Nursing Care Report on a Case of Chest Distress in Coronary Heart Disease Treated with Intradermal Needling Combined with Acupoint Application

CHEN Caiyu

doi:10.12209/CAIM202604130001

您当前的位置：

首页 >

文章列表页 >

Nursing Care Report on a Case of Chest Distress in Coronary Heart Disease Treated with Intradermal Needling Combined with Acupoint Application

更新时间：2026-06-17

- Nursing Care Report on a Case of Chest Distress in Coronary Heart Disease Treated with Intradermal Needling Combined with Acupoint Application
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  北京市回民医院心内科，北京， 100054
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202604130001
  CLC：
- Received：13 April 2026，
  
  Revised：2026-05-28，
  
  Accepted：29 May 2026，
  
  Online First：17 June 2026，
- 稿件说明：
移动端阅览
CHEN Caiyu. Nursing Care Report on a Case of Chest Distress in Coronary Heart Disease Treated with Intradermal Needling Combined with Acupoint Application[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

CHEN Caiyu. Nursing Care Report on a Case of Chest Distress in Coronary Heart Disease Treated with Intradermal Needling Combined with Acupoint Application[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202604130001.

摘要

冠心病患者活动后胸闷、活动无耐力为临床常见且影响预后的核心问题，单纯常规护理对症状缓解效果有限，存在干预手段单一、症状改善不持久等临床难点。本文报告1例冠心病活动后胸闷、活动无耐力患者，在常规护理基础上联合实施皮内针与穴位贴敷护理干预；通过护理评估明确患者胸闷不适、活动耐力下降及生活质量受限等问题，制定中医特色护理联合基础护理计划，实施病情监测、休息与活动指导、皮内针操作、穴位贴敷、情志与饮食护理等综合措施，经护理评价，患者胸闷症状显著减轻，活动耐力提升，干预效果确切。本案例总结皮内针联合穴位贴敷改善冠心病胸闷、活动无耐力患者的护理治疗经验。

Abstract

Chest distress after activity and limited activity tolerance are common clinical issues in patients with coronary heart disease （CHD） and are core problems affecting prognosis. Conventional nursing alone has limited effects in symptom relief， with clinical challenges including monotonous interventions and unsustained symptom improvement. This article reports a case of a CHD patient presenting with chest distress after activity and limited activity tolerance， who received intradermal needling combined with acupoint application on the basis of routine nursing care. Through nursing assessment， the patient's symptoms of chest distress， decreased activity tolerance， and impaired quality of life were identified. A nursing plan integrating TCM-characteristic nursing with basic nursing was developed， and comprehensive measures were implemented， including condition monitoring， rest and activity guidance， intradermal needling， acupoint application， emotional care， and dietary guidance. Nursing evaluation indicated that the patient's chest distress was significantly relieved， activity tolerance was notably improved， and the intervention achieved definite therapeutic effects. This case summarizes the nursing experience of intradermal needling combined with acupoint application in improving chest distress and activity tolerance in CHD patients.

关键词

Keywords

references

中华医学会心血管病学分会，中华心血管病杂志编辑委员会 . 中国慢性冠脉综合征患者诊断及管理指南［J］. 中华心血管病杂志， 2024 ， 52 （ 6 ）： 589 - 614 .

Chinese Society of Cardiology ， Editorial Board of Chinese Journal of Cardiovascular Diseases . Chinese guidelines for the diagnosis and management of patients with chronic coronary syndrome ［J］. Chin J Cardiol ， 2024 ， 52 （ 6 ）： 589 - 614 . （in Chinese）

张晏铭，于高修，王聪，等 . 早发冠心病发病机制与预防的研究进展［J］. 中国临床医学， 2024 ， 31 （ 3 ）： 491 - 498 .

Zhang Y M ， Yu G X ， Wang C ， et al . Research progress on pathogenesis and prevention of premature coronary heart disease ［J］. Chin J Clin Med ， 2024 ， 31 （ 3 ）： 491 - 498 . （in Chinese）

郭志英，李玉锋，徐浩 . 徐浩教授辨治胸痹心痛的临证经验探析［J］. 中西医结合心脑血管病杂志， 2025 ， 23 （ 4 ）： 629 - 632 .

Guo Z Y ， Li Y F ， Xu H . Professor xu Hao’s clinical experience in treating chest stuffiness and pains ［J］. Chin J Integr Med Cardio/cerebrovascular Dis ， 2025 ， 23 （ 4 ）： 629 - 632 . （in Chinese）

闫志如，魏会玉，张淑萍，等 . 中医优质护理在胸痹心痛发作期患者中的应用效果［J］. 中国民康医学， 2025 ， 37 （ 2 ）： 162 - 164 .

