Case Analysis of Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Acute Cerebral Infarction （Stroke Disease） Caused by Phlegm-Heat Stasis Obstruction

LI Jinguang; JIN Bo; CHEN Xingyi; GUO Liuyang; YANG Yu

doi:10.12209/CAIM202509270001

您当前的位置：

首页 >

文章列表页 >

Case Analysis of Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Acute Cerebral Infarction （Stroke Disease） Caused by Phlegm-Heat Stasis Obstruction

更新时间：2026-01-22

- Case Analysis of Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Acute Cerebral Infarction （Stroke Disease） Caused by Phlegm-Heat Stasis Obstruction
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京朝阳中西医结合急诊抢救医院神经内二科，北京， 100023
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202509270001
  CLC：
- Received：27 September 2025，
  
  Revised：2025-11-22，
  
  Accepted：24 November 2025，
  
  Published Online：22 January 2026，
- 稿件说明：
移动端阅览
LI Jinguang, JIN Bo, CHEN Xingyi, et al. Case Analysis of Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Acute Cerebral Infarction （Stroke Disease） Caused by Phlegm-Heat Stasis Obstruction[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

LI Jinguang, JIN Bo, CHEN Xingyi, et al. Case Analysis of Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Acute Cerebral Infarction （Stroke Disease） Caused by Phlegm-Heat Stasis Obstruction[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202509270001.

摘要

脑卒中危害严重，中西医结合护理对改善患者功能障碍具有重要意义。本例为67岁男性患者，因突发左侧肢体乏力加重入院，经影像学检查确诊为急性脑梗死，中医辨证为痰热瘀阻证。入院后首先完成全面护理评估，确立肢体活动障碍、言语功能障碍等护理诊断，制定短期与长期康复目标，实施中医适宜技术之中药水罐疗法、现代康复功能训练及整体护理干预。经14 d系统护理，患者左下肢肌力、言语功能均从Ⅲ级恢复至Ⅴ级，生活质量评分从78分提升至98分。中西医结合护理能有效改善脑卒中患者的神经功能，显著提高其生活质量，为临床同类病例的护理提供了有益参考，值得临床推广应用。

Abstract

Stroke is a serious disease. Integrated traditional Chinese and Western medicine nursing is of great significance in improving patients' functional disorders. This case involves a 67-year-old male patient who was admitted to the hospital due to sudden aggravation of left limb weakness. After imaging examination， he was diagnosed with acute cerebral infarction， and the traditional Chinese medicine diagnosis was phlegm-heat stasis obstruction. After admission， a comprehensive nursing assessment was completed， and nursing diagnoses such as limb movement disorder and speech function disorder were established. Short-term and long-term rehabilitation goals were set， and traditional Chinese medicine appropriate techniques such as the water jar therapy， modern rehabilitation functional training， and overall nursing intervention were implemented. After 14 days of systematic nursing， the patient's left lower limb muscle strength and speech function recovered from grade III to grade V， and the quality of life score increased from 78 points to 98 points. Integrated traditional Chinese and Western medicine nursing can effectively improve the neurological function of stroke patients and significantly improve their quality of life. It provides useful references for the nursing of similar cases in clinical practice and is worthy of clinical promotion and application.

关键词

Keywords

references

张娟 . 中西医结合康复方案对脑卒中偏瘫患者生活质量的影响［D］. 广州：广州中医药大学， 2013 .

安丹蔷，季宇宣，张瀚之，等 . 下肢康复训练机器人联合等速肌力训练对老年脑卒中偏瘫患者神经功能、步行能力、Lovett肌力分级及平衡能力的影响［J］. 临床和实验医学杂志， 2024 ， 23 （ 4 ）： 377 - 381 .

AN D Q ， JI Y X ， ZHANG H Z ， et al . Effects of lower limb rehabilitation training robot with isokinetic muscle strength training on nerve function， walking ability， Lovett muscle strength classification and balancing ability in elderly stroke patients with hemiplegia ［J］. J Clin Exp Med ， 2024 ， 23 （ 4 ）： 377 - 381 . （in Chinese）

李志更，岳利峰，马培，等 . 从“痰瘀互结”论治缺血性中风［J］. 辽宁中医杂志， 2023 ， 50 （ 12 ）： 55 - 57 .

LI Z G ， YUE L F ， MA P ， et al . Treating ischemic stroke from perspective of “interaction of phlegm and blood stasis” ［J］. Liaoning J Tradit Chin Med ， 2023 ， 50 （ 12 ）： 55 - 57 . （in Chinese）

刘耀华，李俊，闫静 . 基于证据总结的目标康复训练对老年缺血性脑卒中后言语障碍患者功能恢复的影响［J］. 老年医学与保健， 2024 ， 30 （ 2 ）： 348 - 352， 361 .

