A Report on Integrated Traditional Chinese and Western Medicine Nursing for a Patient Undergoing Lumbar Spinal Canal Decompression with Bone Graft Fusion and Internal Fixation

WU Xiaocui; WANG Fang; WANG Qingmei

doi:10.12209/CAIM202506300023

您当前的位置：

首页 >

文章列表页 >

A Report on Integrated Traditional Chinese and Western Medicine Nursing for a Patient Undergoing Lumbar Spinal Canal Decompression with Bone Graft Fusion and Internal Fixation

更新时间：2025-11-18

- A Report on Integrated Traditional Chinese and Western Medicine Nursing for a Patient Undergoing Lumbar Spinal Canal Decompression with Bone Graft Fusion and Internal Fixation
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  北京市和平里医院手术麻醉科，北京， 100013
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202506300023
  CLC：
- Received：30 June 2025，
  
  Revised：2025-08-29，
  
  Accepted：01 September 2025，
  
  Published Online：18 November 2025，
- 稿件说明：
移动端阅览
WU Xiaocui, WANG Fang, WANG Qingmei. A Report on Integrated Traditional Chinese and Western Medicine Nursing for a Patient Undergoing Lumbar Spinal Canal Decompression with Bone Graft Fusion and Internal Fixation[DB/OL].Clinical Archives of Integrative Medicine, 2025.
DOI：

WU Xiaocui, WANG Fang, WANG Qingmei. A Report on Integrated Traditional Chinese and Western Medicine Nursing for a Patient Undergoing Lumbar Spinal Canal Decompression with Bone Graft Fusion and Internal Fixation[DB/OL].Clinical Archives of Integrative Medicine, 2025. DOI： 10.12209/CAIM202506300023.

摘要

本文总结1例腰椎椎管扩大减压植骨融合内固定术患者的围术期中西医结合护理经验。在常规西医护理基础上，术中注重保护肾俞等补肾穴位，术后联合耳穴压丸、经皮穴位电刺激等中医护理干预，并制定个体化护理计划。结果表明，中西医结合护理可显著缩短患者排气时间，改善情绪状态，并减少住院时间。

Abstract

This paper summarizes the perioperative integrated Traditional Chinese and Western medicine nursing experience for a patient undergoing lumbar spinal canal decompression with bone graft fusion and internal fixation. Based on conventional Western nursing care， intraoperative protection of kidney-tonifying acupoints such as Shenshu （BL 23） was emphasized， while postoperative interventions including auricular acupressure and transcutaneous electrical acupoint stimulation （TEAS） were combined with an individualized nursing plan. The results demonstrated that integrated nursing significantly reduced postoperative flatus time， improved emotional state， and shortened hospitalization duration.

关键词

Keywords

references

KAYE A D ， EDINOFF A N ， TEMPLE S N ， et al . A comprehensive review of novel interventional techniques for chronic pain： spinal stenosis and degenerative disc disease-MILD percutaneous image guided lumbar decompression， vertiflex interspinous spacer， MinuteMan G3 interspinous-interlaminar fusion ［J］. Adv Ther ， 2021 ， 38 （ 9 ）： 4628 - 4645 .

LEE C P ， FU T S ， LIU C Y ， et al . Psychometric evaluation of the Oswestry Disability Index in patients with chronic low back pain： factor and Mokken analyses ［J］. Health Qual Life Outcomes ， 2017 ， 15 （ 1 ）： 192 .

WEINSTEIN J N ， TOSTESON T D ， LURIE J D ， et al . Surgical versus nonsurgical therapy for lumbar spinal stenosis ［J］. N Engl J Med ， 2008 ， 358 （ 8 ）： 794 - 810 .

陈静，黄彩云，黄丽雯，等 . 耳穴压豆在腰椎融合内固定术后患者中的应用效果［J］. 广西中医药大学学报， 2023 ， 26 （ 5 ）： 47 - 48， 99 .

CHEN J ， HUANG C Y ， HUANG L W ， et al . Effect of auricular point pressing beans on patients after lumbar fusion and internal fixation ［J］. J Guangxi Univ Chin Med ， 2023 ， 26 （ 5 ）： 47 - 48， 99 . （in Chinese）

叶蓓，叶亚云 . 耳穴压豆在急性腰椎间盘突出症患者康复治疗中的应用［J］. 中国现代医生， 2019 ， 57 （ 23 ）： 82 - 85 .

