A Report on the Integrated Traditional Chinese and Western Medicine Nursing of a Patient with Coexisting Cardiopulmonary Diseases and Gastrointestinal Dysfunction Based on the Principle of "Staged Nursing"

YAN Junjie; WANG Zhaojia; LI Jia; QI Wenjing

doi:10.12209/CAIM202511260003

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A Report on the Integrated Traditional Chinese and Western Medicine Nursing of a Patient with Coexisting Cardiopulmonary Diseases and Gastrointestinal Dysfunction Based on the Principle of "Staged Nursing"

更新时间：2026-03-20

- A Report on the Integrated Traditional Chinese and Western Medicine Nursing of a Patient with Coexisting Cardiopulmonary Diseases and Gastrointestinal Dysfunction Based on the Principle of "Staged Nursing"
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京中医药大学东方医院感染科，北京， 100078
  2.北京中医药大学东方医院心血管内科，北京， 100078
  3.北京中医药大学东方医院皮肤科，北京， 100078
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202511260003
  CLC：
- Received：26 November 2025，
  
  Revised：2026-01-26，
  
  Accepted：09 February 2026，
  
  Online First：20 March 2026，
- 稿件说明：
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YAN Junjie, WANG Zhaojia, LI Jia, et al. A Report on the Integrated Traditional Chinese and Western Medicine Nursing of a Patient with Coexisting Cardiopulmonary Diseases and Gastrointestinal Dysfunction Based on the Principle of "Staged Nursing"[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

YAN Junjie, WANG Zhaojia, LI Jia, et al. A Report on the Integrated Traditional Chinese and Western Medicine Nursing of a Patient with Coexisting Cardiopulmonary Diseases and Gastrointestinal Dysfunction Based on the Principle of "Staged Nursing"[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202511260003.

摘要

本文报告1例60岁男性冠心病心力衰竭合并细菌性肺炎、胃肠功能紊乱患者的中西医结合护理经验。护理过程以中医辨证施护为核心，依据病证演变实施分期护理，标急期以“和胃降逆、宣肺平喘”为护理重点，待胃肠症状缓解后，转为以“养心安神、活血通络”固护根本的缓则治本阶段。分阶段应用穴位贴敷、皮内针、走罐等中医护理技术，同步配合饮食调护、情志干预等综合措施。经护理干预后，患者临床症状显著改善，实验室指标趋于稳定，焦虑情绪缓解，且掌握疾病相关知识及自我护理要点，顺利出院并转介行心脏搭桥手术。本案例体现了“分期施护”原则指导下的中医动态辨证护理在复杂危重病例中的独特优势，为同类病例的临床护理提供了实践参考。

Abstract

This paper reports the experience of integrated traditional Chinese and Western medicine nursing for a 60-year-old male patient with coronary heart disease， heart failure， bacterial pneumonia， and gastrointestinal dysfunction. The nursing process was centered on traditional Chinese medicine （TCM） syndrome differentiation and nursing， and staged nursing was implemented based on the evolution of the disease and syndrome. During the acute stage， the focus was on "harmonizing the stomach， reducing counterflow， and promoting lung function and relieving asthma". After the gastrointestinal symptoms were relieved， the nursing shifted to the "nourishing the heart， calming the mind， promoting blood circulation， and unblocking the meridians" stage to address the root cause. TCM nursing techniques such as acupoint application， intradermal needling， and sliding cupping were applied in stages， and were complemented by comprehensive measures including dietary care and emotional intervention. After the nursing intervention， the patient's clinical symptoms significantly improved， laboratory indicators stabilized， anxiety was relieved， and the patient mastered disease-related knowledge and self-care points， and was discharged smoothly and referred for coronary artery bypass surgery. This case demonstrates the unique advantages of TCM dynamic syndrome differentiation nursing guided by the principle of "staged nursing" in complex and critical cases， providing practical references for the clinical nursing of similar cases.

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references

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