Nursing Based on Syndrome Differentiation for a Patient with Post-Stroke Sequelae Complicated by Hypertension， Atrial Fibrillation， and Cervical Spondylosis

DONG Yiting

doi:10.12209/CAIM202511050001

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Nursing Based on Syndrome Differentiation for a Patient with Post-Stroke Sequelae Complicated by Hypertension， Atrial Fibrillation， and Cervical Spondylosis

更新时间：2026-03-16

- Nursing Based on Syndrome Differentiation for a Patient with Post-Stroke Sequelae Complicated by Hypertension， Atrial Fibrillation， and Cervical Spondylosis
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  上海中医药大学附属曙光医院急诊科，上海， 200021
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202511050001
  CLC：
- Received：05 November 2025，
  
  Revised：2026-01-24，
  
  Accepted：09 February 2026，
  
  Online First：16 March 2026，
- 稿件说明：
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DONG Yiting. Nursing Based on Syndrome Differentiation for a Patient with Post-Stroke Sequelae Complicated by Hypertension， Atrial Fibrillation， and Cervical Spondylosis[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

DONG Yiting. Nursing Based on Syndrome Differentiation for a Patient with Post-Stroke Sequelae Complicated by Hypertension， Atrial Fibrillation， and Cervical Spondylosis[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202511050001.

摘要

为探讨中西医结合护理在多病共存老年患者中的应用价值，本文以1例65岁脑梗死后遗症伴高血压、房颤、颈椎病的患者为研究对象，通过西医功能评估（Barthel指数、Morse跌倒风险评分）与中医四诊合参（辨证为风痰阻络证），明确核心护理问题。基于“西医辨病+中医辨证”原则，制定并实施中西医协同护理方案。经2周干预并进行30 d随访，患者症状显著改善，颈肩疼痛消失（VAS评分从2分降至0分），生活自理能力大幅提升（Barthel指数从61分升至95分），跌倒风险降至低危（Morse评分从45分降至15分），无护理并发症发生，中医证候明显缓解。研究结果表明，中西医结合护理可有效改善脑梗死后遗症合并多重基础疾病老年患者的临床症状与生活质量，为多病共存老年患者的护理提供了可行的实践路径。

Abstract

To explore the clinical value of integrated traditional Chinese and Western medicine （TCM-WM） nursing in elderly patients with multimorbidity， this study focused on a 65-year-old patient with post-stroke sequelae， hypertension， atrial fibrillation， and cervical spondylosis. Core nursing issues were identified through Western functional assessments （Barthel Index， Morse Fall Risk Scale） and TCM four-diagnosis integration （syndrome differentiation： wind-phlegm obstructing collaterals）. A coordinated TCM-WM nursing plan was designed and implemented based on the principle of "Western disease diagnosis + TCM syndrome differentiation." After a 2-week intervention and 30-day follow-up， the patient showed significant improvement： neck/shoulder pain resolved （VAS score decreased from 2 to 0）， self-care capacity markedly enhanced （Barthel Index increased from 61 to 95）， fall risk reduced to low （Morse score declined from 45 to 15）， no nursing complications occurred， and TCM symptoms were alleviated. The results demonstrate that TCM-WM nursing effectively improves clinical symptoms and quality of life in elderly patients with post-stroke sequelae and multiple comorbidities， offering a practical approach for managing such populations.

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