

本研究总结1例视神经萎缩（OA）合并前部缺血性视神经病变（AION）患者的护理实践。患者为72岁男性，右眼视力0.05伴颞侧视野缺损，合并2型糖尿病，跌倒高风险（Morse评分50分）。通过系统评估，确立四大护理问题：感知改变、焦虑、知识缺乏及外伤风险，并据此制定以“提升视力、控制风险、心理重建”为核心的个体化护理方案。在常规治疗基础上，采用中西医结合护理干预：西医干预：血管扩张剂与神经营养药物；中医特色技术：揿针疏肝明目、耳穴贴压调节气血、中药雾化清热解毒、靶向湿敷舒经通络及穴位按摩促进循环。干预25 d后，患者右眼视力从0.05提升至0.4；Barthel指数从70分升至85分；Morse跌倒评分由50分降至30分（风险降低40%）；眶周血流量（激光散斑血流成像技术检测）从0.32 mL/min/g增至0.42 mL/min/g（↑31%）。本案例证实，中西医结合护理通过“药物—经络—功能”多靶点干预，可有效改善视神经微循环和视功能，为高龄合并代谢性疾病的OA-AION患者提供可推广的个体化护理方案，具有重要临床借鉴价值。

Abstract

This study summarizes the nursing practice of a patient with optic atrophy （OA） combined with anterior ischemic optic neuropathy （AION）. The patient was a 72-year-old male with a right eye visual acuity of 0.05 and temporal visual field defect， and was also diagnosed with type 2 diabetes and at high risk of falls （Morse score of 50 points）. Through systematic assessment， four major nursing problems were identified： altered perception， anxiety， lack of knowledge， and risk of injury. Based on these， an individualized nursing plan centered on "improving vision， controlling risks， and psychological reconstruction" was formulated. On the basis of conventional treatment， a combined traditional Chinese and Western medicine nursing intervention was adopted： Western medicine intervention included vasodilators and neurotrophic drugs； traditional Chinese medicine techniques included acupressure for liver soothing and vision improvement， auricular point sticking to regulate qi and blood， traditional Chinese medicine nebulization for heat-clearing and detoxification， targeted wet compress for promoting meridian circulation， and acupoint massage to enhance circulation. After 25 days of intervention， the patient's right eye visual acuity improved from 0.05 to 0.4； the Barthel index increased from 70 points to 85 points； the Morse fall risk score decreased from 50 points to 30 points （a 40% reduction in risk）； and the periorbital blood flow （measured by laser speckle flow imaging） increased from 0.32 mL/min/g to 0.42 mL/min/g （an increase of 31%）. This case demonstrates that the combined traditional Chinese and Western medicine nursing approach， through multi-target intervention of "drugs - meridians - functions"， can effectively improve the microcirculation of the optic nerve and visual function， providing a replicable individualized nursing plan for elderly patients with OA-AION and metabolic diseases， and has significant clinical reference value.

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references

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