Integrated Traditional Chinese and Western Medicine Nursing Report of a Rare Case of Gout Complicated with Nephrogenic Diabetes Insipidus and Hypokalemic Nephropathy

KANG Jie; FAN Jiao; WANG Jinhuan; MA Lin; ZHANG Xuan; KANG Qing

doi:10.12209/CAIM202604010001

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Integrated Traditional Chinese and Western Medicine Nursing Report of a Rare Case of Gout Complicated with Nephrogenic Diabetes Insipidus and Hypokalemic Nephropathy

更新时间：2026-05-21

- Integrated Traditional Chinese and Western Medicine Nursing Report of a Rare Case of Gout Complicated with Nephrogenic Diabetes Insipidus and Hypokalemic Nephropathy
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京中医药大学东直门医院门诊超声科，北京， 100700
  2.北京中医药大学东直门医院放射科，北京， 100700
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202604010001
  CLC：
- Received：01 April 2026，
  
  Revised：2026-05-12，
  
  Accepted：12 May 2026，
  
  Online First：21 May 2026，
- 稿件说明：
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KANG Jie, FAN Jiao, WANG Jinhuan, et al. Integrated Traditional Chinese and Western Medicine Nursing Report of a Rare Case of Gout Complicated with Nephrogenic Diabetes Insipidus and Hypokalemic Nephropathy[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

KANG Jie, FAN Jiao, WANG Jinhuan, et al. Integrated Traditional Chinese and Western Medicine Nursing Report of a Rare Case of Gout Complicated with Nephrogenic Diabetes Insipidus and Hypokalemic Nephropathy[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202604010001.

摘要

本研究分析1例罕见的痛风合并肾性尿崩症及低钾性肾病病例，凸显多系统共病患者的诊疗难点。护理团队采用中西医融合干预策略，通过耳穴贴压联合中药熏洗协同镇痛；严格管控液体平衡，制定低嘌呤、高钾膳食方案以维持电解质稳定；依据疲乏评估结果动态调整活动量与补钾方案；开展结构化健康宣教，提升患者自我管理能力。经干预后，患者疼痛症状显著缓解，尿量及生化指标恢复正常。本病例证实，中西医协同护理在缓解症状、维持内环境稳定及提高生活质量方面具有显著优势，为复杂多系统共病病例的临床护理提供了参考范式。

Abstract

This study analyzes a rare case of gout complicated with nephrogenic diabetes insipidus and hypokalemic nephropathy， highlighting the diagnostic and therapeutic challenges in patients with multi-system comorbidities. The nursing team adopted an integrated Traditional Chinese and Western Medicine （TCM-WM） intervention strategy， combining auricular acupressure with herbal fumigation for synergistic analgesia， strictly managing fluid balance， and formulating a low-purine， high-potassium dietary plan to maintain electrolyte stability. Activity levels and potassium supplementation were dynamically adjusted based on fatigue assessment results， while structured health education was implemented to enhance the patient’s self-management ability. Post-intervention， the patient’s pain symptoms were significantly alleviated， with urine output and biochemical indices returning to normal. This case demonstrates that integrated TCM-WM nursing offers significant advantages in symptom relief， homeostasis maintenance， and quality-of-life improvement， providing a reference paradigm for the clinical care of complex multi-system comorbidities.

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references

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