YE B ， YE Y Y . Application of auricular acupoint pressing bean in rehabilitation treatment of patients with acute lumbar disc herniation ［J］. China Mod Dr ， 2019 ， 57 （ 23 ）： 82 - 85 . （in Chinese）

王鹏 . 耳穴压豆减轻痔外剥内扎术后疼痛的临床效果［J］. 中国肛肠病杂志， 2019 ， 39 （ 8 ）： 54 - 55 .

WANG P . Efficacy of Dou-pressing on ear point for clinically relieving pain following hemorrhoidal external dissection & internal ligation ［J］. Chin J Coloproctology ， 2019 ， 39 （ 8 ）： 54 - 55 . （in Chinese）

陈昱洁，迟永良，张维亮 . 经皮穴位电刺激对无痛胃肠镜检查后恶心呕吐的影响［J］. 重庆医学， 2025 ， 54 （ 10 ）： 2258 - 2262 .

CHEN Y J ， CHI Y L ， ZHANG W L . The effect of transcutaneous acupoint electrical stimulation on nausea and vomiting after painless gastroscopy and colonoscopy ［J］. Chongqing Med J ， 2025 ， 54 （ 10 ）： 2258 - 2262 . （in Chinese）

戴拥，刘清，吴港发 . 经皮穴位电刺激对全麻腹腔镜胆囊切除术患者术后恶心呕吐的防治效果观察［J］. 湖南中医杂志， 2025 ， 41 （ 3 ）： 6 - 10 .

DAI Y ， LIU Q ， WU G F . Effect of transcutaneous electrical acupoint stimulation in prevention and treatment of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy under general anesthesia ［J］. Hunan J Tradit Chin Med ， 2025 ， 41 （ 3 ）： 6 - 10 . （in Chinese）

王彩红，魏晓涛，赵永强，等 . 经皮穴位电刺激对腹腔镜非胃肠手术后恶心呕吐影响的Meta分析［J］. 临床麻醉学杂志， 2024 ， 40 （ 9 ）： 959 - 965 .

WANG C H ， WEI X T ， ZHAO Y Q ， et al . Effect of transcutaneous electrical acupoint stimulation on postoperative nausea and vomiting after laparoscopic non-gastrointestinal surgery： a meta-analysis ［J］. J Clin Anesthesiol ， 2024 ， 40 （ 9 ）： 959 - 965 . （in Chinese）

许富星 . 经皮穴位电刺激法治疗胃肠功能紊乱的临床研究［J］. 中国疗养医学， 2020 ， 29 （ 3 ）： 281 - 283 .

XU F X . Clinical study on the treatment of gastrointestinal dysfunction by percutaneous acupoint electrical stimulation ［J］. Chin J Conval Med ， 2020 ， 29 （ 3 ）： 281 - 283 . （in Chinese）

杨琼，余碧英，马翠玲 . 经皮穴位电刺激法治疗老年胃肠术后胃肠功能紊乱的临床研究［J］. 中国现代医生， 2018 ， 56 （ 26 ）： 14 - 18 .

YANG Q ， YU B Y ， MA C L . Clinical study of transcutaneous acupoint electrical stimulation in the treatment of gastrointestinal dysfunction in the elderly after gastrointestinal surgery ［J］. China Mod Dr ， 2018 ， 56 （ 26 ）： 14 - 18 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing Experience of Applying Warming Yang Pot Moxibustion Combined with Auricular Acupressure Based on the "Root Reinforcement Theory" in a Case of Antibiotic-Associated Diarrhea （Spleen-Kidney Yang Deficiency Type）

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

Nursing Experience with Traditional Chinese Medicine for a Patient with Tremor Syndrome and Insomnia

Integrated Traditional Chinese and Western Medicine Nursing for an Elderly Patient with Erysipelas Complicated by Lower Limb Ulcer： A Case Report

Perioperative Integrated Traditional Chinese and Western Medicine Nursing Report for a Patient with Cholecystitis

Related Author

ZHANG Xinxin

RU Jiangli

LIN Zhiqiang

LUO Qiong

ZHANG Ran

LI Shijia

LI Jin

WANG Ruihua

Related Institution

ICU， Xiyuan Hospital， China Academy of Chinese Medical Sciences

Department of Ophthalmology， The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine， National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion

Department of Encephalopathy， Beijing Jiangong Hospital

Department of General Surgery and Oncology， Beijing Jiangong Hospital

Department of Acupuncture， The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine， National Clinical Research Center for Traditional Chinese Medicine Acupuncture

⁰