Yan Z R ， Wei H Y ， Zhang S P ， et al . Application effects of high-quality nursing of traditional Chinese medicine in patients with chest pain during the attack period ［J］. Med J Chin People’s Heal ， 2025 ， 37 （ 2 ）： 162 - 164 . （in Chinese）

邹喆，王亚红，石濮菘 . 从少阳论治胸痹心痛经验阐发［J］. 中华中医药杂志， 2021 ， 36 （ 8 ）： 4752 - 4756 .

Zou Z ， Wang Y H ， Shi P S . Discussion and analysis on the experience of treating the chest obstruction based on Shaoyang meridian ［J］. China J Tradit Chin Med Pharm ， 2021 ， 36 （ 8 ）： 4752 - 4756 . （in Chinese）

张云秋，李扬雪，刘浩洋，等 . 早发冠心病患者共病情况及共病模式研究［J］. 中国全科医学， 2026 ， 29 （ 2 ）： 226 - 231 .

Zhang Y Q ， Li Y X ， Liu H Y ， et al . Research on comorbidity conditions and comorbidity patterns in patients with premature coronary heart disease ［J］. Chin Gen Pract ， 2026 ， 29 （ 2 ）： 226 - 231 . （in Chinese）

王云振，孙艳玲 . 胸痹贴穴位敷贴治疗冠心病心绞痛30例临床观察［J］. 光明中医， 2015 ， 30 （ 10 ）： 2176 - 2178 .

Wang Y Z ， Sun Y L . Clinical observation on 30 cases of angina pectoris of coronary heart disease treated by acupoint application of chest pain paste ［J］. Guangming J Chin Med ， 2015 ， 30 （ 10 ）： 2176 - 2178 . （in Chinese）

戴付勤，孔莎，陈红柯，等 . 冠心病常见治疗药物及其不良反应分析［J］. 中国药物滥用防治杂志， 2022 ， 28 （ 8 ）： 1031 - 1034 .

Dai F Q ， Kong S ， Chen H K ， et al . Analysis of common therapeutic drugs for coronary heart disease and their adverse reactions ［J］. Chin J Drug Abuse Prev Treat ， 2022 ， 28 （ 8 ）： 1031 - 1034 . （in Chinese）

靳宏光，齐锋，姜丽红 . 基于痰瘀伏邪理论评价穴位敷贴法治疗冠心病稳定型心绞痛的临床疗效［J］. 中国中医急症， 2014 ， 23 （ 2 ）： 212 - 213， 250 .

Jin H G ， Qi F ， Jiang L H . E valuating the clinical effect of acupoint application in the treatment of stable angina pectoris of coronary heart disease based on the theory of incubative phlegm and blood stasis ［J］. J Emerg Tradit Chin Med ， 2014 ， 23 （ 2 ）： 212 - 213， 250 . （in Chinese）

田富娟 . 《针灸大成》中大陵穴临床应用规律探析［J］. 实用中医内科杂志， 2023 ， 37 （ 5 ）：： 28- 31 ..

Tian F J . Preliminary study on clinical application rule of daoling acupoint of acupuncture and moxibustion Dacheng ［J］. J Pract Tradit Chin Intern Med ， 2023 ， 37 （ 5 ）：： 28- 31 .. （in Chinese）

侯春蕾，桂明泰，宋雨晴，等 . 中药穴位贴敷治疗冠心病心绞痛的临床研究进展［J］. 中西医结合心脑血管病杂志， 2024 ， 22 （ 2 ）： 292 - 296 .

Hou C L ， Gui M T ， Song Y Q ， et al . Clinical research progress of acupoint application of traditional Chinese medicine in the treatment of angina pectoris of coronary heart disease ［J］. Chin J Integr Med Cardio Cerebrovascular Dis ， 2024 ， 22 （ 2 ）： 292 - 296 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing Experience of Acupoint Application Combined with Intradermal Needling for Chest Pain and Palpitations in a Patient with Heart Obstruction Syndrome

Nursing Experience of Integrated Traditional Chinese and Western Medicine for One Case of Gastrointestinal Dysfunction Complicated with Upper Gastrointestinal Bleeding

Nursing Report on Acupoint Application Combined with Indirect Moxibustion for a Case of Diarrhea with Qi-Yin Deficiency and Blood Stasis Syndrome

Bloodletting at Ear Apex Combined with Acupoint Application in the Nursing of a Patient with Residual Dizziness After Benign Paroxysmal Positional Vertigo Treatment

Nursing Report on Acupoint Application Therapy for a Case of Stable Angina Pectoris

Related Author

WANG Anqi

ZHAO Yali

PAN Lizi

ZHAO Yijia

BI Yanyue

GONG Yameng

WANG Junye

ZHANG Ran

Related Institution

Department of Cardiology， Beijing Jiangong Hospital

Department of Geriatrics， Fengtai Hospital of Traditional Chinese Medicine

Department of Nephrology and Endocrinology IV， Dongzhimen Hospital， Beijing University of Chinese Medicine

Department of Encephalopathy， Beijing Jiangong Hospital

Department of Internal Medicine， Beijing Gulou Hospital of Traditional Chinese Medicine

⁰