A Case Report on Integrated Traditional Chinese and Western Nursing Care for a Patient with Metabolic Syndrome after Laparoscopic Sleeve Gastrectomy and Cholecystectomy

LI Jin; LIN Qiang; WANG Xiaoming; LIU Weili

doi:10.12209/CAIM202603080001

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A Case Report on Integrated Traditional Chinese and Western Nursing Care for a Patient with Metabolic Syndrome after Laparoscopic Sleeve Gastrectomy and Cholecystectomy

更新时间：2026-04-14

- A Case Report on Integrated Traditional Chinese and Western Nursing Care for a Patient with Metabolic Syndrome after Laparoscopic Sleeve Gastrectomy and Cholecystectomy
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京市健宫医院普通外科，北京， 100054
  2.北京市健宫医院护理部，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202603080001
  CLC：
- Received：08 March 2026，
  
  Revised：2026-03-12，
  
  Accepted：27 March 2026，
  
  Online First：14 April 2026，
- 稿件说明：
移动端阅览
LI Jin, LIN Qiang, WANG Xiaoming, et al. A Case Report on Integrated Traditional Chinese and Western Nursing Care for a Patient with Metabolic Syndrome after Laparoscopic Sleeve Gastrectomy and Cholecystectomy[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

LI Jin, LIN Qiang, WANG Xiaoming, et al. A Case Report on Integrated Traditional Chinese and Western Nursing Care for a Patient with Metabolic Syndrome after Laparoscopic Sleeve Gastrectomy and Cholecystectomy[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202603080001.

摘要

目的

探讨中西医结合护理在代谢综合征患者腹腔镜联合手术后的应用价值及效果，为同类患者的临床护理提供实证参考。

方法

选取1例代谢综合征患者，实施以西医基础护理、中医辨证施护及多学科协作相结合的系统性护理干预，涵盖生命体征监测、并发症预防、营养支持、中医穴位贴敷、耳穴压丸及情志调摄等内容，并根据患者病情动态调整护理策略。

结果

患者住院7 d后顺利出院，手术切口甲级愈合，未发生相关并发症；营养状况改善，血栓风险评分降低，抑郁自评量表（SDS）评分恢复正常。术后3个月随访显示，患者体重下降至78 kg，体重指数（BMI）为31.5 kg/m²，各项代谢指标恢复正常，中医痰湿证候明显缓解，已恢复日常生活。

结论

中西医结合护理可有效缓解代谢综合征患者腹腔镜联合手术后疼痛，降低并发症风险，改善代谢指标及中医证候，促进患者术后康复，具有较高的临床推广价值。

Abstract

Objective

To explore the application value and effect of integrated traditional Chinese and Western nursing care in patients with metabolic syndrome after laparoscopic combined surgery， and to provide empirical reference for the clinical nursing of similar patients.

Methods

One patient with metabolic syndrome was selected and received systematic nursing intervention combining Western basic nursing， traditional Chinese medicine syndrome differentiation-based care， and multidisciplinary collaboration， covering vital sign monitoring， complication prevention， nutritional support， traditional Chinese medicine acupoint application， auricular point pressing， and emotional regulation. The nursing strategy was dynamically adjusted according to the patient's condition.

Results

The patient was discharged after 7 days of hospitalization with a grade A healing of the surgical incision and no related complications. The nutritional status improved， the thrombosis risk score decreased， and the Self-Rating Depression Scale （SDS） score returned to normal. The 3-month follow-up showed that the patient's weight decreased to 78 kg， the body mass index （BMI） was 31.5 kg/m²， all metabolic indicators returned to normal， the symptoms of phlegm-dampness syndrome in traditional Chinese medicine were significantly relieved， and the patient had resumed normal daily life.

Conclusion

Integrated traditional Chinese and Western nursing care can effectively relieve postoperative pain in patients with metabolic syndrome after laparoscopic combined surgery， reduce the risk of complications， improve metabolic indicators and traditional Chinese medicine syndromes， and promote postoperative recovery， demonstrating high clinical promotion value.

关键词

Keywords

references

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