LIU Y H ， LI J ， YAN J . Effects of targeted rehabilitation training based on evidence summary on functional recovery of elderly patients with speech impairment after ischemic stroke ［J］. Geriatr Health Care ， 2024 ， 30 （ 2 ）： 348 - 352， 361 . （in Chinese）

祝美珍 . 缺血性中风病证本质的客观化研究与探讨［J］. 中西医结合心脑血管病杂志， 2006 ， 4 （ 9 ）： 775 - 776 .

ZHU M Z . Objective study and discussion on the essence of ischemic stroke ［J］. Chin J Integr Med Cardio /cerebrovascular Dis ， 2006 ， 4 （ 9 ）： 775 - 776 . （in Chinese）

吴永惠 . 缺血性中风病的中医药治疗［J］. 医学信息， 2022 ， 35 （ 12 ）： 89 - 92 .

WU Y H . Traditional Chinese medicine treatment of ischemic stroke ［J］. J Med Inf ， 2022 ， 35 （ 12 ）： 89 - 92 . （in Chinese）

贾娴珺，方琪，刘源，等 . “互联网+”在缺血性脑卒中伴言语障碍患者健康教育中的应用［J］. 东南大学学报（医学版）， 2021 ， 40 （ 6 ）： 856 - 859 .

JIA X J ， FANG Q ， LIU Y ， et al . Application of “Internet plus” in health education of patients with ischemic stroke and speech disorder ［J］. J Southeast Univ Med Sci Ed ， 2021 ， 40 （ 6 ）： 856 - 859 . （in Chinese）

王新征，李燕 . 中药水罐联合针刺疗法治疗腰椎间盘突出症临床研究［J］. 内蒙古中医药， 2021 ， 40 （ 6 ）： 127 - 128 .

WANG X Z ， LI Y . Clinical study on treatment of lumbar disc herniation with traditional Chinese medicine pitcher combined with acupuncture therapy ［J］. Inn Mong J Tradit Chin Med ， 2021 ， 40 （ 6 ）： 127 - 128 . （in Chinese）

邓巍巍，周璇，陈晨，等 . 改良六字诀训练对痉挛型脑性瘫痪言语障碍的疗效研究［J］. 中国康复医学杂志， 2023 ， 38 （ 8 ）： 1079 - 1083 .

DENG W W ， ZHOU X ， CHEN C ， et al . Effects of modified liuzijue training on speech impairments for spastic cerebral palsy ［J］. Chin J Rehabil Med ， 2023 ， 38 （ 8 ）： 1079 - 1083 . （in Chinese）

周琳，吴琼，郭秀君，等 . 灸法干预缺血性脑卒中患者肢体功能障碍的选穴规律研究［J］. 中医药导报， 2021 ， 27 （ 4 ）： 131 - 135 .

ZHOU L ， WU Q ， GUO X J ， et al . Study on the rule of moxibustion in intervention of limb dysfunction in patients with ischemic stroke ［J］. Guid J Tradit Chin Med Pharmacol ， 2021 ， 27 （ 4 ）： 131 - 135 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Integrated Traditional Chinese and Western Medicine Nursing for a Patient with Severe Pneumonia Complicated by Hypoalbuminemia： A Case Report

Integrated Traditional Chinese and Western Nursing Experience in Perioperative Care for a Patient with Refractory Hypertension Undergoing Renal Denervation

Combined Traditional Chinese and Western Medicine Rehabilitation Nursing Consultation for a Young Stroke Patient

Integrated Traditional Chinese and Western Medicine Nursing： Rapid Recovery of Gastroparesis Patients after Pancreaticoduodenectomy

Rehabilitation Nursing for a Patient with Hip Impingement Syndrome Postoperatively Experiencing Pain

Related Author

TIAN Siyu

JIA Haizhen

TAN Juan

JIA Xin

ZHOU Xuejiao

GUO Wei

ZHANG Hailing

YU Meiling

Related Institution

Department of Emergency， Beijing Jiangong Hospital

Third Cardiovascular Department， Xiyuan Hospital China Academy of Chinese Medical Sciences

Department of Vascular Neurology 3， Beijing Tiantan Hospital Capital Medical University

Department of General Surgery， State Grid Corporation Beijing Electric Power Hospital

Department of Rehabilitation Medicine， State Grid Corporation Beijing Electric Power Hospital

⁰