A Case Report on Integrated Chinese and Western Medicine Nursing for Acute Exacerbation of Chronic Rhinitis in a 4-Year-Old Child

LIU Xiaoqian

doi:10.12209/CAIM202604260002

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A Case Report on Integrated Chinese and Western Medicine Nursing for Acute Exacerbation of Chronic Rhinitis in a 4-Year-Old Child

更新时间：2026-07-01

- A Case Report on Integrated Chinese and Western Medicine Nursing for Acute Exacerbation of Chronic Rhinitis in a 4-Year-Old Child
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.天津中医药大学第一附属医院儿科，天津， 300381
  2.中医国家临床医学研究中心儿科，天津， 300381
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202604260002
  CLC：
- Received：26 April 2026，
  
  Revised：2026-06-03，
  
  Accepted：04 June 2026，
  
  Online First：01 July 2026，
- 稿件说明：
移动端阅览
LIU Xiaoqian. A Case Report on Integrated Chinese and Western Medicine Nursing for Acute Exacerbation of Chronic Rhinitis in a 4-Year-Old Child[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

LIU Xiaoqian. A Case Report on Integrated Chinese and Western Medicine Nursing for Acute Exacerbation of Chronic Rhinitis in a 4-Year-Old Child[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202604260002.

摘要

本文总结1例4岁慢性鼻炎患儿急性发作的中西医结合护理经验。患儿因鼻炎急性发作，且对常规滴鼻治疗存在严重恐惧与抗拒，常规给药途径受限。医护人员对患儿实施高渗盐水鼻腔雾化、体位管理等西医护理措施，同时配合头面推拿、穴位按摩、艾灸及中药熏鼻等中医外治法。干预后24 h，患儿鼻塞评分由10分降至4分，夜间憋醒次数减至1次；干预第5天，鼻塞评分降至0分，急性症状完全控制，患儿可主动配合护理操作，家长熟练掌握居家护理技能。本案例提示，中西医结合护理方案能快速缓解症状、消除患儿治疗恐惧，具有安全、有效及患儿接受度高等优点，适于临床及家庭推广。

Abstract

This paper summarizes the nursing experience of integrated Chinese and Western medicine in managing acute exacerbation of chronic rhinitis in a 4-year-old pediatric patient. The child presented with an acute flare-up of rhinitis accompanied by severe fear and resistance to conventional nasal drop administration， which limited routine drug delivery routes. The medical team implemented Western nursing measures， including hypertonic saline nasal nebulization and postural management， while simultaneously applying traditional Chinese medicine （TCM） external therapies， namely head and face massage， acupoint massage， moxibustion， and herbal steam inhalation of the nasal cavity. At 24 hours post-intervention， the child's nasal congestion score decreased from 10 to 4， and the frequency of nocturnal awakening due to dyspnea was reduced to once. On day 5 of intervention， the nasal congestion score dropped to 0， acute symptoms were completely controlled， the child was able to actively cooperate with nursing procedures， and the parents had mastered home-based care skills proficiently. This case suggests that the integrated Chinese and Western medicine nursing protocol can rapidly alleviate symptoms， eliminate treatment-related fear in pediatric patients， and demonstrates the advantages of safety， efficacy， and high acceptance， making it suitable for clinical and household application.

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references

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